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Comparative Study
Treatment of trigger finger in patients with diabetes mellitus.
- S M Griggs, A P Weiss, L B Lane, C Schwenker, E Akelman, and K Sachar.
- Department of Orthopaedics, Brown University School of Medicine, Rhode Island Hospital, Providence, USA.
- J Hand Surg Am. 1995 Sep 1;20(5):787-9.
AbstractWe 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).
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