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Synopsis: 30 patients (35 digits) with diabetes mellitus and 29 non-diabetic patients (29 digits) all suffering from trigger finger participated in this study.The diabetic patients were blinded and randomised to receive either the corticosteroid treatment (20 digits) or a placebo (15 digits).The non-diabetic patients received the corticosteroid treatments in an unblinded manner. Results indicated that... Read More »
Level 1 RCT
7%
Synopsis: 30 patients presenting with 32 cases of trigger finger were included in this study to evaluate and compare the efficacy of two splint treatments.Patients received splinting with metacarpophalangeal (MCP) joint blocking or distal interphalangeal (DIP) joint blocking splints. Results following the... Read More »
Author verified Level 2 RCT
7%
Synopsis: 110 patients, with or without diabetes, presenting with trigger digits were randomized to either receive treatment with a NSAID injection or corticosteroid injection.The results indicate that, although the corticosteroid injection provided patients with faster relief, at 3 months there was no significant difference between the two treatment groups. As well, there... Read More »
Level 2 RCT
7%
Synopsis: 8 ACE Reports (7 randomized controlled trials and 1 systematic review and meta-analysis, n=694) from the OrthoEvidence database assessing the effectiveness of corticosteroid injections in comparison to control injections (either saline or local anesthesia) for the treatment of lateral epicondylitis were included in this review.The purpose of this review was to determine the impact of corticosteroid injections on pain and physical function in comparison to these control treatments.As such, information and data on platelet-rich plasma (PRP) injection efficacy as a treatment was not included from reports.Statistical pooling of VAS pain scores and Quick DASH scores exhibited that corticosteroid injections provided significant pain relief, compared to control injections only in the short-term (6-12 weeks), while having no functional benefits over control injections at any time point within a 6 month period. Similar results were... Read More »
ACE Review
7%
Synopsis: 7 randomized controlled trials (RCTs) (676 patients) were selected to compare percutaneous release to open surgery or corticosteroid injections, in the treatment of patients with trigger digits.No differences were seen in failure rates and complication frequencies between percutaneous release and open surgery. Compared to corticosteroid... Read More »
Author verified Level 1 Meta Analysis
7%
Synopsis: 40 patients, greater than 18 years of age, with primary trigger finger were randomized into one of two treatment groups to receive different steroid injection techniques to see the overall effectiveness of each.Patients in one group received injection through the conventional technique (over the metacarpal head), while those in the second group received an injection using the midproximal phalanx technique. Results showed that... Read More »
Level 2 RCT
7%
Synopsis: 26 studies were included in this meta-analysis to determine the optimal treatment for stenosing flexor tenosynovitis (trigger finger) by comparing percutaneous release (11 studies), open surgery (8 studies) and corticoid steroid injections (7 studies).The chance of success with percutaneous was 94%, compared to 92% in open release group and only 65% for steroid administration group. Open surgery and... Read More »
Conference Report
7%
Synopsis: 36 patients (39 digits) with trigger finger were randomized to receive ultrasound-guided (UG) hyaluronic acid (HA) injection therapy or standard UG steroid injection therapy.The purpose of this study was to examine the clinical effects of HA therapy by means of measuring Quinnell trigger finger scale score, pain, active motion and grip strength when compared to steroid therapy. Results demonstrated that... Read More »
Level 1 RCT
7%
Synopsis: The purpose of this systematic review and meta-analysis was to compare functional outcomes and adverse events in the treatment of knee osteoarthritis with platelet-rich plasma (PRP) versus hyaluronic acid (HA) or placebo.The current meta-analysis included a total of nine randomized controlled trials, seven comparing PRP versus HA and two comparing PRP versus placebo, and calculated pooled estimates for the WOMAC total and sub-scores (pain, stiffness, function), Lequesne index, IKDC subjective score, EQ-VAS score, and risk of adverse events.PRP resulted in statistically significant improvements in the WOMAC total, IKDC and EQ-VAS scores when compared to hyaluronic acid (HA).The WOMAC total score was also more favourable in the PRP group when it was compared to placebo, but this difference was not statistically significant.There was no difference in the risk of adverse events when PRP was compared to HA or placebo. Read More »
Level 1 Meta Analysis
7%
Synopsis: 69 patients with trigger finger were randomized to treatment with either triamcinolone injection or dexamethasone injection.Patients were followed up at 6 weeks, 12 weeks, and 6 months for symptom resolution.Repeat injections were offered in cases of persistent or recurrent symptoms.During follow-up, fewer patients of the triamcinolone group required repeat injection compared to the dexamethasone group. At final follow-up,... Read More »
Conference Report