Acute horseshoe abscess of the hand after corticosteroid injection to treat trigger thumb

BMJ Case Reports
Nikki ShahTereze Laing

Abstract

Local corticosteroid injections are frequently used in the management of trigger finger. We present a case of a 56-year-old woman who developed an acute horseshoe abscess of the hand after injection of corticosteroid and local anaesthetic into the left thumb. This was managed successfully with intravenous antibiotics, operative intervention and early mobilisation. This case highlights the possible complications that can occur with such a minimally invasive procedure. The pathophysiology behind this condition is explained by communication between the radial and ulnar bursae. Knowledge of the anatomy of the hand and its variants is therefore essential to assist in diagnosis. Prompt clinical diagnosis and surgical management is required to avoid disastrous complications.

References

Sep 1, 1990·The Journal of Hand Surgery·M L NewportS A Stuchin
Oct 14, 2009·The Journal of Hand Surgery, European Volume·J M FusseyS C Deshmukh
Mar 21, 2012·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Jason MalenfantMarios Loukas
Apr 11, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·K S SharmaM I Hobson
Jan 16, 2014·Hand : Official Journal of the American Association for Hand Surgery·Cornelius SchubertE Gene Deune

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