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 Videos

Stenosing flexor tenosynovitis.

B A Kraemer¹, V L Young, C Arfken

¹Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Mo.

Southern Medical Journal

|July 1, 1990

Summary

Steroid injections are recommended for non-locking stenosing flexor tenosynovitis in adults. Surgical release is reserved for children or cases with locked digits, offering similar outcomes with fewer complications.

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

Effects of work and rest on upper extremity signs and symptoms of workers performing repetitive tasks.

Journal of occupational rehabilitation·2013

Same author

Establishment of a neonate cell line from Epiphyas postvittana (Walker) (Lepidoptera: Tortricidae) that supports replication of E. postvittana nucleopolyhedrovirus.

Journal of invertebrate pathology·2010

Same author

Changes in gene expression in the permissive larval host lightbrown apple moth (Epiphyas postvittana, Tortricidae) in response to EppoNPV (Baculoviridae) infection.

Insect molecular biology·2009

Same author

Prospective and randomized determination of the efficacy of topical lipolytic agents.

Aesthetic surgery journal·2009

Same author

Experience with soybean oil-filled breast implants in a Swedish surgical practice.

Aesthetic surgery journal·2009

Same author

Psychosocial factors and treatment adherence in paediatric HIV/AIDS.

AIDS care·2006

Area of Science:

Orthopedics
Hand Surgery
Musculoskeletal Disorders

Background:

Stenosing flexor tenosynovitis, commonly known as trigger finger, affects the digital flexor sheath.
Current management strategies include steroid injections and surgical release.

Purpose of the Study:

To compare the efficacy and outcomes of steroid injection versus surgical release for stenosing flexor tenosynovitis.
To clarify the optimal treatment pathway based on patient demographics and condition severity.

Main Methods:

A retrospective review of 253 consecutive cases of stenosing flexor tenosynovitis.
Treatment allocation was determined by patient age and symptom severity (locking vs. non-locking).

Main Results:

No statistically significant difference in outcomes between steroid injection and surgical release for patients aged 10 years and older.
Surgical release was associated with increased costs and a higher incidence of complications.
Steroid injections demonstrated comparable efficacy with a better safety profile in adults.

Conclusions:

Up to three 20 mg triamcinolone injections into the digital flexor sheath are recommended as initial management for non-locking stenosing flexor tenosynovitis in adults.
Surgical release should be reserved for pediatric patients and adults with digits locked in flexion.
This approach optimizes treatment, balancing efficacy, cost, and complication rates.

Related Experiment Videos