Are corticosteroid injections better than conservative treatment in patients with trigger finger?

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jennifer Oberstar ◽  
Amanda Kupris
Keyword(s):  
Conservative Treatment ◽  
Trigger Finger ◽  
Corticosteroid Injections ◽  
Better Than

scholarly journals Outcome analysis of early surgery and conservative treatment in neonates and infants with severe hydronephrosis

2021 ◽  
Vol 49 (11) ◽  
pp. 030006052110578
Author(s):  
Qi-Fei Deng ◽  
Han Chu ◽  
Bo Peng ◽  
Xiang Liu ◽  
Yong-Sheng Cao
Keyword(s):  
Renal Function ◽  
Conservative Treatment ◽  
Ureteropelvic Junction Obstruction ◽  
Renal Cortex ◽  
Outcome Analysis ◽  
Neonates And Infants ◽  
Functional Indices ◽  
Early Surgical Treatment ◽  
Better Than

Objective The treatment strategy and timing of ureteropelvic junction obstruction (UPJO) in infants remain controversial. This study aimed to compare the effect of early surgical treatment (EST) and conservative treatment (CT) on neonates and infants with UPJO and their recovery of renal function and morphology. Methods Eighty neonates and infants with severe hydronephrosis were enrolled in this study. They received early pyeloureteroplasty or CT. Diethylenetriamine pentaacetate was used to assess renal function. Results There were no significant differences in renal function or renal indices at baseline between the two groups. At 3 and 6 months of follow-up, the anteroposterior diameter of the renal pelvis and the Society of Fetal Urology grade in the EST surgery group were significantly lower compared with those at baseline. The thickness of the renal cortex was greater in the EST group than in the CT group at 3 and 6 months of follow-up. After follow-up for 6 months, renal function in the EST group was significantly better than that in the CT group. Conclusion EST accelerates the recovery of renal morphological and functional indices in neonates and infants with severe hydronephrosis.

PROSPECTIVE STUDY ON THE MANAGEMENT OF TRIGGER FINGER

Hand Surgery ◽  
2014 ◽  
Vol 19 (03) ◽  
pp. 393-397 ◽  
Author(s):  
Muntasir Mannan Choudhury ◽  
Shian Chao Tay
Keyword(s):  
Surgical Treatment ◽  
Combination Therapy ◽  
Prospective Study ◽  
Initial Treatment ◽  
Corticosteroid Injection ◽  
Hand Surgery ◽  
Trigger Finger ◽  
Topical Nsaids ◽  
Non Surgical Treatment ◽  
Corticosteroid Injections

Trigger finger is one of the very common conditions encountered in hand surgery. Currently, the treatment modes we offer in our clinics are combination therapy of topical NSAIDS, occupational therapy and splinting or invasive modes involving corticosteroid injections and trigger finger release. This is a prospective review looking at the outcomes of the various initial treatment modules currently used for treating trigger fingers and the rate of surgery following non-surgical treatment. From our study we have noted that 26% of the digits which were subjected to combination therapy eventually underwent surgery whereas 60% of digits which received corticosteroid injections underwent surgery. Even though our results comparing operation rates are not statistically significant, they appear to show that combination therapy was more effective in avoiding surgery than corticosteroid injection in lower grades of trigger.

scholarly journals Multidisciplinary Consensus Guideline for Managing Trigger Finger: Results From the European HANDGUIDE Study

2014 ◽  
Vol 94 (10) ◽  
pp. 1421-1433 ◽  
Author(s):  
Bionka M.A. Huisstede ◽  
Peter Hoogvliet ◽  
J. Henk Coert ◽  
Jan Fridén ◽  
Keyword(s):  
Treatment Options ◽  
Multidisciplinary Treatment ◽  
Treatment Guideline ◽  
Treatment Protocol ◽  
Trigger Finger ◽  
Feedback Report ◽  
Delphi Consensus ◽  
Starting Point ◽  
Consensus Strategy ◽  
Corticosteroid Injections

Background Trigger finger is characterized by sometimes painful snapping or locking when flexing the finger. Although trigger finger is frequently seen in clinical practice, no standard treatment protocol has been established as “best practice.” Objective The aim of this study was to achieve consensus on a multidisciplinary treatment guideline for trigger finger. Design A European Delphi consensus strategy was initiated. Systematic reviews reporting on the effectiveness of surgical and nonsurgical interventions were conducted and used as an evidence-based starting point for this study. Setting In total, 35 experts (hand therapists and hand surgeons selected by the national member associations of their European federations and physical medicine and rehabilitation physicians) participated in the Delphi consensus strategy. Measurements Each Delphi round consisted of a questionnaire, an analysis, and a feedback report. Results After 4 Delphi rounds, consensus was achieved on the description, symptoms, and diagnosis of trigger finger. The experts agreed that use of orthoses (splinting), corticosteroid injections, corticosteroid injections plus use of orthoses, and surgery are suitable treatment options. Relevant details for the use of orthoses, corticosteroid injections, and surgery were described. Main factors for selecting one of these treatment options were identified as severity and duration of the disease and previous treatments received. A relationship between the severity and duration of the disorder and the choice of therapy was indicated by the experts and reported on in the guideline. Limitations The results represent a group's opinion at a given point in time. When the evidence for the effectiveness of interventions increases, experts' opinions will change, and the guideline should be re-evaluated and adjusted in view of these new insights. Conclusions This multidisciplinary treatment guideline may help involved therapists and physicians in the treatment of trigger finger and indicate areas needing additional research.

