WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals
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Indexing

Abstract

LOCAL CORTICOSTEROID INJECTION VERSUS OPEN SURGICAL RELEASE IN THE TREATMENT OF THE TRIGGER FINGER

Dr. Rabah Abdulla Al-Ebadi, F.I.C.M.S (Ortho)*, Omar Abed Kassem C.A.B.M.S, Dr. Mamoon Abdulmunem Al-Dabbagh, F.I.C.M.S and Dr. Mohammed Idrees Altahan, C.A.B.M.S

ABSTRACT

Background: Trigger finger (stenosing tenosynovitis) is a common problem of the hand encountered in orthopedic practice. methods of treatment including conservative management, corticosteroid injection, Percutaneous surgical release and open surgical release. Objective: The aim of this study is to compare between the effectiveness of local corticosteroid injection and open surgical release in treatment of trigger finger in terms of symptomatic relief, patient’s satisfaction and complications Patients and Methods: The study is prospective Clinical trial study carried out in orthopedic unit in Al-Jumhoori Teaching Hospital in Mosul from July 2019 to September 2020.The total number of patients were 44 patients with 46 trigger digits presented with grade II and grade III according to Green’s classification of trigger finger. The patients were divided into two groups the first group (24 digits) patients who received local steroid injection and the second group (22digits) patients who had open surgical release. Results: (55.5%) of digits were treated with CS injection had complete pain relief compared with (92.9%) of digits were treated with open surgical release. (37.5%) of digits were treated with CS injection had good recovery after one single injection compared with (91%) of digits were treated with open surgical release. The complication rate was (4.1%) in group of CS injection and (9%) in group of surgical release. Conclusion: Local CS injection has lower efficacy than surgical release in management of trigger finger. The open surgical release is a safe and effective procedure in management of trigger finger. The procedure has a few complications with a high success rate. Effectiveness of local corticosteroid injection decreases with increasing in the severity of the trigger finger and with increasing in duration of symptoms.

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