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Progression from Injection to Surgery for Trigger Finger: A Statistical Analysis.

Hideyuki Ota1,2, Katsuyuki Iwatsuki1, Shigeru Kurimoto1

  • 1* Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

The Journal of Hand Surgery Asian-Pacific Volume
|May 17, 2017
PubMed
Summary

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Multiple digit involvement and severe trigger finger cases predict poor response to corticosteroid injections, often necessitating surgical treatment. Patients should be informed of these factors when considering treatment options.

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Musculoskeletal Disorders

Background:

  • Trigger finger (flexor tenosynovitis) affects numerous patients.
  • Intra-flexoral sheath corticosteroid injection is a common non-surgical treatment.
  • Predictors of treatment failure and surgical decision-making require further elucidation.

Purpose of the Study:

  • Identify factors predicting poor response to corticosteroid injections for trigger finger.
  • Determine factors influencing patient decisions for surgical intervention.

Main Methods:

  • Retrospective review of 112 patients treated with corticosteroid injections for trigger finger.
  • Logistic regression analysis to assess prognostic value of various clinical factors.
  • Evaluation of factors including age, sex, comorbidities, and disease severity.
Keywords:
Corticosteroid injectionHand20Risk factorsSurgeryTrigger finger

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Main Results:

  • Multiple digit involvement was observed in 42 patients.
  • Associated conditions included carpal tunnel syndrome (36), hypertension (23), and hyperlipidemia (14).
  • Multiple digit involvement and Froimson clinical severity score significantly predicted the need for surgery post-injection.

Conclusions:

  • Corticosteroid injections are effective for most trigger finger cases.
  • Patients with multiple digit involvement or severe symptoms should be counseled on potential surgical treatment needs.
  • Informed patient counseling is crucial for managing expectations in trigger finger treatment.