Flexor tenosynovitis (FT) is a common manifestation of rheumatoid arthritis (RA), contributing to hand deformity and manual dysfunction. The efficacy of intratendon sheath corticosteroids was assessed by reviewing the results of such treatment in 173 episodes of FT documented in 46 patients with definite or classic RA. Ninety-three percent of initial episodes resolved completely for 3 or more months (median: 25 months); tenosynovitis did not recur in 59%. The likelihood of a favorable response did not diminish with treatment of recurrent FT in a given digit. Comparable results were found in 52 FT episodes observed in 38 non-RA patients. No tendon sheath or soft tissue infection or tendon rupture ensued in either treatment group. The response was influenced by the specific corticosteroid preparation selected. Based on this experience, a trial of intratendon sheath corticosteroid injections prior to surgical intervention is recommended for RA patients with FT.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/art.1780210115 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Combination of ultrasound-guided percutaneous A1 pulley release and intra-tendon sheath injection improves the therapeutic outcomes in adult trigger finger patients.
Med Ultrason
June 2023
Department of Radiology, The Affiliated Wuxi People's Hospital of Nanjing Medical University,Wuxi,Jiangsu,China.
Aim: This study aimed to use high-frequency ultrasound guidance to compare the efficacy of percutaneous release combined with intra-tendon sheath injection (PR-ITSI) and percutaneous release only (PR-ONLY) in the treatment of adult trigger finger (TF) patients.
Materials And Methods: A total of 48 patients were randomly divided into PR-ITSI group and PR-ONLY group. The thickness of the A1 pulley was measured prior to surgery and 1-year after surgery.
Flexor Tenosynovitis after Trigger Finger Release: A Case Report.
Plast Reconstr Surg Glob Open
May 2022
Department of Orthopaedic Surgery, Nishinomiya Municipal Central Hospital, Nishinomiya, Japan.
Tenosynovitis caused by fungi, especially species, is rare. We report a case of an immunocompetent patient with finger flexor tenosynovitis caused by after trigger finger release (TFR). Intratendon sheath triamcinolone injection and subsequent TFR surgery might contribute to the occurrence of tenosynovitis.
View Article and Find Full Text PDFHealing of the Achilles tendon in rabbits--evaluation by magnetic resonance imaging and histopathology.
J Orthop Surg Res
December 2014
Musculoskeletal Section of Clinics Hospital of Universidade Federal of Minas Gerais (UFMG), Rua Goncalves Dias, 750 Apto, 1803 Funcionarios, Belo Horizonte, CEP 30140091, Minas Gerais, Brazil.
Background: Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) could provide valuable findings for tendon regeneration. A non-invasive image method that can effectively evaluate the quality of the scar tissue has not yet been employed.
Methods: Thirteen New Zealand rabbits were divided into two groups: group 1--non-treated control (n = 4); group 2--surgical intervention (n = 9).
Corticosteroid injections for trigger finger.
Am Fam Physician
September 2009
Methodist Hospital of Sacramento, Department of Family Medicine, Sacramento, CA, USA.
Background: Trigger finger is a disease of the tendons of the hand leading to triggering (locking) of affected fingers, dysfunction, and pain. Available treatments include local injection with corticosteroids, surgery, or splinting.
Objectives: To summarize the evidence on the effectiveness and safety of corticosteroid injections for trigger finger in adults using the following endpoints: treatment success, frequency of triggering or locking, functional status of the affected fingers, and severity of pain of the fingers.
Corticosteroid injection for trigger finger in adults.
Cochrane Database Syst Rev
January 2009
Department of General Practice, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, Netherlands, 9713 AV.
Background: Trigger finger is a disease of the tendons of the hand leading to triggering (locking) of affected fingers, dysfunction and pain. Available treatments include local injection with corticosteroids, surgery, or splinting.
Objectives: To summarize the evidence on the efficacy and safety of corticosteroid injections for trigger finger in adults using the following endpoints: treatment success, frequency of triggering or locking, functional status of the affected fingers, and severity of pain of the fingers.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!