Treatment of trigger finger by steroid injection

Newport, Mary Lynn; Lane, Lewis B.; Stuchin, Steven A.

doi:10.1016/0363-5023(90)90149-l

Cited by 168 publications

(125 citation statements)

References 8 publications

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“…However, in practice, surgery is often performed without exhausting all these nonsurgical treatments. Although there are some recent reports on the efficacy of the intra-sheath injection of triamcinolone acetonide (TC), which is a long-acting and lyophobic steroid, for patients with snapping fingers [2,8,10], there are no comprehensive reports describing the clinical outcomes of intra-sheath injection in the treatment of de Quervain's disease. We describe the intra-sheath injection of TC in the treatment of de Quervain's disease and report on its clinical outcomes and complications.…”

Section: Introductionmentioning

confidence: 99%

De Quervain’s disease: efficacy of intra-sheath triamcinolone injection

Sawaizumi

Nanno

Ito

2006

International Orthopaedics (SICOT)

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The methods and clinical outcomes of intrasheath triamcinolone injection in the treatment of de Quervain's disease are described. We used 38 hands of 36 patients. A mixture of 1 ml of triamcinolone and 1 ml of 1% lidocaine hydrochloride was injected, with an interval of 2 weeks. The fluid was injected into one point above the induration for the first 18 hands and into two points over the extensor pollicis brevis and abductor pollicis longus tendon in the induration for hands 19-38. The efficacy rate was 89%, with the treatment results of the two-point injection better than those of the one-point injection. Recurrence was observed in ten hands, and complications in 13 hands; however, over 90% of patients were satisfied with the injection. The accurate injection of triamcinolone into the sheath of both the extensor pollicis brevis and abductor pollicis longus tendon was considered very effective for de Quervain's disease.

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Section: Introductionmentioning

confidence: 99%

De Quervain’s disease: efficacy of intra-sheath triamcinolone injection

Sawaizumi

Nanno

Ito

2006

International Orthopaedics (SICOT)

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“…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%

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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“…For example, clinical experience is usually based on a four-or five-grade taxonomy. [1][2][3][4][5] This study found that the kinematics patterns of patients are varied (Fig. 3), perhaps accompanying variations in the severity grade.…”

Section: Discussionmentioning

confidence: 99%

“…The trigger digit is a common example that symptomatically shows a catching or snapping phenomenon owing to a mismatched anatomical relationship between the flexor tendon and A1 pulley. [1][2][3][4][5] The severity of the disease is usually graded based on the levels of these triggering effects and the location of tenderness. In prior studies, researchers usually used simple physical examinations, such as clinical observations of range of motion (ROM) or movement abnormality and pain rating and selfreported satisfaction questionnaires to evaluate conditions before and after treatment.…”

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confidence: 99%

Kinematical and functional improvements of trigger digits after sonographically assisted percutaneous release of the A1 pulley

Kuo

Tung

et al. 2008

Journal Orthopaedic Research

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We present evidence of kinematic and functional improvements of the trigger digit after sonographically assisted percutaneous release using quantitative motion analyses and functional assessments, respectively. Twenty-two patients with idiopathic trigger digits, who received the surgery, were recruited. A motion tracking system was used to measure the assigned kinematics parameters at the presurgical visit and at 1, 4, and 12 weeks after surgery. The hand strength and functional outcome were also obtained using dynamometer and selfreport questionnaire assessments. The hand strength, maximal workspace, and joint range of motion of the involved digit were significantly smaller than that of the intact finger on the contralateral hand before surgery. The triggering phenomenon of the involved digit was significantly higher than that of the corresponding finger in the intact hand using a subscribed angular acceleration factor. The repeated measures showed that the workspace, joint range of motion, hand strength, and triggering effect of the involved hand significantly improved in follow-up examinations after the surgical intervention. Painful movement or insufficient tendon excursion of the trigger digit can cause loss of movement and strength, thus interfering with functional performance. After the disappearance of the pain and triggering by sonographically assisted percutaneous release, improvements in kinematics and function were objectively quantified in this study. Keywords: trigger digits; kinematics; sonographically assisted percutaneous release; motion analysis A change in anatomical structure can alter movement into improper or malaligned patterns. The trigger digit is a common example that symptomatically shows a catching or snapping phenomenon owing to a mismatched anatomical relationship between the flexor tendon and A1 pulley.1-5 The severity of the disease is usually graded based on the levels of these triggering effects and the location of tenderness. In prior studies, researchers usually used simple physical examinations, such as clinical observations of range of motion (ROM) or movement abnormality and pain rating and selfreported satisfaction questionnaires to evaluate conditions before and after treatment.1,6-14 With these methods, clinicians can easily and conveniently assess treatment outcomes; however, little research has focused on objectively assessing the efficacy of surgical release based on quantifiable measures. To describe hand movements thoroughly, uses of three-dimensional and dynamic goniometric measures to represent thumb and finger ROM based on computer-aided motion analysis techniques were recently reported.15-18 These methods provide objective spatial and temporal assessment rather than the static indication using conventional goniometric measurements. To date, however, limited reports exist on the objective description of the trigger digit movement.Recent years have seen increased research into percutaneous release methods for treating triggering problems of digits. A son...

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Treatment of trigger finger by steroid injection

Cited by 168 publications

References 8 publications

De Quervain’s disease: efficacy of intra-sheath triamcinolone injection

De Quervain’s disease: efficacy of intra-sheath triamcinolone injection

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

Kinematical and functional improvements of trigger digits after sonographically assisted percutaneous release of the A1 pulley

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