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October 11, 2022
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VIDEO: Initial experience shows ultrasound-guided trigger finger release may be successful

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BOSTON — In this video, Richard Schaefer, MD, discusses a prospective study of provider and patient satisfaction with sutureless trigger finger release performed with ultrasound-guided assistance.

After eight providers with diverse clinical backgrounds were trained on ultrasound-guided trigger finger release using a commercially available device and were comfortable performing the procedures, Schaefer and colleagues followed providers’ clinical integration of this technique in their practices. The study included 36 patients and 40 fingers treated under local anesthesia; 69% of cases were performed in an office setting, with the remainder performed in a surgery center or hospital-based OR setting.

With study endpoints that included return to activity and return to work, as well as patient and user satisfaction, “we found that patients were able to return to activities within 3 days for 75% of those patients, and 64% of patients were able to return to work within 3 days,” Schaefer told Healio.

He said the eight physicians all rated the ease of use of the ultrasound guidance device and ease of clinical integration of the device into their practices at 5 on a 5-point scale, where 5 represented the greatest ease.

Schaefer told Healio, “Patients had a very high satisfaction rate with it, as well, rating the procedure as minimally painful and uncomfortable.”

“Based on this initial clinical experience, we feel as though we can incorporate ultrasound-guided trigger finger release into wider-spread use among a diverse group of physician skills with a high degree of patient and user satisfaction,” he said.

Schaefer R, et al. Poster SPP1988. Presented at: American Society for Surgery of the Hand Annual Meeting; Sept. 29-Oct. 1, 2022; Boston.