Effects of simultaneous steroid injection after percutaneous trigger finger release: a randomized controlled trial

The purpose of this study was to test the hypothesis that an improved outcome can be achieved by employing simultaneous steroid injection after percutaneous A1 pulley release. One hundred and twelve digits were randomized to either percutaneous A1 pulley release alone or release of the A1 pulley wit...

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Bibliographic Details
Published in:The Journal of hand surgery, European volume European volume, 2019-05, Vol.44 (4), p.372-378
Main Authors: Jegal, Midum, Woo, Sung Jong, Il Lee, Hyun, Shim, Jae Woo, Park, Min Jong
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Combined Modality Therapy
Female
Glucocorticoids - therapeutic use
Humans
Injections
Male
Middle Aged
Patient Satisfaction
Prospective Studies
Triamcinolone Acetonide - therapeutic use
Trigger Finger Disorder - drug therapy
Trigger Finger Disorder - surgery
Visual Analog Scale
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Summary:The purpose of this study was to test the hypothesis that an improved outcome can be achieved by employing simultaneous steroid injection after percutaneous A1 pulley release. One hundred and twelve digits were randomized to either percutaneous A1 pulley release alone or release of the A1 pulley with a steroid injection. The visual analogue scale score for pain, modified patient global impression of improvement and modified Quinnell grade were assessed at 3 weeks and 3 months after surgery. At 3 weeks, subjective improvement in the group with simultaneous steroid injection was significantly superior. At 3 months, pain score in the patients without a steroid injection was significantly better. No significant differences were found in the modified Quinnell grade. We conclude from this study that the simultaneous steroid injection at the time of surgical release decreases pain and improves subjective outcomes during the early postoperative period after percutaneous trigger finger release. Level of evidence: I
ISSN:1753-1934
2043-6289
DOI:10.1177/1753193418813771