Ultrasound‐Guided A1 Pulley Release: A Systematic Review

Author:

Nakagawa Hirotaka1ORCID,Redmond Travis2ORCID,Colberg Ricardo3ORCID,Latzka Erek4ORCID,White Mia S.5ORCID,Bowers Robert L.26ORCID,Sussman Walter I.17ORCID

Affiliation:

1. Department of Orthopedics and Rehabilitation Tufts Medical Center Boston Massachusetts USA

2. Department of Rehabilitation Medicine Emory University School of Medicine Atlanta Georgia USA

3. Andrews Sports Medicine and Orthopeadic Center Birmingham Alabama USA

4. Department of Rehabilitation Medicine University of Washington School of Medicine Seattle Washington USA

5. Emory University Woodruff Health Science Center Library Atlanta Georgia USA

6. Department of Orthopaedics Emory University School of Medicine Atlanta Georgia USA

7. Boston Sports & Biologics Wellesley Hills Massachusetts USA

Abstract

The purpose of this review was to summarize the current literature pertaining to ultrasound‐guided percutaneous A1 pulley release procedures. We searched PubMed, Cochrane Library, Embase, and Web of Science for clinical studies examining ultrasound‐guided percutaneous A1 pulley release. A total of 17 studies involving 749 procedures were included in this review. The overall success rate was 97%. There were 23 minor complications (4 cases of hematomas, 15 cases of persistent pain, and 4 cases of transient numbness) and no major complications reported. Ultrasound‐guided A1 pulley release is an effective and safe procedure for the treatment of trigger fingers and thumb.

Publisher

Wiley

Subject

Radiology, Nuclear Medicine and imaging,Radiological and Ultrasound Technology

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