Injection of Hyaluronic Acid Versus Corticosteroid for Treatment of Trigger Finger

Ultrasound-Guided Injection of Hyaluronic Acid Versus Corticosteroid for Treatment of Trigger Finger: Randomized Controlled Study

The aim of the study is to compare the therapeutic effects of hyaluronic acid versus steroid injections in treating trigger fingers using ultrasound guidance

A prospective randomized controlled study designed to compare the outcomes of injecting patients with trigger finger with hyaluronic acid versus corticosteroid under ultrasound guidance

Inclusion Criteria:

• Adult (>18 years)
• Patients with a clinical diagnosis of trigger finger grade 1-3 on the Quinnell grading scale and confirmed diagnosis by ultrasound.

Exclusion Criteria:

• Quinnell's classification grade IV (contracture)
• Prior injection within 6 months
• Prior operation of the affected finger
• Presence of any contracture in the proximal interphalangeal or metacarpophalangeal joint, and
• History of diabetes, hypothyroidism, and
• Rheumatic or connective tissue disease
• Allergy to triamcinolone or hyaluronic acid
• Pregnancy
• Secondary triggering e.g. Trauma, infection
• Trigger finger symptoms duration >6 months