“…Still others have advocated percutaneous surgical releases using hypodermic needles, performed under sedation or local anesthesia, citing similar efficacy and safety to open techniques in small series. 19,20 Shortcomings of the evidence Given the limitations of current scientific evidence (primarily case series with short-to intermediate-term follow-up) outlined in this article, the optimal treatment of the pediatric trigger thumb remains debatable. Furthermore, little quantitative information is available regarding the physical impairment or functional compromise of IP joint flexion contractures seen in patients with "spontaneous resolution" or following surgical care.…”