Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Jul 9, 2026

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients

Published on: May 26, 2026

Intra-tendon sheath injection for trigger finger: the randomized controlled trial.

Surut Jianmongkol¹, Weerachai Kosuwon, Tala Thammaroj

¹Department of Orthopedics, Faculty of Medicine, Khonkaen University, Khonkaen, 40002 Thailand. surut@kku.ac.th

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand

|December 22, 2007

Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Impact of Preoperative Depression on Motor Recovery Following Brachial Plexus Reconstruction: A 24-Month Prospective Cohort Study.

Hand (New York, N.Y.)·2026

Same author

The Thai ICOAP-Hip: Cross-Cultural Adaptation and Validation for Assessing Intermittent and Constant Pain in Hip Osteoarthritis.

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews·2026

Same author

Anatomical presentation of the nerve to vastus medialis within the adductor canal and femoral nerve branch insertions into thigh muscles: a cadaveric study.

Surgical and radiologic anatomy : SRA·2025

Same author

Accuracy and Determinants of Radiographic Diagnosis in Pediatric Hand Fractures.

Cureus·2025

Same author

Comparison of outcomes between total en bloc spondylectomy and palliative spinal surgery in metastatic spinal tumor patients: propensity score matching analysis.

Journal of orthopaedic surgery and research·2025

Same author

The forced small finger abduction test for assessing the strength of intrinsic muscles innervated by the ulnar nerve.

The Journal of hand surgery, European volume·2025

The mid-axial injection technique (MAI) for trigger finger treatment is less painful than the conventional injection (CI) method. This study found MAI to be a safe and effective alternative for non-surgical trigger finger management.

Area of Science:

Orthopedics
Hand Surgery
Musculoskeletal Disorders

Background:

Trigger finger is commonly treated with steroid injections into the flexor tendon sheath.
Conventional injection (CI) techniques can cause significant pain and risk tendon rupture.
The mid-axial injection technique (MAI) offers a potentially simpler and less painful alternative.

Purpose of the Study:

To compare the pain experienced by patients undergoing trigger finger treatment using the MAI technique versus the CI technique.
To evaluate complications and recurrence rates associated with both injection methods.

Main Methods:

A prospective randomized controlled trial involving 103 trigger fingers.
Patients were assigned to either the CI technique or the MAI technique.

More Related Videos

Targeted Muscle Reinnervation: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Targeted Muscle Reinnervation: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Published on: March 8, 2024

Related Experiment Videos

Last Updated: Jul 9, 2026

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients

Published on: May 26, 2026

Targeted Muscle Reinnervation: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Targeted Muscle Reinnervation: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Published on: March 8, 2024

Pain was assessed using the Visual Analogue Scale (VAS) at multiple time points; complications and 1-year recurrence were recorded.

Main Results:

The MAI technique resulted in significantly lower mean VAS pain scores immediately after injection compared to the CI technique (p < 0.05).
No complications were reported for either injection method.
Recurrence rates appeared higher with the CI technique, though not statistically significant (p = 0.23).

Conclusions:

The MAI injection technique provides a less painful experience for patients with trigger finger compared to the conventional technique.
MAI is a safe non-surgical option for trigger finger treatment with no observed complications.
Further research may be warranted to confirm the observed trend in recurrence rates.