Effectiveness of Interventions of Specific Complaints of the Arm, Neck, and/or Shoulder: 3 Musculoskeletal Disorders of the Hand. An Update

Tendinosis in Trigger Finger

“…This in combination with the published 60% of spontaneous trigger finger relief 189 indicates that the reported effects of glucocorticoid could include cases of spontaneous relief. As mentioned earlier, there is only evidence for effect in the short term 152 .…”

“…Injections of triamcinolone acetonide seem to be a little better than dexamethasone 7,246 , with a more rapid onset, but there is no difference at six weeks 7,152,257 . After injections of glucocorticoid, there are findings of reduced thickness of the A1-pulley, volar plate 159 and tendon 258 .…”

“…In the 'Multidisciplinary Consensus Guideline for Managing Trigger Finger' 8 , a treatment chart is published where duration, intensity of snapping and grade of symptoms from mild to very severe are presented and linked to advice on treatment. The study, which these guidelines have been based on, the HANDGUIDE study, states that it was not possible to find consensus among the experts for one grading system 152 . Only 30% of them used one, and there are also many different grading systems, for example the systems of Patel and Moradia, Peter et al, the Quinnell grading and the Newport classification.…”

“…In summary both percutaneous and open techniques have high success rates, few adverse effects 214,[228][229][230][231][232] and evidence that there is a difference between them are weak and conflicting 152 .…”

“…There is one Cochrane review 235 and at least one high quality randomized controlled trial 152,236 . Moderate evidence has been found for the effectiveness of steroid injections in comparison to placebo in the short term (one to four weeks), but not in the mid-and long-term.…”