Long-Term Outcomes Following a Single Corticosteroid Injection for Trigger Finger

Abstract

Female patients presenting with their first trigger finger have the highest rate of long-term treatment success after a single corticosteroid injection. Patients who continue to experience symptom relief two years after injection are likely to maintain long-term success.

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

“…al 66% [20], Dala-Ali et al 59% [21]. The mean age of our study was 40.14 years which is less as compared to other studies-Dala-Ali et al 62 years [21] Thumb was the most commonly affected digit in most studies as was in our case (44.44%).…”

“…In a recent study by Wojahn et al [20] the long term (5 year) treatment success rate after a single injection was only 45%. The long term result of our study is yet to be evaluated.…”

“…In the study of Cecen et al [18] thumb was affected in 58.6%, Anderson et al 43% [22], Wojahnet al 37.4% [20], Lambert et al 29.27% [12]. However in some studies ring finger was commonly affected than thumb-31.11% ring finger in Dala-Ali et al [21], 33% in Taras et al [23] and 45.83% in Murphy et al [13].…”

Trigger of All Fingers in an 80 Years Old Male: A Case Report

“…Triggering may resolve after one or two corticosteroid injections, but the results vary substantially between studies (35 % and 87 % for one and 72 % to 92 % for two injections) [9][10][11][12][13]. Various literatures suggest that patients should be informed about 50% success rates when offering a corticosteroid injection for trigger finger and that the chances of patients landing to surgical release still remains [14][15][16]. Percutaneous release has a success rate of 94% according to a recent systematic review of 2114 procedures but is accompanied by relatively high rates of complications like injury to nerves, injury to A2 pulley and bowstringing [17].…”

Tendinosis in Trigger Finger

“…There are other types of studies with long-term follow-up numbers of 60% good result after five years 239 , 70% after eight 240 and 45% after ten years 241 . Female patients with their first trigger finger and patients with continuous relief of symptoms after two years are most likely to maintain positive long-term results.…”