Volume 42, Issue 11 pp. 2491-2499
Review Article

Ultrasound-Guided A1 Pulley Release: A Systematic Review

Hirotaka Nakagawa MD

Hirotaka Nakagawa MD

Department of Orthopedics and Rehabilitation, Tufts Medical Center, Boston, Massachusetts, USA

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Travis Redmond MD

Travis Redmond MD

Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Georgia, USA

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Ricardo Colberg MD

Ricardo Colberg MD

Andrews Sports Medicine and Orthopeadic Center, Birmingham, Alabama, USA

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Erek Latzka MD

Erek Latzka MD

Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington, USA

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Mia S. White MILS, AHIP

Mia S. White MILS, AHIP

Emory University Woodruff Health Science Center Library, Atlanta, Georgia, USA

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Robert L. Bowers DO, PhD

Robert L. Bowers DO, PhD

Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Georgia, USA

Department of Orthopaedics, Emory University School of Medicine, Atlanta, Georgia, USA

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Walter I. Sussman DO

Corresponding Author

Walter I. Sussman DO

Department of Orthopedics and Rehabilitation, Tufts Medical Center, Boston, Massachusetts, USA

Boston Sports & Biologics, Wellesley Hills, Massachusetts, USA

Address correspondence to Walter Sussman, DO, Boston Sports & Biologics, 20 Walnut St. Suite 14, Wellesley, MA 02481, USA.

E-mail: [email protected]

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First published: 04 July 2023
Citations: 2

Drs. Robert Bowers and Walter Sussman should be considered joint senior authors.

Dr. Walter Sussman is a consultant for Trice Medical and Lipogems.

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.

Data Availability Statement

Data sharing is not applicable to this article as no new data were created or analyzed in this study.

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