Outcome of Percutaneous trigger finger release with concurrent steroid injection in Kamalasai Hospital

Abstract

     This study is a randomized controlled trial to compare the differences of outcomes in adults with trigger finger treated with combination of percutaneous release and steroid injection to those
treated with percutaneous release alone. 54 trigger digits with actively correctable triggering or severer
symptoms without previous surgical release in Kamalasai hospital Kalasin province between
September 2022 and December 2022 were randomized to either percutaneous A1 pulley release alone or release of the A1 pulley with a steroid injection. Patients returned for follow-up 1 week, 3 weeks, and 6 weeks after the procedure. Outcomes measured were 1) visual analogue scale for pain (VAS) 2) Patients' Global Impression of Change (PGIC) scale 3) time to return to work 4) complications. The study uses chi-square, fisher’s exact test and Independent t-test to analyse data.

     Result. Post-procedure, in steroid group showed significant improvement in pain relief and earlier return-to-work (p<0.05) at all time intervals and better Patients' Global Impression of Change (PGIC) scale in the 1st and 3rd week (p<0.05) Furthermore, one patient from the steroid group experienced local wound infection and required subsequent surgical debridement and intravenous antibiotic treatment.