title: Percutaneous release of trigger digit with and without cortisone injection.
abstract: Percutaneous release was done using the tip of an 18-gauge, 2.5-cm-long needle, mounted on a 3-mL3 syringe in 225 trigger digits. It was successful in 92 (89%) of the digits without cortisone injection (n = 105) and in 115 (96%) of the digits with cortisone injection (n = 120). Negligible or intermittent pain persisted for 8 weeks in the noncortisone group and 6 weeks in the cortisone group after percutaneous release. Of the first 10 digits, 2 needed repeat percutaneous release. With modification of technique, the incidence of repeat percutaneous release was zero in both groups. Open release was needed in 8% in the noncortisone group and 3% in the cortisone group. The procedure was done under local infiltration anesthesia in the office. This reduced patient anxiety, inconvenience and hospital cost.
authors.affiliation: Division of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA.
authors.forename: M R
authors.initials: MR
authors.lastname: Patel
authors.forename: V J
authors.initials: VJ
authors.lastname: Moradia
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000191:economics / Q000523:psychology; D000772:Anesthesia, Local; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001007:Anxiety / Q000517:prevention & control; D001623:Betamethasone / Q000008:administration & dosage / Q000627:therapeutic use*; D003363:Cost Control; D005260:Female; D005385:Fingers / Q000601:surgery*; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use*; D017721:Hospital Costs; D006801:Humans; D015994:Incidence; D007279:Injections, Subcutaneous; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000191:economics / Q000523:psychology; D009339:Needles; D059408:Pain Management; D012086:Reoperation; D013594:Syringes; D013717:Tenosynovitis / Q000601:surgery*
chemical_list: D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D001623:Betamethasone