The effect of miniscalpel-needle versus steroid injection for trigger thumb release.

Abstract

This study compared the result of percutaneous release using a miniscalpel-needle and steroid injection in 93 trigger thumbs in 83 patients. The patients were randomly assigned to either miniscalpel-needle percutaneous release (group A) or steroid injection (group B). Visual analogue pain scales and patients' satisfaction were evaluated at baseline, 1 and 12 months. One patient in group A and two patients in group B were lost to follow-up. Forty-four of the 46 trigger thumbs in group A and 12 of 47 trigger thumbs in group B had satisfactory results at 12 months. No digital nerve injury occurred in either group. Percutaneous release with a miniscalpel-needle had a higher success rate than steroid injection.

• Authors: M Chao, S Wu, T Yan
• Journal: The Journal of hand surgery, European volume (J Hand Surg Eur Vol) Vol. 34 Issue 4 Pg. 522-5 (Aug 2009) ISSN: 2043-6289 [Electronic] England
• PMID: 19675034 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)

Chemical References

• Adrenal Cortex Hormones
• Triamcinolone Acetonide

Topics

• Adrenal Cortex Hormones (administration & dosage)
• Adult
• Aged
• Equipment Design
• Female
• Follow-Up Studies
• Humans
• Injections
• Male
• Middle Aged
• Minimally Invasive Surgical Procedures (instrumentation)
• Needles
• Pain Measurement
• Patient Satisfaction
• Postoperative Complications (etiology)
• Surgical Instruments
• Thumb (surgery)
• Triamcinolone Acetonide (administration & dosage)
• Trigger Finger Disorder (surgery)