Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Corticosteroid injections for trigger digits: is intrasheath injection necessary?

J S Taras1, J S Raphael, W T Pan

  • 1Philadelphia/South Jersey Hand Centers, Mt. Laurel, NJ 08054, USA.

The Journal of Hand Surgery
|August 26, 1998
PubMed
Summary

Steroid injections for trigger digits show that injecting into the tendon sheath (intrasheath) is not more effective than injecting into surrounding tissues (subcutaneous). Subcutaneous injections yielded a higher success rate in this study.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Median nerve biodegradable wrapping : Clinical outcome of 10 patients.

Acta orthopaedica Belgica·2016
Same author

Arthroscopic triangular fibrocartilage complex debridement using radiofrequency probes.

Journal of hand surgery (Edinburgh, Scotland)·2005
Same author

Suture anchor repair of ulnar-sided triangular fibrocartilage complex tears.

Journal of hand surgery (Edinburgh, Scotland)·2003
Same author

An allograft salvage technique for failure of the Darrach procedure: a report of four cases.

Journal of hand surgery (Edinburgh, Scotland)·2002
Same author

Recurrent carpal tunnel syndrome: treatment options.

Journal of the Southern Orthopaedic Association·2002
Same author

Minimal medial epicondylectomy and decompression for cubital tunnel syndrome.

Clinical orthopaedics and related research·2002

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Musculoskeletal Disorders

Background:

  • Trigger digits, also known as stenosing tenosynovitis, are a common condition causing pain and mechanical catching of the finger.
  • Steroid injections are a primary non-surgical treatment, but optimal injection site placement remains debated.

Purpose of the Study:

  • To prospectively evaluate the efficacy of steroid injections for trigger digits based on injection site placement.
  • To determine if true intrasheath injection offers an advantage over subcutaneous injection at the A1 pulley.

Main Methods:

  • Ninety-five patients with 107 trigger digits were divided into two groups for prospective study.
  • Injections were targeted either into the tendon sheath or the subcutaneous tissues overlying the A1 pulley.

Related Experiment Videos

  • Radiopaque dye and postinjection X-rays were used to confirm the precise delivery site of the steroid solution.

    • Main Results:

    • Of attempted intrasheath injections, only 37% were fully within the sheath; 46% were mixed, and 17% were entirely subcutaneous.
    • The confirmed all-sheath injection group had a 47% good response rate.
    • The all-subcutaneous injection group demonstrated the highest good response rate at 70%.

    Conclusions:

    • True intrasheath steroid injection for trigger digits does not appear to offer a significant advantage over subcutaneous injection.
    • Subcutaneous injection placement may be equally or more effective in treating trigger digits.
    • Further research may clarify optimal injection techniques for trigger digit management.