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Tenotomy and open surgery more effective for trigger finger compared to corticosteroid

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HAND & WRIST

Tenotomy and open surgery more effective for trigger finger compared to corticosteroid .

This report has been verified by one or more authors of the original publication.

Treatment of trigger finger: randomized clinical trial comparing the methods of corticosteroid injection, percutaneous release and open surgery

Rheumatology (Oxford). 2012 Jan;51(1):93-9. doi: 10.1093/rheumatology/ker315. Epub 2011 Oct 29

Contributing Authors

ES Sato JB Gomes Dos Santos JC Belloti WM Albertoni F Faloppa

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Dr. Sato discusses the comparative efficacy of corticosteroid injections, percutaneous release and open surgery.

137 patients with Quinnell type II-IV trigger fingers were randomized to receive corticosteroid (CS) injection, tenotomy, or open surgery to determine which method was more effective in treatment of trigger finger. Relapse and failure to cure trigger finger were recorded over 6 months post treatment, along with pain, active movement and complications experienced. The results demonstrated that patients who received tenotomy or open surgery had remission of their trigger finger significantly more than those who were treated with CS injections. However, immediate posttreatment pain was improved with CS injections.

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