Ultrasound-Guided Hyaluronic Acid Injections for Trigger Finger: A Double-Blinded, Randomized Controlled Trial

Liu, Ding Hao; Tsai, Mei Wun; Lin, Shan Hui; Chou, Chien‐Chen; Chiu, Jeng Jiann; Chiang, Cheng‐Chin; Kao, Chung Lan

doi:10.1016/j.apmr.2015.08.421

Cited by 19 publications

(15 citation statements)

References 47 publications

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“…After systematic review, 24 articles met the inclusion criteria. 5,6,9,10,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] Among them, 8 of them were excluded from our meta-analysis (Supplemental Appendix B) and 16 of them (including 1185 patients) which reported success were included in our meta-analysis ( Figure 1). 5,6,9,10,[14][15][16][17][18][19][20][21][22][23][24][25] The main characteristics of the included articles are shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Comparative effectiveness of various treatment strategies for trigger finger by pairwise meta-analysis

Shen

Chou

et al. 2020

Clin Rehabil

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Objective: To compare the efficacy of various strategies in the treatment of trigger finger. Data sources: A systematic literature search for randomized controlled trials to compare treatments for trigger finger was conducted through three online databases, Pubmed, Embase and Cochrane Library, from their inception dates to 22 May 2020. Methods: Relative risk (RR) with 95% confidence interval (CI) was used to evaluate the effect sizes in success rate for included articles. Results: Sixteen articles ( n = 1185) were included in our meta-analysis. The results showed that the efficacy of steroid injection was significantly better than the placebo group at short-term follow-ups (RR = 19.00, 95% CI = 1.17–309.77 for one-week; RR = 3.70, 95% CI = 3.70, 95% CI = 1.61–8.53 for one-month), and then became non-significant at four months (RR = 3.21, 95% CI = 0.88–11.79). There was no significant difference in success rate between steroid injection and nonsteroidal anti-inflammatory drug injection, and between open surgery and percutaneous release at all the follow-ups. Only surgical treatment had significantly better efficacy in success rate than steroid injection at all follow-ups (RR = 0.48, 95% CI = 0.34–0.66 for one-month; RR = 0.87, 95% CI = 0.80–0.96 for three-month; RR = 0.58, 95% CI = 0.48–0.68 for six-month; RR = 0.38, 95% CI = 0.20–0.72 for 12-month). Conclusion: There were no differences in efficacy between steroid injection and shockwave or nonsteroidal anti-inflammatory drug injection. The surgical treatments had the best efficacy among these treatments.

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Section: Resultsmentioning

confidence: 99%

Comparative effectiveness of various treatment strategies for trigger finger by pairwise meta-analysis

Shen

Chou

et al. 2020

Clin Rehabil

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“…In two recent randomized clinical trials, ultrasoundguided infiltration of medium molecular weight HA has been proposed for the treatment of stenosing tenosynovitis of finger flexor tendons, with encouraging results [147][148] .…”

Section: Ha In Trigger Finger Entesopathies and Bursitismentioning

confidence: 99%

“…Four different studies shave reported that US-guided injections of HA appear to be a safe and suitable tool © C I C E d i z i o n i I n t e r n a z i o n a l i for the treatment of trigger finger, de Quervain's disease and rhizarthrosis 147,148,167,168 .…”

Section: Us-guidance In Hand Pathologiesmentioning

confidence: 99%

I.S.Mu.L.T. Hyaluronic acid injections in musculoskeletal disorders guidelines

Frizziero

Vittadini

Oliva

et al. 2019

Muscle Ligaments and Tendons J

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“…[11][12][13] Infiltrations are often recommended as the first line of treatment, using several drugs, including steroids and hyaluronic acid, with similar outcomes. 11,14 Despite the good outcomes from the steroid treatment, many patients with trigger finger still require surgical therapy. 8,12,15,16 Sato et al 3 compared steroid injections with percutaneous and open surgical techniques for pulley release to treat trigger finger.…”

Section: Introductionmentioning

confidence: 99%

Diagnóstico e tratamento do dedo de gatilho no Brasil - Estudo transversal

Silva

Moraes

Segre

et al. 2021

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Avaliar o planejamento terapêutico para o dedo em gatilho por ortopedistas brasileiros. Métodos Estudo transversal, cuja população foi composta por participantes do Congresso Brasileiro de Ortopedia e Traumatologia 2018 (CBOT-2018). Foi aplicado um questionário sobre a conduta adotada no diagnóstico e tratamento do dedo em gatilho. Resultados Foram analisados 243 participantes com média de idade de 37.46 anos, na maioria homens (88%), tempo de experiência de pelo menos 1 ano (55,6%), e da região Sudeste (68.3%). A análise dos questionários evidenciou que há consenso nos seguintes quesitos: diagnóstico somente com exame físico (73,3%), classificação de Quinnell modificada por Green (58,4%), tratamento inicial não cirúrgico (91,4%), infiltração de corticoide com anestésico (61,7%) tempo de tratamento não cirúrgico de 1 a 3 meses (52,3%), tratamento cirúrgico pela via aberta (84,4%), principalmente via aberta transversa (51%), recidiva do engatilhamento como principal complicação não cirúrgica (58%), e o sucesso da cirurgia aberta em > 90% (63%), sendo a sua principal complicação as complicações cicatriciais (54%). Sem consenso nas demais variáveis. De acordo com a experiência, foram observadas diferenças referentes ao tempo de tratamento (p = 0.013) e a taxa de complicação da cirurgia aberta (p = 0.010). Conclusões O ortopedista brasileiro tem preferência pelo diagnóstico do dedo em gatilho apenas com exame físico, classifica segundo Quinnell modificado por Green, tratamento inicial não cirúrgico, infiltrações com corticoide e anestésico local, tempo de tratamento não cirúrgico de 1 a 3 meses, tratamento cirúrgico por via aberta transversa, principal complicação não cirúrgica a recidiva do engatilhamento, e considera o sucesso da cirurgia aberta em > 90% dos casos, tendo como principal complicação as complicações cicatriciais.

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Ultrasound-Guided Hyaluronic Acid Injections for Trigger Finger: A Double-Blinded, Randomized Controlled Trial

Cited by 19 publications

References 47 publications

Comparative effectiveness of various treatment strategies for trigger finger by pairwise meta-analysis

Comparative effectiveness of various treatment strategies for trigger finger by pairwise meta-analysis

I.S.Mu.L.T. Hyaluronic acid injections in musculoskeletal disorders guidelines

Diagnóstico e tratamento do dedo de gatilho no Brasil - Estudo transversal

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