TITLE

Results Of Tenosynovectomy And Intralesional Steroid In The Management Of Trigger Fingers

AUTHOR(S)
Ogbemudia, Alfred O.; Bafor, Anire; Edomwonyi, Edwin
PUB. DATE
July 2007
SOURCE
Internet Journal of Orthopedic Surgery;2007, Vol. 5 Issue 1, p20
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Tenosynovectomy is usually reserved for those patients in whom conservative treatment for trigger fingers had failed. Failure of conservative treatment may imply recurrence, ineffective treatment or intolerable complications; this leads to prolonged discomfort from pain, suboptimal function and waste of time. Our objective was to compare the results in terms of safety, effectiveness, tolerability and recurrence after tenosynovectomy with that of intralesional methylprednisolone in the treatment of trigger fingers. The patients were randomly assigned to the study groups (tenosynovectomy-Group A and injection methylprednisolone-group B). There were 28 patients in Group A with 30 trigger digits and 25 patients in group B with 26 trigger digits. All the patients were followed up for one year. In group A, all the patients had immediate relief following tenosynovectomy, tolerated the procedure and were satisfied with the outcome. There was neither wound infection nor recurrence after tenosynovectomy. Relief of the trigger sensation occurred after an average of 16 days in group B. Nine of the patients in group B suffered recurrence of symptoms within one year of follow-up. From the results, tenosynovectomy offers better outcome than intralesional methylprednisolone in the treatment of sclerosing tenosynovitis. Therefore, we are advocating the need to perform tenosynovectomy early in order to shorten the duration of patients' discomfort, pain and suboptimal function of the trigger finger.
ACCESSION #
25695538

 

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