{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:31:00Z","timestamp":1791822660916,"version":"4.3.4"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T00:00:00Z","timestamp":1757116800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T00:00:00Z","timestamp":1757116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Skeletal Radiol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To retrospectively evaluate outcomes of an ultrasound-guided A1 pulley fenestration release technique using small-gauge (hypodermic or spinal) needles for the treatment of trigger finger (TF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>A retrospective chart review of all TF fenestration release procedures performed by two musculoskeletal radiologists between July 2020 and August 2024 was conducted. The technique included a steroid injection after release. Preprocedural and postprocedural functional Quinnell grades and any immediate complications from the procedure report were primary outcome measures. Clinical pain score, functional outcomes, other TF interventions, and delayed complications were secondary outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 119 procedures were performed in 92 patients (61% women, mean age 63\u2009\u00b1\u200913\u00a0years), with 95 procedures (80%) following prior TF injection with refractory symptoms. Periprocedural Quinnell grades were reported in 99 procedures (83%), with immediately improved scores for all (median-preprocedural-to-postprocedural, 3-to-0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Retrospective follow-up data were available for 60 procedures (50%), of which 70% experienced functional improvement. Pain scores were significantly improved at follow-up (median-preprocedural-to-follow-up, 4-to-0.5;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046). Subsequent interventions occurred following 22 cases (18%), of which 15 (13%) required additional steroid injections, 3 (3%) required repeat fenestration, and 5 (4%) required surgical release. No immediate or delayed complications were otherwise reported. Higher Quinnell grade at end of procedure predicted increased rates of follow-up (OR\u2009=\u20093.17, p\u2009=\u20090.012) and suggested worse functional status at follow-up (OR\u2009=\u20090.25,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.054), and smaller peri-procedural improvement increased odds of additional intervention (OR\u2009=\u20090.48, p\u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ultrasound-guided fenestration is an effective and safe treatment for TF in the outpatient setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00256-025-05028-8","type":"journal-article","created":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T12:43:55Z","timestamp":1757162635000},"page":"341-347","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Outcomes of percutaneous ultrasound-guided A1 pulley fenestration release with small-gauge needles for treatment of trigger finger"],"prefix":"10.1007","volume":"55","author":[{"given":"Faysal F.","family":"Altahawi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Owendoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugen","family":"Lungu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Forney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,6]]},"reference":[{"issue":"2","key":"5028_CR1","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1007\/s12178-007-9012-1","volume":"1","author":"AH Makkouk","year":"2008","unstructured":"Makkouk AH, Oetgen ME, Swigart CR, Dodds SD. Trigger finger: etiology, evaluation, and treatment. Curr Rev Musculoskelet Med. 2008;1(2):92\u20136.","journal-title":"Curr Rev Musculoskelet Med"},{"issue":"4","key":"5028_CR2","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1177\/1753193409341103","volume":"35","author":"S Koh","year":"2010","unstructured":"Koh S, Nakamura S, Hattori T, Hirata H. Trigger digits in diabetes: their incidence and characteristics. J Hand Surg Eur. 2010;35(4):302\u20135.","journal-title":"J Hand Surg Eur"},{"issue":"4","key":"5028_CR3","doi-asserted-by":"publisher","first-page":"419","DOI":"10.3109\/17453677008991529","volume":"41","author":"A Weilby","year":"1970","unstructured":"Weilby A. Trigger finger. Incidence in children and adults and the possibility of a predisposition in certain age groups. 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J Ultrasound Med. 2019;38(12):3141\u201354.","journal-title":"J Ultrasound Med"},{"issue":"3","key":"5028_CR8","doi-asserted-by":"publisher","first-page":"166","DOI":"10.5435\/00124635-200703000-00006","volume":"15","author":"SB Fleisch","year":"2007","unstructured":"Fleisch SB, Spindler KP, Lee DH. Corticosteroid injections in the treatment of trigger finger: a level i and ii systematic review. J Am Acad Orthop Surg. 2007;15(3):166\u201371.","journal-title":"J Am Acad Orthop Surg"},{"issue":"6","key":"5028_CR9","doi-asserted-by":"publisher","first-page":"1879","DOI":"10.1007\/s11999-012-2716-6","volume":"471","author":"J Wang","year":"2013","unstructured":"Wang J, Zhao JG, Liang CC. Percutaneous release, open surgery, or corticosteroid injection, which is the best treatment method for trigger digits? 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Hand. 2015;10(2):297\u2013300.","journal-title":"Hand"}],"container-title":["Skeletal Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00256-025-05028-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00256-025-05028-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00256-025-05028-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T05:16:35Z","timestamp":1766726195000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00256-025-05028-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,6]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["5028"],"URL":"https:\/\/doi.org\/10.1007\/s00256-025-05028-8","relation":{},"ISSN":["0364-2348","1432-2161"],"issn-type":[{"value":"0364-2348","type":"print"},{"value":"1432-2161","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,6]]},"assertion":[{"value":"11 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 August 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 August 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 September 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. In keeping with the policies for a retrospective review, informed consent was not required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare that they have no conflict of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}