{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T07:19:35Z","timestamp":1787987975867,"version":"build-2784847793"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:00:00Z","timestamp":1704931200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Trigger finger (also known as stenosing tenosynovitis) is a chronic inflammatory disorder that affects the fingers and causes discomfort and functional impairment. It is estimated to affect 2\u20133.6% of the population and is more common in manual laborers and individuals engaged in repetitive hand activities. This study comprehensively compares the efficacy of ultrasound\u2010guided release versus traditional open surgery in treating trigger fingers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials<\/jats:title>\n                    <jats:p>We systematically searched PubMed, Scopus, EMBASE, and the Cochrane Library to identify relevant studies. Inclusion criteria were studies evaluating ultrasound\u2010guided release of trigger finger (grade 2 and higher) compared with open surgical release. A meta\u2010analysis was performed by Revman software 5.4.1 to assess efficacy, utilizing appropriate statistical methods to address heterogeneity. Primary outcome measures included \u201cQuick Disability of Arm, Shoulder, and Hand\u201d (QDASH) scores, Grip strength, and the Visual Analogue Scale (VAS). Secondary outcome measures included Days of stopping analgesia, full\u2010digit flexion and extension, days to return to normal activities, pinch strength, Quinnell grading score, and bow strengthening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Out of the initial pool of 820 studies, five met the inclusion criteria, including 275 patients with 283 trigger digits. The analysis revealed significant differences favoring the ultrasound\u2010guided release group over the surgical group for improvement in Quick Disability of Arm, Shoulder, and Hand score in the first month (MD \u22120.48, 95% CI: 0.75 to \u22120.2,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.0007,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200920%). The difference was not statistically significant in the 3\u2010month follow\u2010up period (MD \u22122.25, 95% CI: \u22120.54 to 0.05,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.1,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%). Additionally, there is a significant difference in the days required for return to normal activities in favor of the ultrasound release approach (MD \u221213.78, 95% CI: \u221216.68 to 10.89,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.00001,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200968%). The data displayed heterogeneity, which was resolved through sensitivity analysis that also favored the ultrasound\u2010guided group. In terms of grip strength, full\u2010digit flexion and extension, VAS, and days of stopping analgesia no significant differences were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Ultrasound\u2010guided release showed advantages over open surgical release, resulting in improved QDASH score and quicker return to normal activities. This offers a minimally invasive, successful alternative to open surgery, reducing associated risks. Further studies with long\u2010term follow\u2010up are recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jum.16408","type":"journal-article","created":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T04:39:33Z","timestamp":1704947973000},"page":"657-669","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Efficacy of Ultrasound\u2010Guided Tendon Release for Trigger Finger Compared With Open Surgery"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3371-1576","authenticated-orcid":false,"given":"Sarah","family":"Amro","sequence":"first","affiliation":[{"name":"Specialized Arab Hospital  Nablus Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5624-0017","authenticated-orcid":false,"given":"Muataz","family":"Kashbour","sequence":"additional","affiliation":[{"name":"Diagnostic Radiology Department National Cancer Institute  Misrata Libya"},{"name":"Medical Research Group of Egypt, Negida Academy  Arlington Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7325-0129","authenticated-orcid":false,"given":"Mahmoud","family":"Shaaban Abdelgalil","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ain\u2010 Shams University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8745-0260","authenticated-orcid":false,"given":"Ruaa Mustafa","family":"Qafesha","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Al\u2010Quds University  Jerusalem Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6270-3180","authenticated-orcid":false,"given":"Hatem","family":"Eldeeb","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Alazhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-007-9012-1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.10.013"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-023-03950-y"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.967400"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/abr.abr_392_21"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-021-01626-4"},{"key":"e_1_2_8_8_1","unstructured":"Cochrane Training.Cochrane Handbook for Systematic Reviews of Interventions 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Meta\u2010Analysis"],"short-title":[],"issued":{"date-parts":[[2024,1,11]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1002\/jum.16408"],"URL":"https:\/\/doi.org\/10.1002\/jum.16408","archive":["Portico"],"relation":{},"ISSN":["0278-4297","1550-9613"],"issn-type":[{"value":"0278-4297","type":"print"},{"value":"1550-9613","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,11]]},"assertion":[{"value":"2023-12-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}