Ultrasound guided versus blinded injection in trigger finger treatment: a prospective controlled study
Abstract 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...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-03950-y |
| _version_ | 1797789642643210240 |
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| author | Mahmut Tunçez Kaya Turan Özgür Doğan Aydın Hülya Çetin Tunçez |
| author_facet | Mahmut Tunçez Kaya Turan Özgür Doğan Aydın Hülya Çetin Tunçez |
| author_sort | Mahmut Tunçez |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-03-13T01:53:35Z |
| format | Article |
| id | doaj.art-852bc97f320c4371b98a224f83f8c69f |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-13T01:53:35Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-852bc97f320c4371b98a224f83f8c69f2023-07-02T11:21:13ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-06-011811610.1186/s13018-023-03950-yUltrasound guided versus blinded injection in trigger finger treatment: a prospective controlled studyMahmut Tunçez0Kaya Turan1Özgür Doğan Aydın2Hülya Çetin Tunçez3Department of Orthopedics and Traumatology, Izmir Katip Celebi University Ataturk Training and Research HospitalDepartment of Orthopedics and Traumatology, Izmir Katip Celebi University Ataturk Training and Research HospitalDepartment of Orthopedics and Traumatology, Izmir Katip Celebi University Ataturk Training and Research HospitalDepartment of Orthopedics and Traumatology, Izmir Katip Celebi University Ataturk Training and Research HospitalAbstract 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.https://doi.org/10.1186/s13018-023-03950-yTrigger fingerSteroid injectionUltrasound guided injection |
| spellingShingle | Mahmut Tunçez Kaya Turan Özgür Doğan Aydın Hülya Çetin Tunçez Ultrasound guided versus blinded injection in trigger finger treatment: a prospective controlled study Journal of Orthopaedic Surgery and Research Trigger finger Steroid injection Ultrasound guided injection |
| title | Ultrasound guided versus blinded injection in trigger finger treatment: a prospective controlled study |
| title_full | Ultrasound guided versus blinded injection in trigger finger treatment: a prospective controlled study |
| title_fullStr | Ultrasound guided versus blinded injection in trigger finger treatment: a prospective controlled study |
| title_full_unstemmed | Ultrasound guided versus blinded injection in trigger finger treatment: a prospective controlled study |
| title_short | Ultrasound guided versus blinded injection in trigger finger treatment: a prospective controlled study |
| title_sort | ultrasound guided versus blinded injection in trigger finger treatment a prospective controlled study |
| topic | Trigger finger Steroid injection Ultrasound guided injection |
| url | https://doi.org/10.1186/s13018-023-03950-y |
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