Comparison between percutaneous release and corticosteroid injection in the management of trigger digits

Pages: 903-908
Mahashankar Yadav, Dhruv Sharma and Kuljit Kumar (Department of Orthopaedics, ESIC Medical College & Hospital, Faridabad, Haryana)
Neha Yadav (Department of Dermatology, ESIC Medical College & Hospital, Basaidarapur, New Delhi)

Trigger finger is basically caused by the mismatch between the volume of the flexor tendon sheath and its contents resulting in a narrowed tunnel for tendon excursion. Treatment modalities includes conservative management and Surgical management (open or percutaneous A1 pulley release). To compare clinical and functional outcome of percutaneous release and corticosteroid injection in management of trigger digits. Inclusion criteria- Adults aged more than 18 years with Quinnell grade I III. Sixty patients were divided into two groups, Group 1 (n = 30) treated with percutaneous release and Group 2 (n = 30) treated with percutaneous triamcenolone injections. Mean age of patients in group 1 was 43.83 years and in group 2 was 41.87 years. Thumb was the most commonly affected digit and little finger, the least commonly affected digit. Significant improvement (p value <0.001) in the VAS score was seen in group 1 when compared with group 2 from 1st week of follow up till the end of the study. Percutaneous release was found superior to Corticosteroid group in regards of VAS score, Roles and Maudsley score and residual triggering.