Percutaneous trigger finger release or steroid injection-which is better in trigger finger treatment

Abstract

Introduction: Trigger finger is caused due to impaired tendon gliding at the level of A1 pulley.1 Material and Methods: The study was a prospective randomised control trial with 104 trigger fingers in 98 patients. 52 trigger fingers underwent percutaneous trigger finger release using No 16 Needle (Group A) and other 52 patients were enrolled in Steroid injection group (Group B). Patients were assessed based on Visual Analogue Pain scores (VAS) at the end of 1 month and 6 months. Results: The study had 96 patients. 33 were male patients and 63 were female patients. 50 trigger fingers in group A and 49 trigger fingers in group B were studied till end of study. We lost patients with 2 trigger fingers in Group A and 3 trigger fingers patients in Group B, during followup period. Satisfaction levels of Group A far exceeded Group B. Conclusion: Percutaneous Release of A1 pulley has better results than local steroid injection.