A Comparison of Splint Versus Pinning the Distal Interphalangeal Joint for Acute Closed Tendinous Mallet Injuries

2020 ◽  
Vol 25 (02) ◽  
pp. 172-176
Author(s):  
Shigeki Nagura ◽  
Taku Suzuki ◽  
Takuji Iwamoto ◽  
Noboru Matsumura ◽  
Masaya Nakamura ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Treatment Group ◽  
Conservative Treatment ◽  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Custom Made ◽  
Wire Fixation ◽  
Distal Interphalangeal ◽  
The Mean ◽  
Better Than

Background: The vast majority of acute closed tendinous mallet injuries are treated with a splint. Very few studies have directly compared splinting versus pinning the distal interphalangeal joint for this injury. The aim of this cohort study is to determine the outcomes of both methods. Methods: A total of 59 patients with acute tendinous mallet injury were retrospectively enrolled (29 patients in conservative treatment and 30 patients in surgical treatment). Conservative treatment was performed using custom-made thermoplastic splint and surgical treatment was conducted with oblique K-wire fixation of the distal interphalangeal (DIP) joint. The DIP joint was immobilized for eight weeks in both treatments. Active ranges of motion of the affected finger and Miller’s classification were evaluated postoperatively. Results: The mean extension lag of the DIP joint in the surgical treatment group was significantly better than it was with conservative treatment (2.1° vs 13.8°). Three patients who were noncompliant with the splint showed poor results, while no patients in the surgical treatment group had a poor result. Conclusions: Surgical treatment with K-wire fixation leads to satisfactory results for acute tendinous mallet injury.

scholarly journals A comparative study on outcome of conservative and surgical treatment of type III supracondylar fracture of humerus in children

2020 ◽  
Vol 6 (4) ◽  
pp. 817
Author(s):  
Vinay N. ◽  
Manjunatha A. ◽  
Anand Kumar B. S.
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Supracondylar Fracture ◽  
Type Iii ◽  
Wire Fixation ◽  
Group A ◽  
Group B ◽  
Cross Wire ◽  
Conservative And Surgical Treatment ◽  
Better Than

<p class="abstract"><strong>Background:</strong> Supracondylar fracture of humerus is most common of all the fractures around the elbow in children. They occur most commonly in children more so in male child with the peak around 5-8 years. Objective of this study was to compare the outcome of 3 different modalities of treatment for supracondylar fracture of humerus.</p><p class="abstract"><strong>Methods:</strong> Children with type III supracondylar fracture of humerus were categorized into group A, group B, group C based on conservative, closed reduction and percutaneous K wire fixation and open reduction and K wire fixation modalities of treatment given. All the children were followed for 6 months and the outcome of treatment was evaluated using Flynn’s criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> 40 children were treated with 3 different modalities of treatment. The rate of complications was less in children who were operated on first day of admission (p=0.02). Group B and group C had 80% and 61.11% excellent results and group A had 47.05% poor results. The outcome was better with cross K wire pinning than lateral pinning (p=0.015).</p><p class="abstract"><strong>Conclusions:</strong> Supracondylar fracture of humerus should be operated as early as possible to reduce the rate of complications. The outcome of surgical treatment was better than conservative treatment evaluated in terms of Flynn’s criteria. Cross wire pinning was better than lateral pinning in terms of outcome, but the rate of neuropraxias was more with cross wire pinning.</p>

PLATELET-RICH PLASMA INJECTION IN EARLY OSTEOARTHRITIS KNEE FOLLOW-UP 1 YEAR

2021 ◽  
pp. 6-8
Author(s):  
Abdul Hassan Khan ◽  
Prasanta Kumar Pujari ◽  
Bikramjit Gayen ◽  
Dipak Kumar Jha ◽  
Debarshi Jana
Keyword(s):  
Conservative Treatment ◽  
Platelet Rich Plasma ◽  
Treatment Options ◽  
Repair Process ◽  
Plasma Injection ◽  
Osteoarthritis Knee ◽  
The One ◽  
Tissue Recovery ◽  
Natural Healing ◽  
Better Than

Background: Osteoarthritis (OA) knee is one of the most prevalent musculoskeletal disorders in elderly population. It has got various treatment options but most are unsatisfactory. In recent years Platelet-rich plasma (PRP) is emerged as a promising treatment modality and classied as “Orthobiologics”. PRPenhances tissue recovery, by catalysing the body's natural healing response and tissue repair process. Aim And Objectives:Tocompare the efcacies oftreatmentwithPRPinjectionandconservative treatmentwithNSAIDSandexercise inOAknee. Materials And Methods:This was a observational study in which comparisons of different outcomes were made on the efcacies of the treatments with PRPinjection and compared to conservative treatment with NSAIDS and exercise in OAknee. The study was conducted in the Department of Orthopedics in Ramkrishna Mission SevaPratisthan. Atotal number of 60 patients with power 80% were randomly selected from the patients with OA attended OPD during the period from June 2019 to June 2021. The patients were divided into two groups of 30 patients in each group. The patients of the one group were treated with intra-articular PRPinjection and the patients of another group were treated conservatively with NSAIDS and exercise. After the completion of treatment, the patients were followed-up for 1 year and the outcomes of the treatments were assessed by WOMAC (The Western Ontario and McMaster Universities Osteoarthritis Index) knee assessment scoring system. Results:At 1 year the completion of treatments it was found that both clinical and functional improvements of the patients were signicantly better than the initiation of treatments (p<0.0001). However, the improvements of the patients treated with PRPinjection were signicantly better than the patients treated conservatively with NSAIDS and exercise (p<0.001). Conclusion: From the results of the study it may be concluded that PRP injection is better than conservative treatment with NSAIDS and exercise to treat OAknee

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