Local Corticosteroid and Anesthetic Injection in Trigger Finger Deformity

Objective: Efficacy of local corticosteroid and anesthetic injection was investigated in adult trigger finger deformity.
Materials and Methods: Sixty four fingers of 56 patients (40 females mean age: 44(33-58), 16 males mean age: 45(37-62) who did not benefit from 4 weeks of NSAID treatment and rest were referred to orthopaedics or physical therapy departments of our hospital for trigger finger deformity. One cc. depomedrol (methylprednisolone acetate) and 2 cc. citanest (prilocain hydrochloride) mixture was injected at the level of A1 pulley. The follow up period was 3 months.
Results: In forty of 56 patients (32 female, 8 male) triggering and pain completely disappeared. Triggering disappeared but pain was persistant in 8 patients and both triggering and pain were persistant in 8 patients.
Conclusion: Injection of local corticosteroid and anesthetic drug mixture in treatment of trigger finger deformity is an easy, cheap and effective method. We conclude that it is useful to apply this treatment for once before decision to surgery.