Publication: Short-term Functional Outcome of Corticosteroid Injection for Treatment of Trigger Finger in a Tertiary Care Center: A Prospective Observational Study
| creativeworkseries.issn | eISSN: 3102-0194 pISSN: 3102-0186 | |
| dc.contributor.author | Shrestha, Rajesh | |
| dc.contributor.author | Roy, Rabindra | |
| dc.contributor.author | Jha, Rajesh Kumar | |
| dc.contributor.author | Rijal, Shreejal | |
| dc.contributor.author | Kushwaha, Rajdev Prasad | |
| dc.date.accessioned | 2026-03-11T06:24:01Z | |
| dc.date.available | 2026-03-11T06:24:01Z | |
| dc.date.issued | 2026 | |
| dc.description | Rajesh Shrestha Department of Orthopedics, Nepal Armed Police Force Hospital, Balambu, Kathmandu, Nepal. Rabindra Roy Department of Orthopedics, Nepalese Army Institute of Health Sciences, Sano Bharyang, Kathmandu, Nepal . Rajesh Kumar Jha Department of Orthopedics, Nepalese Army Institute of Health Sciences, Sano Bharyang, Kathmandu, Nepal . Shreejal Rijal Department of Orthopedics, Nepalese Army Institute of Health Sciences, Sano Bharyang, Kathmandu, Nepal . Rajdev Prasad Kushwaha Department of Orthopedics, Narayani Hospital, Birgunj, Parsa, Nepal. | |
| dc.description.abstract | Abstract: Introduction: Trigger finger is a common cause of painful digital dysfunction resulting from impaired gliding of the flexor tendon beneath a thickened A1 pulley. Corticosteroid injection is widely used as a first-line intervention for Quinnell Grades II and III trigger finger, but short-term outcomes in Nepalese clinical settings remain limited. This study aimed to evaluate short-term pain reduction and clinical improvement following intralesional injection in these grades. Methods: This prospective observational study was conducted in the Orthopedics Department of a tertiary care center from April 3, 2023, to April 2, 2024. Ethical approval was obtained from the Institutional Review Committee (Ref. No. 245). A convenience sampling technique was used. Each participant presenting with Quinnell Grade II or III trigger finger received a single intralesional injection containing 40 mg of methylprednisolone acetate mixed with 1 ml of 2% lignocaine. Pain was assessed using the Visual Analogue Scale (0–100 mm) at baseline, 1 month, and 3 months. Clinical resolution of triggering and any injection-related complications was systematically recorded. Data were analyzed using Statistical Package for the Social Sciences version 20.0. Visual Analogue Scale scores were analyzed using the paired t-test, Results: The mean baseline Visual Analogue Scale score was 74.50±13.10 mm, which showed a significant reduction to 18.70±16.80 mm at 1 month and further to 13.50±10.50 mm at 3 months (p<0.001). Complete resolution of triggering was achieved in 39 (98%) of the cases. One (2%) patient experienced recurrence and subsequently underwent percutaneous release. A single (2%) case of superficial injection-site infection was recorded, with no major complications reported. Conclusions: Intralesional corticosteroid injection produced marked short-term pain reduction and near-complete symptom resolution in Grade II and III trigger finger, with minimal complications. These findings support its role as an effective and practical first-line treatment in outpatient settings. | |
| dc.identifier | https://doi.org/10.64772/mjapfn.2.1.37 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/5032 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal APF Hospital | |
| dc.subject | corticosteroid injections | |
| dc.subject | pain measurement | |
| dc.subject | treatment outcome | |
| dc.subject | trigger finger | |
| dc.title | Short-term Functional Outcome of Corticosteroid Injection for Treatment of Trigger Finger in a Tertiary Care Center: A Prospective Observational Study | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 84 | |
| oaire.citation.startPage | 79 | |
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| relation.isJournalIssueOfPublication.latestForDiscovery | 21662bb8-3d44-4505-98f7-7274d90f8d51 | |
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