International Journal of Orthopaedics Sciences
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International Journal of Orthopaedics Sciences

2017, Volume 3 Issue 3

Comparison between Percutaneous release and Corticosteroid injection in the management of trigger digits

Author(s): Mahashankar Yadav, Dhruv Sharma, Kuljit Kumar and Neha Yadav
Abstract: Background: Trigger finger is basically caused by the mismatch between the volume of the flexor tendon sheath and its contents resulting in a narrowed tunnel for tendon excursion. Treatment modalities includes conservative management and Surgical management (open or percutaneous A1 pulley release).
Aim: To compare clinical and functional outcome of percutaneous release and corticosteroid injection in management of trigger digits.
Materials and Methods: Inclusion criteria- Adults aged more than 18 years with Quinnell grade I – III. Sixty patients were divided into two groups, Group 1 (n = 30) treated with percutaneous release and Group 2 (n = 30) treated with percutaneous triamcenolone injections.
Results: Mean age of patients in group 1 was 43.83 years and in group 2 was 41.87 years. Thumb was the most commonly affected digit and little finger, the least commonly affected digit. Significant improvement (p value <0.001) in the VAS score was seen in group 1 when compared with group 2 from 1st week of follow up till the end of the study.
Conclusion: Percutaneous release was found superior to Corticosteroid group in regards of VAS score, Roles and Maudsley score and residual triggering.
Pages: 21-26  |  646 Views  38 Downloads
How to cite this article:
Mahashankar Yadav, Dhruv Sharma, Kuljit Kumar and Neha Yadav. Comparison between Percutaneous release and Corticosteroid injection in the management of trigger digits. 2017; 3(3): 21-26. DOI: 10.22271/ortho.2017.v3.i3a.05