Corticosteroid Injections in the Treatment of Trigger Finger: A Level I and II Systematic Review
Open Access
- 1 March 2007
- journal article
- review article
- Published by Wolters Kluwer Health in Journal of the American Academy of Orthopaedic Surgeons
- Vol. 15 (3), 166-171
- https://doi.org/10.5435/00124635-200703000-00006
Abstract
Trigger finger is a tendinitis (stenosing tenosynovitis) with multiple management approaches. We conducted an evidencebased medicine systematic review of level I and II prospective randomized controlled trials to determine the effectiveness of corticosteroid injection in managing trigger finger. MEDLINE, Cochrane database, and secondary references were reviewed to locate all English-language prospective randomized controlled trials evaluating trigger finger treatment. Four studies using injectable corticosteroids were identified, based on the following inclusion criteria: all were prospective randomized controlled trials of adults with >85% follow-up. This review indicates that the incidence of trigger finger is greatest in women (75%), with an average patient age range of 52 to 62 years. Combined analysis of these four studies shows that corticosteroid injections are effective in 57% of patients.Keywords
This publication has 20 references indexed in Scilit:
- Trigger Thumb: Results of a Prospective Randomised Study of Percutaneous Release with Steroid Injection Versus Steroid Injection AloneJournal of Hand Surgery (European Volume), 2003
- Trigger Digits: Diagnosis and TreatmentJournal of the American Academy of Orthopaedic Surgeons, 2001
- Percutaneous release of trigger digit with and without cortisone injectionThe Journal of Hand Surgery, 1997
- Steroid versus placebo injection for trigger fingerThe Journal of Hand Surgery, 1995
- Controlled Study of the Use of Local Steroid Injection in the Treatment of Trigger Finger and ThumbJournal of Hand Surgery (European Volume), 1992
- Trigger fingers and thumb: When to splint, inject, or operateThe Journal of Hand Surgery, 1992
- Treatment of Flexor Tenosynovitis of the Hand ('Trigger Finger') With CorticosteroidsArchives of Internal Medicine, 1991
- Treatment of trigger finger by steroid injectionThe Journal of Hand Surgery, 1990
- Efficacy of cortisone injection in treatment of trigger fingers and thumbsThe Journal of Hand Surgery, 1989
- Nonoperative treatment of trigger fingers and thumbsThe Journal of Hand Surgery, 1989