Treatment of trigger finger in patients with diabetes mellitus.

Abstract

We present a retrospective study of 54 diabetic patients with 121 trigger digits treated over a 3-year period by one to three injections of corticosteroid mixed with local anesthetic. As a group, diabetic patients responded less favorably to treatment by steroid injection (50% symptom resolution) when compared to reported outcomes of steroid injection treatment for stenosing tenosynovitis in the general population. Insulin-dependent diabetic patients have a higher incidence of multiple digit involvement (59% of patients) and of requiring surgical release for relief of symptoms (56% of digits) when compared to non-insulin-dependent diabetic patients (28% of patients with multiple digit involvement; 28% of digits requiring surgery).

• Authors: S M Griggs, A P Weiss, L B Lane, C Schwenker, E Akelman, K Sachar
• Journal: The Journal of hand surgery (J Hand Surg Am) Vol. 20 Issue 5 Pg. 787-9 (Sep 1995) ISSN: 0363-5023 [Print] United States
• PMID: 8522745 (Publication Type: Comparative Study, Journal Article)

Chemical References

• Anti-Inflammatory Agents
• Betamethasone

Topics

• Adult
• Aged
• Anti-Inflammatory Agents (therapeutic use)
• Betamethasone (therapeutic use)
• Diabetes Complications
• Diabetes Mellitus, Type 1 (complications)
• Diabetes Mellitus, Type 2 (complications)
• Female
• Fingers
• Humans
• Injections, Intra-Articular
• Male
• Middle Aged
• Retrospective Studies
• Tenosynovitis (drug therapy, etiology)
• Treatment Outcome