Fahad Nazir, Fatima Chaudhry, Ghulam Qadir Fayyaz.
Efficacy of Local Corticosteroid Therapy in Adult Trigger Finger Deformity at a Tertiary Care Hospital Setting.
Esculapio J Services Inst Med Sci Jan ;15(1):10-3.

Objective: Trigger Finger also called Stenosing Flexor Tenosynovitis is common hand pathology in adulthood. Efficacy of local corticosteroid injection was investigated in adult trigger finger deformity Materials and Methods: 70 female and 40 male injected with 1cc local corticosteroid at the level of A1 pulley were followed for a period of 6 months and consequent symptomatic relief was classified as good, moderate and bad. Results: Out of a total of 110 patients, 70 female and 40 male, 40 patients had triggering in thumb, 26 patients in index finger, 22 patients in middle finger, 13 patients in ring and 9 patients had triggering deformity in little finger. All had pain and triggering in the involved digit proximal to metacarpophalangeal joint. 81 patients were observed to have no more triggering and pain while 15 patients had pain without triggering and 14 patients had both triggering and pain at the end of 1st month. At 3 months the number of patients who had no pain and no triggering remained the same whereas 3 patients had additional symptoms of triggering apart from pain thus increasing the number to 17. At the end of 6 months duration 11 patients demonstrated no response to treatment and were advised surgical intervention for definite cure. Conclusion: Injection of local corticosteroid drug mixture in treatment of trigger finger deformity is an easy, cheap and effective method and trial should be given once before definitive treatment that is surgery.

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