Comparison of Percutaneous A1 Pulley Release versus Steroid Injection in Terms of Mean Pain Score in Trigger Digits

Shahzad Inam; Muahmmad Ali Bashir; Rehana Islam; Muhammad Rehan Saleem; Mubashir Ahmad Bajwa; Wajahat Ali Nadeem

doi:10.51253/pafmj.v73iSUPPL-1.3291

Authors

Shahzad Inam Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Muahmmad Ali Bashir Department of Orthopaedic, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Rehana Islam Department of Radiology, Armed forces institute of Radiology and Imaging/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Muhammad Rehan Saleem Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Mubashir Ahmad Bajwa Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Wajahat Ali Nadeem Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73iSUPPL-1.3291

Keywords:

Per cutaneous release of A1 Pulley, Trigger Digit, visual analogue score

Abstract

Objective: To compare percutaneous A1 pulley release and steroid injection in terms of mean pain score in trigger digit.

Study Design: Comparative cross- sectional study.

Place and Duration of Study: Orthopedic Department Combined Military Hospital, Rawalpindi Pakistan, from Mar to Aug 2018.

Methodology: Patients with trigger finger diagnosed clinically in Out Patient Department meeting inclusion and exclusion criteria were included in the study. Patients were randomly allocated to Group A & B by lottery method. Group A had percutaneous release of A1 pulley using a surgical blade 11, after preparation of the skin and injection of 1ml 2% plain Lidocaine. Group B had injection with corticosteroid. Both procedures were carried out in Out Patient Department under strict aseptic measures. Visual analogue score at start and end of the study was recorded.

Results: A total of 185 patients were included in this study, 122(66%) were males and females were 63(34%). The mean age of patient was 37.80±11.80 years with range from 15-60 years. Mean score of Group A was 39.16±12.22 years and the mean age Group B was 38.93±10.98 years. 56(30.3%) patient had mild visual analogue score, 96 (51.9%) had moderate visual analogue, 33(17.8%) had severe visual analogue.

Conclusion: Percutaneous release was found better option for the treatment of the trigger digit with a high success rate. Surgery should be reserved only for cases refractory to steroid injection technique.