title: Intrasheath triamcinolone injection for the treatment of trigger digits in adult.
abstract: The purpose of this study is to describe our technique of intrasheath triamcinolone injection for trigger digit and to evaluate the treatment outcome. Seventy-two patients of 81 digits treated with intrasheath triamcinolone injection were followed up for at least one year and interviewed in our clinic. The injection was performed in all patients by one of the authors at two-week intervals. The amount used was 1 ml (10 mg) of triamcinolone and was mixed with 1 ml of 1% lidocaine and tried precise injection into the tendon sheath. According to the evaluation method developed by Patel and Moradia, they were excellent in 67 digits, good in ten digits, fair in three digits, and poor in one digit. Satisfactory results were obtained in 95% of the digits, and the effectiveness rate was higher than previously reported. But it should also be noted that triamcinolone easily induces local side effects such as dermatitis.
authors.affiliation: Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan. sawataku@ka2.so-net.ne.jp
authors.forename: Takuya
authors.initials: T
authors.lastname: Sawaizumi
authors.forename: Mitsuhiko
authors.initials: M
authors.lastname: Nanno
authors.forename: Hiromoto
authors.initials: H
authors.lastname: Ito
mesh_terms: D000328:Adult; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D005260:Female; D005385:Fingers / Q000503:physiopathology*; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D012008:Recurrence; D013717:Tenosynovitis / Q000188:drug therapy* / Q000503:physiopathology; D014221:Triamcinolone / Q000627:therapeutic use*
chemical_list: D000893:Anti-Inflammatory Agents; D014221:Triamcinolone