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Related Experiment Videos

Steroid versus placebo injection for trigger finger

D Murphy1, J M Failla, M P Koniuch

  • 1Henry Ford Hospital, Department of Orthopaedic Surgery, Detroit, MI 48202, USA.

The Journal of Hand Surgery
|July 1, 1995
PubMed
Summary
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A single steroid and lidocaine injection effectively cured primary trigger finger in 64% of patients. This nonsurgical treatment showed no side effects and is recommended for trigger finger relief.

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Musculoskeletal Disorders

Background:

  • Trigger finger (stenosing tenosynovitis) is a common condition causing pain and mechanical catching of the finger.
  • Nonsurgical treatments are sought to avoid the risks and recovery time associated with surgical intervention.

Purpose of the Study:

  • To evaluate the efficacy of a single corticosteroid and lidocaine injection for primary trigger finger.
  • To compare the outcomes of steroid injections against a placebo (lidocaine only) injection.

Main Methods:

  • A prospective, randomized, double-blind study involving 24 patients with primary trigger finger.
  • Patients were randomized into two groups: one receiving steroid and lidocaine, the other receiving lidocaine placebo.
  • Blinded clinical examinations were performed to assess cure rates.

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Main Results:

  • A cure rate of 64% was observed in the steroid group (9 out of 14 patients).
  • The placebo group showed a cure rate of 20% (2 out of 10 patients).
  • Temporary relief from flexor sheath distention was noted in seven patients post-injection.

Conclusions:

  • A single corticosteroid and lidocaine injection is a highly effective nonsurgical treatment for primary trigger finger.
  • This treatment demonstrates a favorable cure rate with no reported side effects.
  • The study recommends this injection as a primary nonsurgical option for trigger finger.