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Comparison between corticosteroid injection and surgery in the treatment of trigger finger
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| Zeitschriftentitel: | Journal of Translational Internal Medicine |
|---|---|
| Personen und Körperschaften: | , , |
| In: | Journal of Translational Internal Medicine, 2, 2014, 3, S. 132-135 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Walter de Gruyter GmbH
|
| Schlagwörter: |
| author_facet |
Amiri Aref, Hosseinian Fatemeh, Shirani Mohammad Hosein, Kariminasab Amiri Aref, Hosseinian Fatemeh, Shirani Mohammad Hosein, Kariminasab |
|---|---|
| author |
Amiri Aref, Hosseinian Fatemeh, Shirani Mohammad Hosein, Kariminasab |
| spellingShingle |
Amiri Aref, Hosseinian Fatemeh, Shirani Mohammad Hosein, Kariminasab Journal of Translational Internal Medicine Comparison between corticosteroid injection and surgery in the treatment of trigger finger Internal Medicine |
| author_sort |
amiri aref, hosseinian |
| spelling |
Amiri Aref, Hosseinian Fatemeh, Shirani Mohammad Hosein, Kariminasab 2224-4018 Walter de Gruyter GmbH Internal Medicine http://dx.doi.org/10.4103/2224-4018.141840 <jats:title>Abstract</jats:title> <jats:p> Background: Trigger finger is a common problem encountered in rheumatologic practice that causes a triggering or locking that may produce an uncomfortable sensation. There are various methods of treatment, ranging from conservative management to surgical release. Aim: To determine the effectiveness of corticosteroid injection and percutaneous release in terms of symptomatic relief, patient satisfaction and complications. Materials and Methods: In this prospective study, 50 patients who presented with trigger finger Grades 2 and 3 were randomized into two groups. One group received corticosteroid injection and, in the other group, percutaneous release was performed. These patients were then assessed weekly over a period of 6 weeks and their progress was noted. Results: Thirty cases (60%) were female and 20 cases (40%) were male. The age of the patients in this study was 40-65 years (mean: 48 years). Twenty-three cases (46%) were manual workers, 17 cases (34%) were semi-professionals and 10 cases (20%) were housewives. Most of the patients had involvement of the dominant hand (62%) and non-dominant hand involved in 38% of the cases. The most common presenting symptom was pain with triggering. In both groups, significant improvement in pain and triggering occurs in the first 2 weeks, but there was better improvement of pain and triggering in the corticosteroid group after 2 weeks. In terms of swelling of the digits, no difference was noted during the course of the treatment in the two groups. The corticosteroid group of patients had a complication rate of 6% and in the second group, the percutaneous group, had an 18% complication rate. There were a total of 12 patients who had recurrence (recurrence rate 24%): five (41.6%) cases in the first or corticosteroid group and seven (58.3%) cases in the surgery group. Conclusion: The group of patients treated with corticosteroid had a better relief of pain and triggering and had a lower complication rate. The recurrence was equal in both groups.</jats:p> Comparison between corticosteroid injection and surgery in the treatment of trigger finger Journal of Translational Internal Medicine |
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| title |
Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_unstemmed |
Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_full |
Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_fullStr |
Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_full_unstemmed |
Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_short |
Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_sort |
comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| topic |
Internal Medicine |
| url |
http://dx.doi.org/10.4103/2224-4018.141840 |
| publishDate |
2014 |
| physical |
132-135 |
| description |
<jats:title>Abstract</jats:title>
<jats:p> Background: Trigger finger is a common problem encountered in rheumatologic practice that causes a triggering or locking that may produce an uncomfortable sensation. There are various methods of treatment, ranging from conservative management to surgical release. Aim: To determine the effectiveness of corticosteroid injection and percutaneous release in terms of symptomatic relief, patient satisfaction and complications. Materials and Methods: In this prospective study, 50 patients who presented with trigger finger Grades 2 and 3 were randomized into two groups. One group received corticosteroid injection and, in the other group, percutaneous release was performed. These patients were then assessed weekly over a period of 6 weeks and their progress was noted. Results: Thirty cases (60%) were female and 20 cases (40%) were male. The age of the patients in this study was 40-65 years (mean: 48 years). Twenty-three cases (46%) were manual workers, 17 cases (34%) were semi-professionals and 10 cases (20%) were housewives. Most of the patients had involvement of the dominant hand (62%) and non-dominant hand involved in 38% of the cases. The most common presenting symptom was pain with triggering. In both groups, significant improvement in pain and triggering occurs in the first 2 weeks, but there was better improvement of pain and triggering in the corticosteroid group after 2 weeks. In terms of swelling of the digits, no difference was noted during the course of the treatment in the two groups. The corticosteroid group of patients had a complication rate of 6% and in the second group, the percutaneous group, had an 18% complication rate. There were a total of 12 patients who had recurrence (recurrence rate 24%): five (41.6%) cases in the first or corticosteroid group and seven (58.3%) cases in the surgery group. Conclusion: The group of patients treated with corticosteroid had a better relief of pain and triggering and had a lower complication rate. The recurrence was equal in both groups.</jats:p> |
