Comparative study on the effectiveness of corticosteroid injections between trigger fingers with and without proximal interphalangeal joint flexion contracture

Shinomiya, Rikuo; Sunagawa, Toru; Nakashima, Yuko; Kawanishi, Yoshitaka; Masuda, Tetsuo; Ochi, M.

doi:10.1177/1753193415596497

Cited by 9 publications

(7 citation statements)

References 13 publications

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“…We noted a trend toward more operative trigger digit releases between 2005 and 2012. This is an interesting finding, as prior studies have demonstrated success rates between 61% and 84% for one to three corticosteroid injections in patients with new onset triggering (Clark et al, 1973;Fauno et al, 1989;Newport et al, 1990;Patel and Bassini, 1992;Shinomiya et al, 2016;Wojahn et al, 2014). The reason for this increase may be multifactorial, as patients may have better access to healthcare or are less inclined to pursue nonoperative management given the very high rate of success of trigger digit release or the number of patients seeking treatment for the condition may also have increased over the study period (Cakmak et al, 2012;Lange-Riess et al, 2009;Ryzewicz and Wolf, 2006).…”

Section: Discussionmentioning

confidence: 70%

Trigger digit release: rates of surgery and complications as indicated by a United States Medicare database

Werner

Boatright

Chhabra

et al. 2016

J Hand Surg Eur Vol

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Section: Discussionmentioning

confidence: 70%

Trigger digit release: rates of surgery and complications as indicated by a United States Medicare database

Werner

Boatright

Chhabra

et al. 2016

J Hand Surg Eur Vol

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“…Patients with locking finger that was actively correctable were included in this study to ensure the precision of our results. Shinomiya et al (2016) noted that corticosteroid injection was less effective in trigger finger with proximal interphalangeal joint flexion contracture compared with those without contracture. Salim et al (2012) investigated the effectiveness of physiotherapy and corticosteroid injection in patients with mild trigger finger.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal shock wave therapy versus corticosteroid injection in the treatment of trigger finger: a randomized controlled study

Yıldırım

Gültekin

Yıldırım

et al. 2016

J Hand Surg Eur Vol

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“…Surgeons are not impartial in their choice of treatment, and the experience of the surgeon is important when choosing treatment, as shown by the fact that fewer stage IV cases were seen in those patients who were initially treated with steroids than in those initially treated surgically. 20 Our results show that an injection is less successful in patients with stage IV than in those with a lower Quinnell stage of trigger finger. The incidence of Quinnell IV fingers was low in our study (2.1%).…”

Section: Discussionmentioning

confidence: 57%

Factors associated with conversion to surgical release after a steroid injection in patients with a trigger finger

Berg

Zwaard

Halperin

et al. 2022

The Bone & Joint Journal

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Aims The aim of this retrospective study was to evaluate the rate of conversion to surgical release after a steroid injection in patients with a trigger finger, and to analyze which patient- and trigger finger-related factors affect the outcome of an injection. Methods The medical records of 500 patients (754 fingers) treated for one or more trigger fingers with a steroid injection or with surgical release, between 1 January 2016 and 1 April 2020 with a follow-up of 12 months, were analyzed. Conversion to surgical release was recorded as an unsuccessful treatment after an injection. The effect of patient- and trigger finger-related characteristics on the outcome of an injection was assessed using stepwise manual backward multivariate logistic regression analysis. Results Treatment with an injection was unsuccessful in 230 fingers (37.9%). Female sex (odds ratio (OR) 1.87 (95% confidence interval (CI) 1.21 to 2.88)), Quinnell stage IV (OR 16.01 (95% CI 1.66 to 154.0)), heavy physical work (OR 1.60 (95% CI 0.96 to 2.67)), a third steroid injection (OR 2.02 (95% CI 1.06 to 3.88)), and having carpal tunnel syndrome (OR 1.59 (95% CI 0.98 to 2.59)) were associated with a higher risk of conversion to surgical release. In contrast, an older age (OR 0.98 (95% CI 0.96 to 0.99)), smoking (OR 0.39 (95% CI 0.24 to 0.64)), and polypharmacy (OR 0.39, CI 0.12 to 1.12) were associated with a lower risk of conversion. The regression model predicted 15.6% of the variance found for the outcome of the injection treatment (R2 > 0.25). Conclusion Factors associated with a worse outcome following a steroid injection were identified and should be considered when choosing the treatment of a trigger finger. In women with a trigger finger, the choice of treatment should take into account whether there are also one or more patient- or trigger-related factors that increase the risk of conversion to surgery. Cite this article: Bone Joint J 2022;104-B(10):1142–1147.

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Comparative study on the effectiveness of corticosteroid injections between trigger fingers with and without proximal interphalangeal joint flexion contracture

Abstract: IV.

Cited by 9 publications

References 13 publications

Trigger digit release: rates of surgery and complications as indicated by a United States Medicare database

Trigger digit release: rates of surgery and complications as indicated by a United States Medicare database

Extracorporeal shock wave therapy versus corticosteroid injection in the treatment of trigger finger: a randomized controlled study

Factors associated with conversion to surgical release after a steroid injection in patients with a trigger finger

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