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Journal of the Korean Society for Surgery of the Hand 2004;9(1):36-38.
Published online January 1, 2004.
Factors Influencing the Efficacy of Steroid Injection for Trigger Fingers
Soo Hong Han, Duck Yun Cho, Hyung Ku Yoon, Byung Soon Kim, Dong Jun Kim, Hyoung Jun Kim
방아쇠 수지의 스테로이드 국소 주사 후 치료 효과와 관련 인자
한수홍, 조덕연, 윤형구, 김병순, 김동준, 김형준
Trigger finger is a common condition seen in the clinical practice of hand surgery. Steroid injection is considered as the primary treatment of choice, but some factors are supposed as negative prognostic indicators. Authors examined the correlation between the presence of related factors and prognosis of the trigger fingers after steroid injection in this study. Materials and Methods: Eighty six patients with 109 trigger fingers were treated by one to three local steroid injections. Average follow-up examination was 18 months and the average age of the patients was 53.2 years and related factors of prognosis were studied retrospectively. Results: sixty-one cases showed resolution or improvement and forty-eight cases showed no change. In the no change group, average duration of symptom was 18.2 months and steroid injection history was average 2.1 times. Seventy-two percent of diabetes millitus patients showed no change. Involvement of multiple digits was also related stastically with recurrence rate. Conclusion: The trigger finger patients who had diabetes millitus, long duration of symptom, multiple steroid injection history were more difficult to treat, and we should consider the possibility of surgical treatment in those cases.

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