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J Am Acad Orthop Surg, Vol 15, No 3, March 2007, 166-171.
© 2007 the American Academy of Orthopaedic Surgeons
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Corticosteroid Injections in the Treatment of Trigger Finger: A Level I and II Systematic Review

Sheryl B. Fleisch, BS, Kurt P. Spindler, MD and Donald H. Lee, MD

Ms. Fleisch is Medical Student, Vanderbilt University School of Medicine, Nashville, TN. Dr. Spindler is Professor and Vice Chairman, Department of Orthopaedics/Sports Medicine, Vanderbilt Orthopaedic Institute, Nashville. Dr. Lee is Professor, Department of Orthopaedics, Vanderbilt Orthopaedic Institute.

None of the following authors has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Ms. Fleisch, Dr. Spindler, and Dr. Lee.

Reprint requests: Dr. Lee, Vanderbilt Orthopaedic Institute, Medical Center East, South Tower, Suite 3200, 1215 21st Avenue, Nashville, TN 37232-8828.

Trigger finger is a tendinitis (stenosing tenosynovitis) with multiple management approaches. We conducted an evidence-based medicine systematic review of level I and II prospective randomized controlled trials to determine the effectiveness of corticosteroid injection in managing trigger finger. MEDLINE, Cochrane database, and secondary references were reviewed to locate all English-language prospective randomized controlled trials evaluating trigger finger treatment. Four studies using injectable corticosteroids were identified, based on the following inclusion criteria: all were prospective randomized controlled trials of adults with >85% follow-up. This review indicates that the incidence of trigger finger is greatest in women (75%), with an average patient age range of 52 to 62 years. Combined analysis of these four studies shows that corticosteroid injections are effective in 57% of patients.






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Copyright © 2007 by the American Academy of Orthopaedic Surgeons.