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Comparison of the clinical effectiveness of ultrasound-guided corticosteroid injection with and without needle release of the A1 pulley in treating trigger finger.
- Source :
-
Journal of X-ray science and technology [J Xray Sci Technol] 2020; Vol. 28 (3), pp. 573-581. - Publication Year :
- 2020
-
Abstract
- Objective: To compare the clinical effectiveness of ultrasound-guided corticosteroid injection with and without needle release of the A1 pulley in treating trigger finger.<br />Methods: A total of 60 patients with trigger finger were enrolled in this retrospective study. Among them, 30 patients were treated with ultrasound-guided needle release of the A1 pulley with corticosteroid injection (group A) and 30 patients were treated with single ultrasound-guided corticosteroids injection (group B). The following parameters were evaluated including clinical parameters (pain degree, function of joint, finger tendon function, postoperative satisfaction), and ultrasound parameter (thickness of A1 pulley).<br />Results: The postoperative visual analogue scale (VAS) and Quinnell scores in two groups were significantly lower than that before operation (p < 0.05). The postoperative Quinnell score of group A was significantly lower than that in group B (p < 0.05). The TAM results showed that the postoperative overall excellent and good rate of group A was significantly higher than that in group B (p < 0.05). The postoperative survey showed that more than 80% patients reported satisfaction in the two groups. The ultrasound imaging results showed that the postoperative thickness of A1 pulley in two groups were thinner than that before operation (p < 0.05). There were no adverse effects and complications in the two groups.<br />Conclusions: Both approaches had treatment benefit in trigger finger. Ultrasound-guided needle release of the A1 pulley with corticosteroid injection had better treatment benefits than single ultrasound-guided corticosteroids injection in improving finger tendon function and joint function.
- Subjects :
- Aged
Female
Fingers diagnostic imaging
Fingers surgery
Humans
Injections
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Adrenal Cortex Hormones administration & dosage
Adrenal Cortex Hormones therapeutic use
Trigger Finger Disorder diagnostic imaging
Trigger Finger Disorder drug therapy
Trigger Finger Disorder surgery
Ultrasonography, Interventional methods
Subjects
Details
- Language :
- English
- ISSN :
- 1095-9114
- Volume :
- 28
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of X-ray science and technology
- Publication Type :
- Academic Journal
- Accession number :
- 32116288
- Full Text :
- https://doi.org/10.3233/XST-190620