{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:40:46Z","timestamp":1791463246368,"version":"4.3.4"},"reference-count":53,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003350","name":"Mapfre Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003350","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>We compared an ultra\u2010minimally invasive ultrasound\u2010guided percutaneous A1 pulley release and a classic open surgery for trigger digit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We designed a single\u2010center randomized control trial. All cases had clinical signs of primary grade III trigger digit. Concealed allocation (1:1) was used for assigning patients to each group and data collectors were blinded. The Quick\u2010Disabilities of the Arm, Shoulder, and Hand (Quick\u2010DASH) questionnaire was our primary variable. Quick\u2010DASH, two\u2010point discrimination, grip strength, time until stopping analgesics, having full digital range of motion and restarting everyday activities were registered on the 1st, 3rd, and 6th weeks, 3rd and 6th months, and 1st year after the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We randomized 84 patients to ultrasound\u2010guided release and classic open surgery. Quick\u2010DASH scores significantly favored the percutaneous technique until the 3rd month: 7.6\u2009\u00b1\u20091.2 versus 15.3\u2009\u00b1\u20092.4 (mean\u2009\u00b1\u2009standard error of the mean). The percutaneous group obtained significantly better results in all the variables studied: time until stopping analgesics, achieving full range of motion and restarting everyday activities. Grip strength was significantly better in the percutaneous group for the 1st week only. Five cases of moderate local pain were observed in the open technique. There was one case of transient nerve numbness per group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The ultra\u2010minimally invasive ultrasound\u2010guided A1 pulley release was clinically superior to the classic open surgery in functional recovery with a lower complication rate.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.16139","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T18:07:18Z","timestamp":1670436438000},"page":"1267-1275","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Ultrasound\u2010Guided <scp>A1<\/scp> Pulley Release Versus Classic Open Surgery for Trigger Digit"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7750-4712","authenticated-orcid":false,"given":"Guillermo","family":"Rodr\u00edguez\u2010Maruri","sequence":"first","affiliation":[{"name":"Primary Care Musculoskeletal Unit Area V, Servicio de Salud del Principado de Asturias, SESPA  Gij\u00f3n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Manuel","family":"Rojo\u2010Manaute","sequence":"additional","affiliation":[{"name":"Unit of Hand Surgery, Department of Orthopedics Medcare Orthopedics and Spine Hospital  Dubai United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Capa\u2010Grasa","sequence":"additional","affiliation":[{"name":"Department of Physical and Rehabilitation Medicine University Hospital La Paz  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Chana Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University Hospital Gregorio Mara\u00f1\u00f3n  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugenio","family":"Cerezo L\u00f3pez","sequence":"additional","affiliation":[{"name":"Ecograf\u00edas 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