trigger finger injections
A study from Missouri assessed the longterm outcome of a single corticosteroid injection for a trigger finger (see trigger finger injection j bone surg 2014 in dropbox, or J Bone Joint Surg Am 2014 Nov 19; 96:1849). they assessed 366 patients who had a first injection and followed a minimum of 5 years. background: --trigger fingers are pretty common. lifetime risk estimated in general population of 2.6%, 4-10% in diabetics --and, from my patients, pretty uncomfortable and affects daily functioning results: --66% female, average age 59 yo, 44% with multiple trigger fingers, 24% with diabetes. majority had symptom of "catching" but able to actively extend the digit . --their protocol was injecting the A1 pulley area with methylprednisolone 40mg/cc, 1cc, and lidocaine without epinephrine 1%, 0.5 to 1 cc. --primary outcome (which was to n...