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Prospective study on the management of trigger finger.

Muntasir Mannan Choudhury1, Shian Chao Tay

  • 1Department of Hand Surgery, Singapore General Hospital, Singapore.

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
|October 8, 2014
PubMed
Summary
This summary is machine-generated.

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Combination therapy for trigger finger may reduce surgery rates compared to corticosteroid injections, especially for lower-grade cases. Further research is needed to confirm these findings for trigger finger treatment.

Area of Science:

  • Hand Surgery
  • Orthopedics
  • Musculoskeletal Conditions

Background:

  • Trigger finger is a common hand condition.
  • Current treatments include conservative measures and invasive procedures.

Purpose of the Study:

  • To evaluate the effectiveness of different initial treatments for trigger finger.
  • To compare the rate of surgery following non-surgical interventions.

Main Methods:

  • Prospective review of patients with trigger finger.
  • Comparison of outcomes between combination therapy (topical NSAIDs, occupational therapy, splinting) and corticosteroid injections.
  • Analysis of subsequent surgery rates for each treatment group.

Main Results:

Keywords:
Combination TherapyCorticosteroid InjectionsTrigger Finger

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  • 26% of digits treated with combination therapy eventually required surgery.
  • 60% of digits treated with corticosteroid injections eventually required surgery.
  • Combination therapy appeared more effective in avoiding surgery for lower-grade trigger digits, though not statistically significant.

    • Conclusions:

    • Combination therapy may be more effective than corticosteroid injections in preventing surgery for lower-grade trigger fingers.
    • Non-surgical treatments show variable success rates in avoiding trigger finger release surgery.