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| author | Amiri Aref, Hosseinian, Fatemeh, Shirani, Mohammad Hosein, Kariminasab |
| author_facet | Amiri Aref, Hosseinian, Fatemeh, Shirani, Mohammad Hosein, Kariminasab, Amiri Aref, Hosseinian, Fatemeh, Shirani, Mohammad Hosein, Kariminasab |
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| description | <jats:title>Abstract</jats:title> <jats:p> Background: Trigger finger is a common problem encountered in rheumatologic practice that causes a triggering or locking that may produce an uncomfortable sensation. There are various methods of treatment, ranging from conservative management to surgical release. Aim: To determine the effectiveness of corticosteroid injection and percutaneous release in terms of symptomatic relief, patient satisfaction and complications. Materials and Methods: In this prospective study, 50 patients who presented with trigger finger Grades 2 and 3 were randomized into two groups. One group received corticosteroid injection and, in the other group, percutaneous release was performed. These patients were then assessed weekly over a period of 6 weeks and their progress was noted. Results: Thirty cases (60%) were female and 20 cases (40%) were male. The age of the patients in this study was 40-65 years (mean: 48 years). Twenty-three cases (46%) were manual workers, 17 cases (34%) were semi-professionals and 10 cases (20%) were housewives. Most of the patients had involvement of the dominant hand (62%) and non-dominant hand involved in 38% of the cases. The most common presenting symptom was pain with triggering. In both groups, significant improvement in pain and triggering occurs in the first 2 weeks, but there was better improvement of pain and triggering in the corticosteroid group after 2 weeks. In terms of swelling of the digits, no difference was noted during the course of the treatment in the two groups. The corticosteroid group of patients had a complication rate of 6% and in the second group, the percutaneous group, had an 18% complication rate. There were a total of 12 patients who had recurrence (recurrence rate 24%): five (41.6%) cases in the first or corticosteroid group and seven (58.3%) cases in the surgery group. Conclusion: The group of patients treated with corticosteroid had a better relief of pain and triggering and had a lower complication rate. The recurrence was equal in both groups.</jats:p> |
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| institution | DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161, DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1, DE-L229 |
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| spelling | Amiri Aref, Hosseinian Fatemeh, Shirani Mohammad Hosein, Kariminasab 2224-4018 Walter de Gruyter GmbH Internal Medicine http://dx.doi.org/10.4103/2224-4018.141840 <jats:title>Abstract</jats:title> <jats:p> Background: Trigger finger is a common problem encountered in rheumatologic practice that causes a triggering or locking that may produce an uncomfortable sensation. There are various methods of treatment, ranging from conservative management to surgical release. Aim: To determine the effectiveness of corticosteroid injection and percutaneous release in terms of symptomatic relief, patient satisfaction and complications. Materials and Methods: In this prospective study, 50 patients who presented with trigger finger Grades 2 and 3 were randomized into two groups. One group received corticosteroid injection and, in the other group, percutaneous release was performed. These patients were then assessed weekly over a period of 6 weeks and their progress was noted. Results: Thirty cases (60%) were female and 20 cases (40%) were male. The age of the patients in this study was 40-65 years (mean: 48 years). Twenty-three cases (46%) were manual workers, 17 cases (34%) were semi-professionals and 10 cases (20%) were housewives. Most of the patients had involvement of the dominant hand (62%) and non-dominant hand involved in 38% of the cases. The most common presenting symptom was pain with triggering. In both groups, significant improvement in pain and triggering occurs in the first 2 weeks, but there was better improvement of pain and triggering in the corticosteroid group after 2 weeks. In terms of swelling of the digits, no difference was noted during the course of the treatment in the two groups. The corticosteroid group of patients had a complication rate of 6% and in the second group, the percutaneous group, had an 18% complication rate. There were a total of 12 patients who had recurrence (recurrence rate 24%): five (41.6%) cases in the first or corticosteroid group and seven (58.3%) cases in the surgery group. Conclusion: The group of patients treated with corticosteroid had a better relief of pain and triggering and had a lower complication rate. The recurrence was equal in both groups.</jats:p> Comparison between corticosteroid injection and surgery in the treatment of trigger finger Journal of Translational Internal Medicine |
| spellingShingle | Amiri Aref, Hosseinian, Fatemeh, Shirani, Mohammad Hosein, Kariminasab, Journal of Translational Internal Medicine, Comparison between corticosteroid injection and surgery in the treatment of trigger finger, Internal Medicine |
| title | Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_full | Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_fullStr | Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_full_unstemmed | Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_short | Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_sort | comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| title_unstemmed | Comparison between corticosteroid injection and surgery in the treatment of trigger finger |
| topic | Internal Medicine |
| url | http://dx.doi.org/10.4103/2224-4018.141840 |