It's estimated that corticosteroid injections are an
effective treatment for 50 to 70% of people with trigger finger. However,
they're generally less effective in people with certain underlying health
conditions, such as diabetes and rheumatoid arthritis.
They reported 3%
of major complications (synovial fistula, arthro-fibrosis) and 28% of minor
complications (erythema, scar tissue stiffness, and loss of range of motion).
[Complications
of open trigger finger release.J Hand Surg Am. 2010 Apr;35(4):594-6.
]
[Risk Factors for
Postoperative Complications in Trigger Finger Release. Fed Pract. 2015
February;32(2):21-23]
@針頭閉合性鬆解術(Percutaneous release by needle )
文獻中統計48個板機指接受經皮針頭鬆解術，成功率高，併症少，建議取代開放性手術治療。
Percutaneous surgical technique in the treatment of trigger
finger is an effective, convenient and cost-effective method with a low
complication rate, and is therefore a preferable alternative to open surgery.
[Percutaneous
Surgery: A Safe Procedure for Trigger Finger? N Am J Med Sci. 2012 Sep; 4(9): 401–403.}
[US-guided
Percutaneous Release of the Trigger Finger by Using a 21-gauge Needle: A
Prospective Study of 60 Cases. Radiology: Volume 280: Number 2—August 2016]
[Open versus percutaneous
release for trigger digits: Reversal between short-term and long-term outcomes.
Journal of
the Chinese Medical Association. June 2016, Pages 340-344]
@小針刀閉合性鬆解術 (Percutaneous release by small needle
knife )
這是最新一篇的文獻統計發表於2019年，文中統計21個病人接受超音波導引針刀治療，20個病人只接受針刀治療。結果呈現成功率達100% vs 90% (超音波vs無超音波)。
[Ultrasound-Guided
Percutaneous Release of A1 Pulley by Using a Needle Knife: A Prospective Study
of 41 Cases. Front.
Pharmacol., 26 March 2019 ]
事實上，專家臨床意見，理論模型和一些研究證據表明某些LBP患者對牽引力有積極反應。 由Thackeray等人發表的一項研究。 （2016）得出的結論是，沒有證據表明機械性腰椎牽引結合延伸導向治療優於單純延伸導向運動治療腰椎神經根受壓患者[23]。 Summary evidence in recent systematic reviews and clinical practice guidelines concludes that mechanical lumbar traction is not effective for treating acute or chronic nonspecific low back pain (LBP); however, many physical therapists continue to use it, primarily as an additional modality.[22] Indeed, expert clinical opinion, theoretical models, and some research evidence suggest that certain patients with LBP respond positively to traction. A study published by Thackeray et al. (2016) concluded that there is no evidence that mechanical lumbar traction in combination with an extension-oriented treatment is superior toextension-oriented exercises alone in the management of patients with lumbar nerve root compression.[23]
[22] Madson TJ, Hollman JH. Lumbar traction for managing low back pain: a survey of physical therapists in the United States. J Orthop Sports Phys Ther. 2015;45:586-595. [23] Thackeray A, Fritz JM, Childs JD, Brennan GP. The effectiveness of mechanical traction among subgroups of patients with low back pain and leg pain: a randomized trial. J Orthop Sports Phys Ther. 2016;46:144-154.
*看看下列實證研究 取材自
Harte, A., et al.,The efficacy of traction for back pain: a systematic review of randomized controlled trials, Arch Phys Med Rehabil, Volume 84, Issue 10, Pages 1542–1553 October 2003 (Level of evidence: 1A)
