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Primaer behandling af springfinger med blindt anlagt blokade
Engelsk titel: Blind corticosteroid injection as primary treatment of trigger finger Läs online Författare: Kongensgaard, Trine Brönden ; Schroll, Lena ; Lessmann Hansen, Rehne Språk: Dan Antal referenser: 30 Dokumenttyp: Översikt UI-nummer: 19120019

Tidskrift

Ugeskrift for Laeger 2019;181(17)1604-7 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Trigger finger (TF) is a common condition with a lifetime prevalence up to 2%. Local corticosteroid injection at the level of the A1 pulley is a frequently used and safe treatment for TF with cure rates around 50% in randomised controlled trials, while surgical release has cure rates near 100% but more severe complications. Blind local corticosteroid injection has the same effect as ultrasound-guided local corticosteroid injection on cure rates, and the effect remains the same, whether the steroid is placed intra-sheath or extra-sheath. The treatment of TF can be carried out as blind local corticosteroid injection in general practice before possible referral to an orthopaedic specialist.