Outcomes of Corticosteroid Treatment for Trigger Finger by Stage

Shultz, Kevin; Kittinger, Janae L; Czerwinski, Wendy L; Weber, Robert A.

doi:10.1097/prs.0000000000004761

Cited by 25 publications

(26 citation statements)

References 25 publications

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“…Typically, patients present with symptoms of pain, clicking, catching, and/or loss of active motion of the affected finger [1]. Initial non-surgical treatment options include observation, nonsteroidal anti-inflammatory drugs, splinting, and corticosteroid injections [5][6][7][8][9]. For most hand surgeons, the mainstay of non-operative management is a corticosteroid injection [10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Time to Improvement After Corticosteroid Injection for Trigger Finger

Seigerman¹,

McEntee²,

Matzon³

et al. 2021

Cureus

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Purpose Trigger finger is a commonly occurring hand condition that presents with symptoms of pain, clicking, locking, and catching of the finger. A common non-operative management option is corticosteroid injection. The purpose of this study was to evaluate the short-term patient response to corticosteroid injections for trigger finger. Methods The patients of six fellowship-trained orthopedic hand surgeons who underwent a corticosteroid injection for trigger finger between June 2019 and October 2019 were invited to participate in this study. Patients were contacted by phone at one week, two weeks, and three weeks after the injection to complete a questionnaire regarding their pain and triggering symptoms. Medical records were also reviewed to collect basic demographic data. Results A total of 452 patients were included in the study. At the final follow-up, 82.4% of patients reported complete pain relief, 16.3% had partial relief, and 1.2% had no relief from their pain. For their triggering symptoms, 65.9% reported complete triggering relief, 30.4% had partial relief, and 3.5% had no triggering relief. It took an average of 6.6 days following injection for patients to experience complete pain relief, and an average of 8.1 days for patients to experience complete triggering relief. Conclusions This analysis found that most patients experience relief of pain and triggering at three weeks following corticosteroid injection. The majority of patients experienced some pain relief within the first week following corticosteroid injection, while improvement in triggering appeared to lag behind pain relief.

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Section: Introductionmentioning

confidence: 99%

Time to Improvement After Corticosteroid Injection for Trigger Finger

Seigerman¹,

McEntee²,

Matzon³

et al. 2021

Cureus

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“…The reported long-term success rates of corticosteroid injections for trigger finger vary from 40% to 90% (Castellanos et al, 2015;Moore, 2000;Ring et al, 2008). The variation in outcomes may be attributable to differences in disease severity (Shultz et al, 2018), combined medical conditions (Chang et al, 2018;Roh et al, 2016), mode of treatment (Lee et al, 2011) and the methods and timing of assessment (Wojahn et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

RETRACTED: A randomized comparison of ultrasound-guided versus landmark-based corticosteroid injection for trigger finger

Roh

Kim

Gong

et al. 2019

J Hand Surg Eur Vol

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“… 4 - 6 TF may also be seen in association with carpal tunnel syndrome, Duputryen’s disease, and inflammatory arthritis. 7 - 9 Multiple digits can simultaneously be involved. 6 The thumb, third and fourth finger, and the dominant hand are most often involved.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…37,41,48,49 Lower rates of resolution have been demonstrated in fingers (vs thumbs), in diabetics, those with multiple TF, diffuse swelling (vs a palpable nodule) and patients with more severe grades of disease. 8,38,50,51 For patients with partial improvement, optimal timing of the next injection appears to be after 69 days, 52 not sooner. 53 Ultrasound guidance offers no advantage over landmark guidance, other than greater accuracy of intrasheath placement of steroid, 54 which did not correlate with higher efficacy in a 1998 radiographic dye study 55 or in 2 randomized trials of US-guided intrasheath versus landmark-guided intrasheath injections.…”

Section: Introductionmentioning

confidence: 99%

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Trigger Finger? Just Shoot!

Merry

O'Grady

Boswell

2020

J Prim Care Community Health

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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.

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Outcomes of Corticosteroid Treatment for Trigger Finger by Stage

Abstract: Risk, II.

Cited by 25 publications

References 25 publications

Time to Improvement After Corticosteroid Injection for Trigger Finger

Time to Improvement After Corticosteroid Injection for Trigger Finger

RETRACTED: A randomized comparison of ultrasound-guided versus landmark-based corticosteroid injection for trigger finger

Trigger Finger? Just Shoot!

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