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Establishing an Efficient Care Paradigm for Trigger Finger.

Rashad H Usmani1, Samuel S Abrams2, Gregory A Merrell2

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The Journal of Hand Surgery Asian-Pacific Volume
|October 5, 2018
PubMed
Summary
This summary is machine-generated.

Corticosteroid injections can effectively treat trigger finger, but symptom resolution may take up to 69 days. Waiting at least 38 days before considering secondary treatments optimizes outcomes for trigger finger relief.

Keywords:
Patient reported outcomesTrigger finger disorder

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Musculoskeletal Disorders

Background:

  • Trigger finger, a common condition, affects finger flexion.
  • Corticosteroid injections are a primary treatment modality for trigger finger.

Purpose of the Study:

  • To determine the time course for the efficacy of corticosteroid injections in treating trigger finger.
  • To establish optimal timing for considering secondary treatments.

Main Methods:

  • Prospective observational study of 38 patients with 41 trigger digits treated with corticosteroid injections.
  • Patients completed Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaires.
  • Follow-up for up to 12 weeks to assess symptom resolution or treatment failure.

Main Results:

  • 30 of 41 (73%) trigger digits resolved with a single corticosteroid injection.
  • The latest symptom resolution occurred at 69 days post-injection.
  • The rate of symptom resolution significantly slowed after 38 days.

Conclusions:

  • A 4-week follow-up is insufficient to ascertain full efficacy of corticosteroid injections for trigger finger.
  • Consideration for secondary treatments like repeat injections or surgery should be delayed until at least 38 days.
  • If symptoms persist beyond 69 days, further intervention is likely necessary for trigger finger management.