Treatment of trigger finger: randomized clinical trial comparing the methods of corticosteroid injection, percutaneous release and open surgery

Abstract

The percutaneous and open surgery methods displayed similar effectiveness and proved superior to the conservative CS method regarding the trigger cure and relapse rates. Trial registration. Current Controlled Trials, http://www.controlled-trials.com/, ISRCTN19255926.

Percutaneous Trigger Thumb Release in Children

“…This procedure has demonstrated good results with a low complication rate. [12][13][14][15][16] PR is considered a reasonable surgical option in adults [17][18][19] but is not widely used in children.…”

Practical Management of Tendon Disorders in the Hand

“…13 A randomized, controlled, clinical trial from 2011 studied the results after open surgery, percutaneous release, and steroid injection (Level of Evidence: Therapeutic, I). 14 The open and percutaneous surgery methods proved similar and superior to injection in terms of cure (100 percent versus 57 percent in the injection group) and relapse rates, with no nerve injuries reported. Although most authors have proceeded to open surgical release of the A1 pulley when percutaneous release has been ineffective, it was recently reported that repeated percutaneous release was successful in 28 of 31 digits following repeat percutaneous release, with no adverse effects.…”

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

“…Other studies have demonstrated lower success rates (Shakeel et al 70% [19], Kolind-Sorensenb 67% [3], DalaAli et al 66% [21], Murphy et al 64% [13], Rhoades et al 63% [25], Taras et al 62% [23], Lambert et al 60% [12], Maneerit et al 47% [14]). Sato et al [26] found the trigger cure rate of 57% with single injection and 86% after two injections.…”