Experience From A “One-Stop” Trigger Finger Clinic: A Report Of Outcomes Following Corticosteroid Injection

10.5580/2bf2 ◽  
2012 ◽  
Vol 3 (2) ◽  
2014 ◽  
Vol 2 (3) ◽  
pp. 132 ◽  
Author(s):  
HosseinianAmiri Aref ◽  
Shirani Fatemeh ◽  
KariminasabMohammad Hosein

2020 ◽  
Vol 11 ◽  
pp. 215013272094334
Author(s):  
Stephen P. Merry ◽  
Jason S. O’Grady ◽  
Christopher L. Boswell

Trigger finger is a common condition usually curable by a safe, simple corticosteroid injection. Trigger finger results from a stenotic A1 pulley that has lost its gliding surface producing friction and nodular change in the tendon. This results in pain and tenderness to palpation of the A1 pulley, progressing to catching and then locking. Splinting for 6 to 9 weeks produces gradual improvement in most patients as does a quick steroid injection with the latter resulting in resolution of pain in days and resolution of catching or locking in a few weeks. Percutaneous or open release should be reserved for injection failures particularly those at high risk for continued injection failure including diabetics and those with multiple trigger fingers. We present a step-by-step method for injection with illustrations to encourage primary care providers to offer this easily performed procedure to their patients.


Hand Surgery ◽  
2014 ◽  
Vol 19 (03) ◽  
pp. 393-397 ◽  
Author(s):  
Muntasir Mannan Choudhury ◽  
Shian Chao Tay

Trigger finger is one of the very common conditions encountered in hand surgery. Currently, the treatment modes we offer in our clinics are combination therapy of topical NSAIDS, occupational therapy and splinting or invasive modes involving corticosteroid injections and trigger finger release. This is a prospective review looking at the outcomes of the various initial treatment modules currently used for treating trigger fingers and the rate of surgery following non-surgical treatment. From our study we have noted that 26% of the digits which were subjected to combination therapy eventually underwent surgery whereas 60% of digits which received corticosteroid injections underwent surgery. Even though our results comparing operation rates are not statistically significant, they appear to show that combination therapy was more effective in avoiding surgery than corticosteroid injection in lower grades of trigger.


2010 ◽  
Vol 35 (5) ◽  
pp. 831-833 ◽  
Author(s):  
Jorge L. Brito ◽  
Tamara D. Rozental

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