+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Proximal phalanx injection for trigger finger: randomized controlled trial

, : Proximal phalanx injection for trigger finger: randomized controlled trial. Hand Surgery 16(3): 313-317

Trigger finger is one of the most common upper extremity problems in the outpatient department. Conservative treatment is the mainstay for management of trigger digits especially steroid injection with highly satisfactory outcome and minimal complication. Conventional injection technique (CI) that approaches flexor tendon sheath over metacarpal head directly causes pain for most patients. The proximal phalanx injection technique (P1I) at palmar surface of midproximal phalanx is simple and less painful for the patients. We compared pain result and effectiveness between these two methods. Forty patients with primary trigger fingers were placed in a prospective randomized study to receive steroid injection with either the CI or P1I techniques. Demographic data were recorded. Immediately after the injection, pain score was recorded for each patient using the pain visual analog scale. The patients were followed every month for three months to determine recurrent symptoms. Student's t-test, chi-square and Fisher's exact test were used for data analysis. The mean pain VAS scores immediately post-injection were 7.3 ± 1.3 and 3.2 ± 2.2 in the CI and P1I techniques, respectively. The P1I technique group had a significantly lower pain score than CI technique group (p < 0.001). The recurrence rate was 15% in the CI technique when compared to 25% in the P1I technique which was not significant (p = 0.685). We concluded that the P1I technique is less painful than the CI technique without any significant difference in recurrence rate between the two groups at three months follow-up.


PMID: 22072466

DOI: 10.1142/S0218810411005606

Other references

Orlovskiĭ, V.I., 1970: The stability of integration f the F-lac+ factor into a bacterial chromosome. Zhurnal Mikrobiologii, Epidemiologii, i Immunobiologii 47(3): 88-90

Attanasio, R., 1997: Intraoral orthotic therapy. Despite the unanswered questions on the physiologic mechanisms that explain the effectiveness of intraoral orthotics on reducing symptoms of TMD, there is still a plethora of documentation that intraoral orthotics, when appropriately used in the m...

Wang L.G.; Luo Z.K.; McNaughton N.J.; Groves D.I.; Huang J.Z.; Miao L.C.; Guang K.; Liu Y.K., 1996: SHRIMP U-Pb in zircon studies of plutonic rocks from Jiaodong Peninsula, Shandong Province, China; constraints on crustal and tectonic evolution and genesis of gold mineralization. International Geological Congress, Abstracts--Congres Geologique Internationale, Resumes 30, Vol

Brana, F.; Arrayago, MJ.; Bea, A.; Barahona, A., 1990: Ciclo reproductor y de cuerpos grasos en los machos de Lacerta monticola cantabrica. Comparacion entre dos poblaciones situadas a differente altitud. Male reproductive and fat body cycles were studies both in a mountain and a lowland population of the lizard Lacerta monticola cantabrica. Specimens were collected at two localities in Asturias (Northern Spain): Vegadeo (100 m a.s.l.) and Aramo (1...

Habib U Hasan M.A., 1992: Ingress of penaeid protozoeae myses and postlarvae in manora channel and korangi creek. Seasonal cycles of ingress of penaeid larvae of Penaeus, Metapenaeus and Parapenaeopsis in Manora Channel and Korangi Creek around Karachi was studied to know spawning seasons and influences of environmental factors. Myses stages of the three gene...

Hays, R.D.; Morales, L.S.; Reise, S.P., 2000: Item response theory and health outcomes measurement in the 21st century. Item response theory (IRT) has a number of potential advantages over classical test theory in assessing self-reported health outcomes. IRT models yield invariant item and latent trait estimates (within a linear transformation), standard errors con...

Dubus, Gël.; Bresin, R., 2014: A systematic review of mapping strategies for the sonification of physical quantities. The field of sonification has progressed greatly over the past twenty years and currently constitutes an established area of research. This article aims at exploiting and organizing the knowledge accumulated in previous experimental studies to bui...

Cucchi, N.J.A.; L.R.d, F.C.; Masera, O.; Nazrala, M.L.; Carretero, J.F.; Artola, J., 1966: Experiments on the control of the red mite of vines, B. obovatus, in the Province of Mendoza. Until recently, the mites present sporadically on vines in the Province of Mendoza, Argentina, were generally Tetranychus telarius (L.), Panonychus ulmi (Koch), Bryobia rubrioculus (Scheuten) (arborea Morg. & And.) and Eriophyes vitis (Pgst). Late...

Uehata, A.; Lieberman, E.H.; Gerhard, M.D.; Anderson, T.J.; Ganz, P.; Polak, J.F.; Creager, M.A.; Yeung, A.C., 1997: Noninvasive assessment of endothelium-dependent flow-mediated dilation of the brachial artery. Coronary atherosclerosis is characterized by an early loss of endothelium-dependent vasodilation. However, the methods of assessing coronary endothelial function are invasive and difficult to repeat over time. Recently, a noninvasive ultrasound me...

Tada, T.; Amagasa, S.; Horikawa, H., 2003: Absence of efficacy of ultrasonic two-way Doppler flow detector in routine percutaneous arterial cannulation. Journal of Anesthesia 17(3): 206-207