Efficacy of Steroid Injection in the Treatment of Trigger Finger
Keywords:
Steroid, Local anesthesia, Trigger finger, Pain relief, MovementsAbstract
Objective:To assess the efficacy of local steroid injection in trigger finger.
Materials and Methods:This prospective study was conducted at department of Orthopaedics,Civil Hospital, Dow University
of Health Sciences, Karachi, from March 2012 to 2013. Males and females with complain of trigger finger were included in
this study during the specified period. All patients were injected depomedrol with plain xylocaine at the nodule site and functional
outcome was assessed with respect to pain relief and finger movement.
Results: Study included 43 patients with trigger finger.29 were males and 14 were females. Right hand fingers were involved
in 24 patients, remaining had left hand fingers involvement. 10 involved the index finger,7 middle finger, 4 ring finger,10 little
finger and 12 thumb. 9 patients had associated rheumatoid arthritis and 15 were known cases of diabetes. Remaining patients
were primary with no known co-morbid. All patients had pain relief initially and regained movement of finger. 10 patients
required repeated injection after 3 months. Maximum pain relief and regaining of movement after steroid injection was 4 months.
Conclusion:Local steroid injection provides excellent symptomatic pain relief and regained movements without any complication
in patients with trigger finger.
References
Newport ML, Lubbock MD, Lane LB, Manhasset NY,
Stuchin SA. Treatment of trigger finger by steroid injection.
J HAND SURC 1990;15A:748-50
Benan M, Dala-Ali, Nakhdjevani A, Lloyd MA, Frederik
B, Schreude FBR.The Efficacy of Steroid Injection in
the Treatment of Trigger Finger.Clinics in Orthopedic,
Surgery 2012;4:263-8
Verdon ME. Overuse syndromes of the hand and wrist.
Prim Care 1996;23:305-19
Strom L. Trigger finger in diabetes. J Med Soc N J. 19
;74(11):951-4
Akhtar S , Bradley MJ, Quinton DN, Burke FD. Management
and referral for trigger finger/thumb.2005; 331 (75
: 30-3
Gorsche R, Wiley JP, Renger R, Brant R, Gemer TY,
Sasyniuk .Prevalence and incidence of stenosing flexor
tenosynovitis (trigger finger) in a meat-packing plant.
J Occup Environ Med 1998;40 (6): 556-60
Kolind S V. Treatment of trigger fingers. Acta Grthop
Stand 1970;41:428-32
Rhoades CE, Gelberman RH, Manjanis JF. Stenosingtenosynovitis
of the fingers and thumb. Clin Grthop 1984;
:236-8
Freiberg A, Mulholland RS, Levine R. Non-operative
treatment of trigger fingers and thumbs. J Hand Surg
Am. 1989;14(3):553-8
American Society for Surgery of Hand (ASSH) . Accessed
on 2-1-2016
Howard LD Jr, Pratt DR, Bunnell S. The use of compound
F(hydrocortone) in operative and non-operative conditions
of the hand. J Bone Joint Surg Am. 1953;35 (4):
-1002
Green D, Hotchkiss R, Pederson W, Wolfe S. Green’s
operative hand surgery. 5th ed. London: Churchill Livingstone;
Daniel M, Joseph MF, Mark P. Koniuch. Steroid versus
placebo injection for trigger finger.J Hand Surg Am. 19
;20(4):628-31
Lambert MA, Morton RJ, Sloan JP. Controlled Study
of the Use of Local Steroid Injection in the Treatment
of Trigger Finger and Thumb. J Hand Surg Br. 1992;17
(1):69-70
Bensona LS, Amy JP.Injection versus surgery in the
treatment of trigger finger .The Journal of Hand Surgery
;22 (1):138-40
Patel MR, Lynn B M. Trigger fingers and thumb: When
to splint, inject, or operate.The Journal of Hand Surgery
;17(1):110-3
Sean MG, Arnold P,Lewis B, Christopher S, Edward
A, KaviS.Treatment of trigger finger in patients with
diabetes mellitus.The Journal of Hand Surgery 1995;
(5): 787-9
Brian TF, Eric PH, Ryan A F, Michael AT.Delayed
Flexor Digitorum Superficialis and Profundus Ruptures
in a Trigger Finger After a Steroid Injection: A Case
Report Journal of Hand Surgery 2005;30(3):479-82
Kazuki,Egi T, Okada M, Takaoka K. Clinical outcome
of extrasynovial steroid for trigger finger Injection. Hand
Surg 2006; 11(1-2):1-4
Michael RM, Stephen FG. Efficacy of cortisone injection
in treatment of trigger fingers and Thumb. The Journal
of Hand Surgery 1989;14(4):722-7
John ST, James SR, Wayne TP, Fara M, Dean GS. Corticosteroid
injections for trigger digits: Is intrasheath
injection necessary? The Journal of Hand Surgery 1998;
(4):717-22
Shalom S, Yoram K, Eddy K. Outcome of trigger finger
treatment in diabetes. Journal of Diabetes and its Complications1997;
(5):287-90
Nimigan AS, Ross DC, Gan BS: Steroid injections in
the management of trigger fingers. Am J PhysMed
Rehabil 2006;85:36-43
Mukund R, Vijay JM. Percutaneous release of trigger
digit with and without cortisone injection The Journal
of Hand Surgery 1997; 22(1):150-5
Schubert C, Helen G, Hui-Chou, Alfred PS, Deune EG.
Corticosteroid injection therapy for trigger finger or
thumb: a retrospective review of 577 digits. Hand (N
Y). 2013 Dec; 8(4): 43944 PMCID: PMC3840755. Published
online 2013 Jul 12. doi: 10.1007/s11552-013-
-6
Wiwanitkit S, Wiwanitkit V. Trigger Digits and Diabetes
Mellitus. N Am J Med Sci. 2012; 4(3): 117-9. PMCID:
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Copyright (c) 2016 Adeel Ahmed Siddiqui, Farooq Mamji, Badaruddin Sahito, Syed Mohammad Tariq, Dileep Kumar, Syed Itaat Hussain Zaidi
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