Treatment of trigger finger in patients with diabetes mellitus

J Hand Surg Am. 1995 Sep;20(5):787-9. doi: 10.1016/S0363-5023(05)80432-0.

Abstract

We present a retrospective study of 54 diabetic patients with 121 trigger digits treated over a 3-year period by one to three injections of corticosteroid mixed with local anesthetic. As a group, diabetic patients responded less favorably to treatment by steroid injection (50% symptom resolution) when compared to reported outcomes of steroid injection treatment for stenosing tenosynovitis in the general population. Insulin-dependent diabetic patients have a higher incidence of multiple digit involvement (59% of patients) and of requiring surgical release for relief of symptoms (56% of digits) when compared to non-insulin-dependent diabetic patients (28% of patients with multiple digit involvement; 28% of digits requiring surgery).

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Anti-Inflammatory Agents / therapeutic use*
  • Betamethasone / therapeutic use*
  • Diabetes Complications*
  • Diabetes Mellitus, Type 1 / complications
  • Diabetes Mellitus, Type 2 / complications
  • Female
  • Fingers*
  • Humans
  • Injections, Intra-Articular
  • Male
  • Middle Aged
  • Retrospective Studies
  • Tenosynovitis / drug therapy*
  • Tenosynovitis / etiology
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents
  • Betamethasone