title: Prospective study on the management of trigger finger.
abstract: 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.
authors.affiliation: Department of Hand Surgery, Singapore General Hospital, Singapore.
authors.forename: Muntasir Mannan
authors.initials: MM
authors.lastname: Choudhury
authors.forename: Shian Chao
authors.initials: SC
authors.lastname: Tay
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D009788:Occupational Therapy; D019637:Orthopedic Procedures / Q000706:statistics & numerical data; D011446:Prospective Studies; D013165:Splints; D016896:Treatment Outcome; D052582:Trigger Finger Disorder / Q000628:therapy*; D055815:Young Adult
chemical_list: D000893:Anti-Inflammatory Agents
keywords: Combination Therapy; Corticosteroid Injections; Trigger Finger