Extracorporeal shock wave therapy versus corticosteroid injection in the treatment of trigger finger: a randomized controlled study

The Journal of Hand Surgery, European Volume
P YildirimF Tok

Abstract

The purpose of this study was to compare the efficacies of extracorporeal shock wave therapy and corticosteroid injection for the management of trigger finger. In this prospective randomized clinical trial, 40 patients with actively correctable trigger fingers were randomly assigned to extracorporeal shock wave therapy (1000 impulses and 2.1 bar) or injection groups. The effectiveness of the treatment was assessed using cure rates, a visual analogue scale, the frequency of triggering, the severity of triggering, the functional impact of triggering, and the Quick-Disabilities of the Arm, Shoulder, and Hand questionnaire at 1, 3, and 6 months after treatment. An intention-to- treat analysis was used in this study. Both groups demonstrated statistically significant improvements in all outcome measures after treatment. The intention-to-treat analyses showed no between-group differences for cure rates, pain, and functional status at follow-up. We conclude that extracorporeal shock wave therapy could be a non-invasive option for treating trigger finger, especially for those patients who wish to avoid steroid injections. Level II.

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Citations

Jul 13, 2016·The Journal of Hand Surgery, European Volume·T W AnR P Calfee
Jul 4, 2019·AJR. American Journal of Roentgenology·Catherine N Petchprapa, Devin Vaswani
Jan 31, 2018·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Shiwei MaFeng Lv
Mar 27, 2020·Open Access Journal of Sports Medicine·Babak VahdatpourParisa Taheri
Dec 28, 2018·JAAPA : Official Journal of the American Academy of Physician Assistants·Amber MatthewsEric Schmidt
Oct 17, 2020·Seminars in Arthritis and Rheumatism·Paola Emilia FerraraGianpaolo Ronconi
May 14, 2021·Revista Brasileira De Ortopedia·Paulo Henrique Jeronimo da SilvaJoão Carlos Belloti
May 25, 2021·Archives of Physical Medicine and Rehabilitation·Yu-Pin ChenOscar Kuang-Sheng Lee

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