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Primær behandling af springfinger med blindt anlagt blokade

Forfatter(e)
Trine Brønden Kongensgaard, Lena Schroll & Rehne Lessmann Hansen Ortopædkirurgisk Afdeling,
Regionshospitalet Horsens

Ugeskr Læger 2018;180:V01180061
Reference: 
Ugeskr Læger 2018;180:V01180061
Sidetal: 

Trine Brønden Kongensgaard, Lena Schroll &
Rehne Lessmann Hansen:

Blind corticosteroid injection as primary treatment of trigger finger

Ugeskr Læger 2018;180:V01180061

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.

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