Efficacy of cortisone injection in treatment of trigger fingers and thumbs

Marks, Michael Raj; Gunther, Stephen F.

doi:10.1016/0363-5023(89)90199-8

Cited by 137 publications

(83 citation statements)

References 10 publications

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“…The success of a first and second injection has been studied numerous times in the literature and is well established. 4,5,[11][12][13] Therefore, if one has data from one's practice that support the success rates of first and second steroid injections to be at the lower published results, then the percutaneous option may be a better initial choice than a steroid injection (Fig. 3).…”

Section: Discussionmentioning

confidence: 90%

Using Evidence to Minimize the Cost of Trigger Finger Care

Kerrigan

Stanwix

2009

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 90%

Using Evidence to Minimize the Cost of Trigger Finger Care

Kerrigan

Stanwix

2009

The Journal of Hand Surgery

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“…Marks and Gunther [11] in their series of 108 trigger digits found 92% of trigger thumb cured with single dose of steroid injection and 97% cured after repeated injections. Similarly high success rate were recorded by Freiberg et al 93% [6], Cecen et al 83% [18] and Clark et al 83% [24].…”

Section: Discussionmentioning

confidence: 98%

“…Different conservative modalities have been recommended as treatment of trigger fingers like NSAIDs, splinting and injection of steroids with success rates of 57-97% [11,12,13,15,16,17]. We have conducted this study to find the effectiveness of corticosteroid injection in our context.…”

Section: Discussionmentioning

confidence: 99%

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The efficacy of local corticosteroid injection in the treatment of trigger finger

Sharma

Sah²

2018

Janaki Med. Coll. J. Med. Sci.

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Background and Objectives: Trigger finger is a condition that causes triggering, snapping or locking on flexion of the involved digit. Treatment modalities are conservative (Non-steroidal anti-inflammatory drugs, splints or corticosteroid injections) or operative (percutaneous or open release of A1 pulley- the first annular pulley of the fibro-osseous sheath of the fingers situated at the level of the metacarpophalengeal joint). The aim of this study is to evaluate the efficacy of corticosteroid injection for trigger finger in adults.Material and Methods: Fifty patients with 54 trigger digits were treated by one or two injections of methylprednisolone acetate with 1% lignocaine. Patients were followed-up for a period of 6 months.Results: Symptoms and signs resolved in 79.63% of the injected digits. Local adverse reactions to steroid injection- pain at the injection site and steroid flare were self-limiting. There was no tendon rupture or post-injection infection.Conclusion: The study concludes that steroid injection is an effective first line treatment for trigger finger in most patients.Janaki Medical College Journal of Medical Sciences (2017) Vol. 5(2): 13-18

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“…Tendinopathies affect over 500 000 people in the United States alone [9] . Efficacy and safety of injections for management of tendinopathies vary based on the affected site [10] , with the most promising results in the treatment of first annular pulley tendinitis [11] . Conversely, injections at other sites including the Achilles tendon are controversial as some studies have shown potential adverse effects on biomechanical properties and incidences of tendon rupture [12,13] .…”

Section: Rationalementioning

confidence: 99%

Ultrasound-assisted musculoskeletal procedures: A practical overview of current literature

Royall¹

2011

WJO

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Traditionally performed by a small group of highly trained specialists, bedside sonographic procedures involving the musculoskeletal system are often delayed despite the critical need for timely diagnosis and treatment. Due to this limitation, a need evolved for more portability and accessibility to allow performance of emergent musculoskeletal procedures by adequately trained non-radiology personnel. The emergence of ultrasound-assisted bedside techniques and increased availability of portable sonography provided such an opportunity in select clinical scenarios. This review summarizes the current literature describing common ultrasound-based musculoskeletal procedures. In-depth discussion of each ultrasound procedure including pertinent technical details, indications and contraindications is provided. Despite the limited amount of prospective, randomized data in this area, a substantial body of observational and retrospective evidence suggests potential benefits from the use of musculoskeletal bedside sonography.

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Efficacy of cortisone injection in treatment of trigger fingers and thumbs

Cited by 137 publications

References 10 publications

Using Evidence to Minimize the Cost of Trigger Finger Care

Using Evidence to Minimize the Cost of Trigger Finger Care

The efficacy of local corticosteroid injection in the treatment of trigger finger

Ultrasound-assisted musculoskeletal procedures: A practical overview of current literature

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