Comparative study of ultrasonography-guided percutaneous A1 pulley release versus blinded percutaneous A1 pulley release

Journal of Orthopaedic Surgery
Sung Hyun LeeHong Je Kang

Abstract

The purpose of this study was to compare the results of blind versus ultrasonography-guided percutaneous A1 pulley release for treatment of trigger finger. This prospective study included 21 patients (25 fingers) who underwent blind release and 20 patients (23 fingers) who underwent ultrasonography-guided release. The visual analog scale (VAS) score, proximal interphalangeal joint contracture, complications, and patient satisfaction were compared between the groups. At the final follow-up, triggering had disappeared in all patients who underwent ultrasonography-guided release, whereas three patients who underwent blind release required revision surgery for postoperative triggering. No complications were observed. VAS score was significantly different between groups at 2 and 4 weeks postoperatively. All patients who underwent ultrasonography-guided release were satisfied, whereas three patients who underwent blind release were not satisfied. Ultrasonography-guided percutaneous A1 pulley release for treatment of trigger finger reduces postoperative pain and complications, such as incomplete release, compared with a blind procedure.

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Citations

May 21, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Stefano BianchiFerdinando Draghi
Dec 18, 2019·European Radiology·Luca Maria SconfienzaUNKNOWN Ultrasound and Interventional Subcommittees of the European Society of Musculoskeletal Radiology (ESSR)
Jul 27, 2021·Indian Journal of Orthopaedics·Angelika Maria SchwarzGloria Maria Hohenberger

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