期刊
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
卷 42, 期 5, 页码 473-480出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/1753193416682917
关键词
Trigger finger; trigger thumb; treatment; injection; percutaneous release; open surgery
资金
- National Institute for Health Research [ACF-2014-13-005] Funding Source: researchfish
The aim of this systematic review was to develop an evidence-based guideline to assist clinicians in the treatment of adult trigger digits. There is moderate evidence to suggest that local corticosteroid injection is a safe and effective short-term treatment and it may, therefore, be recommended as an initial treatment for this condition. However, when compared with surgery, there is strong evidence that corticosteroid injection is associated with increased rates of ongoing or recurrent symptoms at 6months after intervention. There is strong evidence suggesting that trigger digit can be managed safely by surgical release. There is weak evidence to support the use of splinting or other non-operative modalities. Hence a single corticosteroid injection may be offered as the first line in treatment of adult trigger digits, but percutaneous release is a safe alternative. Surgery should be the next line if the injection fails, symptoms recur or the patient chooses. Level of evidence: I
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