{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:52:35Z","timestamp":1747151555284,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T00:00:00Z","timestamp":1731974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Trigger finger is a common cause of hand pain. Though multiple techniques for percutaneous A1 pulley release have been described in the literature, there is a continued need for safe and effective techniques using inexpensive, familiar, and commonly found instruments. This study evaluated outcomes of percutaneous A1 pulley release performed using a novel technique with a modified 20\u2010gauge spinal needle and ultrasound guidance, with follow\u2010up outcomes at least 6\u2009months after the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the efficacy and safety of a novel percutaneous A1\u2010pulley release technique in individuals with trigger finger.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Private practice outpatient orthopedics clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Forty digits from 30 unique patients with trigger finger who underwent percutaneous A1 pulley release.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Percutaneous ultrasound\u2010guided A1 pulley release performed with a modified 20\u2010gauge spinal needle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>The primary outcome measure was cessation of triggering. Secondary measures examined intraoperative and postoperative pain, postprocedural duration of activity limiting pain, and time to perform the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Immediate cessation of triggering was achieved in all 40 digits following the procedure, with no recurrence reported at any time at an average follow\u2010up of 11\u2009months (range 6\u201332). Patients reported returning to normal activity in 2.75\u2009days. Only one minor complication was reported, tenosynovitis, which resolved with a corticosteroid injection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Percutaneous, ultrasound\u2010guided A1 pulley release performed with a modified 20\u2010gauge spinal needle can be safely performed with good outcomes and a rapid return to normal activity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.13276","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T12:59:37Z","timestamp":1732021177000},"page":"286-292","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous ultrasound\u2010guided <scp>A1<\/scp> pulley release utilizing a modified 20\u2010gauge spinal needle"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3457-1798","authenticated-orcid":false,"given":"Mark","family":"Sederberg","sequence":"first","affiliation":[{"name":"Advanced Sports and Orthopaedics  Lehi Utah USA"},{"name":"Department of Physical Medicine &amp; Rehabilitation University of Utah  Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ragav","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation The Medical College of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel M.","family":"Cushman","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine &amp; Rehabilitation University of Utah  Salt Lake City Utah USA"},{"name":"Department of Orthopaedics University of Utah  Salt Lake City Utah 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