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Time to Resolution of Triggering after Steroid Injection for First Presentation Trigger Digits.

Ryan Siqi Yak1, Anna-Carin Lundin1, Poi Hoon Tay1

  • 1Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore.

The Journal of Hand Surgery Asian-Pacific Volume
|April 22, 2020
PubMed
Summary
This summary is machine-generated.

Steroid injections effectively resolve trigger digits in 79% of first-time cases, with symptom relief typically occurring within 8.8 days. This treatment offers a reliable solution for trigger digit patients.

Keywords:
Non-surgicalResponseSteroid injectionTreatmentTrigger finger

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Musculoskeletal Disorders

Background:

  • Steroid injections are a recognized treatment for trigger digits.
  • The timeline for symptom resolution post-injection requires further clarification in medical literature.
  • This study addresses patient and clinician inquiries regarding the duration of trigger digit relief after steroid injection.

Purpose of the Study:

  • To ascertain the time required for triggering to resolve after a single steroid injection.
  • To provide data for counseling patients on expected outcomes and recovery timelines.
  • To evaluate the efficacy of steroid injections for first-time trigger digit presentations.

Main Methods:

  • Prospective study involving patients with first-time trigger digits (grade II or III) receiving steroid injections.
  • Data collection included patient demographics, digit involvement, symptom duration, trigger grade, and diabetes status.
  • Resolution of triggering was tracked via mailed postcards and follow-up telephone calls.

Main Results:

  • Out of 66 trigger digits in 56 patients, 79% (52 digits) showed resolution within one month.
  • The average time for trigger resolution was 8.8 days, with a range of 1 to 30 days.
  • The study included patients with first-time trigger digit presentations.

Conclusions:

  • Steroid injections are effective, resolving trigger digits in 79% of new cases.
  • The mean resolution time for trigger digits is approximately 8.8 days post-injection.
  • A waiting period of at least one month is recommended before considering repeat injections or alternative treatments.