Effects of simultaneous steroid injection after percutaneous trigger finger release: a randomized controlled trial
Autor: | Hyun Il Lee, Min Jong Park, Jaewoo Shim, Midum Jegal, Sung Jong Woo |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male Steroid injection Percutaneous Visual Analog Scale Trigger finger release 030230 surgery Triamcinolone Acetonide law.invention Injections 03 medical and health sciences Subjective improvement 0302 clinical medicine Randomized controlled trial law medicine A1 pulley Humans Prospective Studies Glucocorticoids Aged Aged 80 and over 030222 orthopedics Pain score business.industry Middle Aged medicine.disease Combined Modality Therapy Trigger Finger Disorder Patient Satisfaction Anesthesia Surgery Female Trigger finger business |
Zdroj: | The Journal of hand surgery, European volume. 44(4) |
ISSN: | 2043-6289 |
Popis: | The purpose of this study was to test the hypothesis that an improved outcome can be achieved by employing simultaneous steroid injection after percutaneous A1 pulley release. One hundred and twelve digits were randomized to either percutaneous A1 pulley release alone or release of the A1 pulley with a steroid injection. The visual analogue scale score for pain, modified patient global impression of improvement and modified Quinnell grade were assessed at 3 weeks and 3 months after surgery. At 3 weeks, subjective improvement in the group with simultaneous steroid injection was significantly superior. At 3 months, pain score in the patients without a steroid injection was significantly better. No significant differences were found in the modified Quinnell grade. We conclude from this study that the simultaneous steroid injection at the time of surgical release decreases pain and improves subjective outcomes during the early postoperative period after percutaneous trigger finger release. Level of evidence: I |
Databáze: | OpenAIRE |
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