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Ultrasound guided versus blinded injection in trigger finger treatment: a prospective controlled study.
Tunçez, Mahmut; Turan, Kaya; Aydin, Özgür Dogan; Çetin Tunçez, Hülya.
Afiliación
  • Tunçez M; Department of Orthopedics and Traumatology, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey. drmahmuttuncez@gmail.com.
  • Turan K; Department of Orthopedics and Traumatology, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
  • Aydin ÖD; Department of Orthopedics and Traumatology, Istinye University, Istanbul, Turkey.
  • Çetin Tunçez H; Department of Orthopedics and Traumatology, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey.
J Orthop Surg Res ; 18(1): 459, 2023 Jun 26.
Article en En | MEDLINE | ID: mdl-37365603
BACKGROUND: Trigger finger is a common disease with a lifetime prevalence of 2%. One of the frequently preferred non-surgical treatments is blinded injection around the A1 pulley. This study aims to compare the clinical results of ultrasound-guided and blinded corticosteroid injection in the trigger finger. METHODS: In this prospective clinical study, 66 patients who had persistent symptoms of a single trigger finger were included. Patients with similar baseline characteristics such as age, gender, triggering period, and comorbidities were randomized. 34 patients had ultrasound-guided (UG), and 32 had blinded injections (BG). QDASH, VAS, time to return to work, and complications were compared between the groups. RESULTS: The mean age was 52,66 (29-73) years. There were 18 male and 48 female patients. In the UG, the triggering resolved faster, returning to work was earlier, and the medication period was shorter (p < 0.05). A total of 17 patients who had diabetes mellitus received re-injections, 11 of which were in BG and 6 in UG (p < 0.05). Although statistically significantly lower scores were obtained in UG at the 1st and 4th weeks in the QDASH and VAS scores (p < 0.05), at the 12th and 24 weeks, there was no significant difference (p > 0.05). CONCLUSION: Using ultrasound guidance for corticosteroid injections is more effective for treating trigger fingers than the blinded method, leading to better results and a faster return to work in the early stages of treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno del Dedo en Gatillo Tipo de estudio: Clinical_trials / Guideline / Observational_studies / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: J Orthop Surg Res Año: 2023 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno del Dedo en Gatillo Tipo de estudio: Clinical_trials / Guideline / Observational_studies / Risk_factors_studies Límite: Female / Humans / Male Idioma: En Revista: J Orthop Surg Res Año: 2023 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido