SURVEY ON EFFICACY OF SONOGRAPHICALLY GUIDED INTRA FLEXOR SHEATH CORTICOSTEROID INJECTION IN THE MANAGEMENT OF TRIGGER THUMB

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MARDANI KIVI MOHSEN; A. LAHIJI FARIVAR; BABAEI JANDAGHI ALI; SAHEB EKHTIARI KHASHAYAR; HASHEMI MOTLAGH KEYVAN

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Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2011 | Volume:9 | Issue:4 (37) Page(s): 162-169

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Title

SURVEY ON EFFICACY OF SONOGRAPHICALLY GUIDED INTRA FLEXOR SHEATH CORTICOSTEROID INJECTION IN THE MANAGEMENT OF TRIGGER THUMB

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Keywords

ULTRASONOGRAPHYQ2

TRIGGER FINGER DISORDERQ2

INJECTIONQ2

Abstract

Background: Entrapment of flexor pollicis longus at the level of A1 pulley is the most common cause of snapping or painful thumb upon flexion and extension motion, the so called which is called "Trigger Thumb". The aim of this study is to assess the efficacy of sonographically-guided intra tendon sheath corticosteroid INJECTION in the management of trigger thumb.Methods: In a prospective study 104 patients (7 males, 97 females, 112 trigger thumbs) with the mean age of 52.11±7.63 who had trigger thumb underwent intra flexor sheath corticosteroid INJECTION under the guide of ultrasound in a 2 year period in Rasht-Iran. Improvement was measured using the "Quinnell" grading system before and in intervals after 3 and 6 weeks, 3, 6 and 12 months after INJECTION.Results: From the 112 thumbs, 15 (13.4%) required reinjection and/or surgery. Twelve (80%) of these 15 thumbs were simply re-injected, 2 (13.3%) underwent surgery without re-injection but because of no improvement, underwent surgery. Reduction in Quinnell grade after the first INJECTION was significant (p<.0001). One year after the first INJECTION, 111 of 112 thumbs (99.1%) were symptom-free.Conclusion: Sonographically guided intra flexor sheath corticosteroid INJECTIONs an effective method in the management of trigger thumb and would reduce the need for surgical release.

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APA: Copy

MARDANI KIVI, MOHSEN, A. LAHIJI, FARIVAR, BABAEI JANDAGHI, ALI, SAHEB EKHTIARI, KHASHAYAR, & HASHEMI MOTLAGH, KEYVAN. (2011). SURVEY ON EFFICACY OF SONOGRAPHICALLY GUIDED INTRA FLEXOR SHEATH CORTICOSTEROID INJECTION IN THE MANAGEMENT OF TRIGGER THUMB. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 9(4 (37)), 162-169. SID. https://sid.ir/paper/85479/en

Vancouver: Copy

MARDANI KIVI MOHSEN, A. LAHIJI FARIVAR, BABAEI JANDAGHI ALI, SAHEB EKHTIARI KHASHAYAR, HASHEMI MOTLAGH KEYVAN. SURVEY ON EFFICACY OF SONOGRAPHICALLY GUIDED INTRA FLEXOR SHEATH CORTICOSTEROID INJECTION IN THE MANAGEMENT OF TRIGGER THUMB. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2011;9(4 (37)):162-169. Available from: https://sid.ir/paper/85479/en

IEEE: Copy

MOHSEN MARDANI KIVI, FARIVAR A. LAHIJI, ALI BABAEI JANDAGHI, KHASHAYAR SAHEB EKHTIARI, and KEYVAN HASHEMI MOTLAGH, “SURVEY ON EFFICACY OF SONOGRAPHICALLY GUIDED INTRA FLEXOR SHEATH CORTICOSTEROID INJECTION IN THE MANAGEMENT OF TRIGGER THUMB,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 9, no. 4 (37), pp. 162–169, 2011, [Online]. Available: https://sid.ir/paper/85479/en

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