Ultrasound-guided vs. non-guided trigger finger release: a systematic review and meta-analysis.

Autor: Garcia HRP; Traumacenter Orthopedic Center, Division of Hand Surgery, Rua Jaguarari 5100 #146, Candelária, Natal, Rio Grande do Norte, Brazil. polidogarcia@uol.com.br., Mund E; Federal University of Santa Catarina, Florianópolis, Brazil., Romeiro P; University Center of Maceió, UNIMA, AFYA, Maceió, Alagoas, Brazil.
Jazyk: angličtina
Zdroj: International orthopaedics [Int Orthop] 2024 Sep; Vol. 48 (9), pp. 2429-2437. Date of Electronic Publication: 2024 Jul 02.
DOI: 10.1007/s00264-024-06243-z
Abstrakt: Purpose: Trigger finger (TF) is a common hand condition that can be treated with surgery. We conducted a systematic review and meta-analysis to assess whether ultrasound-guided (US-guided) percutaneous surgery is superior to other conventional surgical methods.
Methods: We conducted a comprehensive search in Medline, Embase, and the Cochrane Library to identify relevant studies. We included randomized clinical trials (RCTs) and observational studies comparing US-guided TF release with blind percutaneous or open approaches. We combined Risk Ratios (RR) and Mean Differences (MD) with 95% Confidence Intervals (CI) across studies. Data processing and analysis were conducted using R software, version 4.3.1.
Results: Our analysis included eight RCTs and two observational studies with 555 patients. US-guided surgery significantly reduced postoperative DASH scores (MD -3.75 points; 95% CI = -7.48, -0.02; p < 0.01), shortened time to resume activities (MD -11.52 days; 95% CI = -16.13, -6.91; p < 0.01), hastened discontinuation of oral analgesics (MD -4.44 days; 95% CI = -8.01, -0.87; p < 0.01), and improved patient satisfaction scores (RR 1.13; 95% CI = 1.04, 1.23; p = 0.75). There were no significant differences in VAS scores, time to movement recovery, or surgical success rate.
Conclusion: Ultrasound-guided percutaneous release is a safe, effective, and superior alternative for treating TF compared to other methods, leading to improved DASH scores, quicker recovery, faster cessation of oral analgesics, and enhanced patient satisfaction.
(© 2024. The Author(s) under exclusive licence to SICOT aisbl.)
Databáze: MEDLINE
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