ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH SIÊU ÂM VÀ KẾT QUẢ ĐIỀU TRỊ NGÓN TAY CÒ SÚNG BẰNG PHƯƠNG PHÁP TIÊM CORTICOID TẠI CHỖ TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ NĂM 2024 - 2025

Abstract

Background: Trigger finger is a condition characterized by inflammation and swelling of the flexor tendon or its sheath of the finger. This condition typically presents with pain at the palmar base of the affected finger, particularly during flexion and extension. Consequently, it leads to restricted finger mobility and significantly impacts the patient's daily activities. Objectives: To describe the clinical characteristics and ultrasound features of trigger finger and evaluate the outcomes of local corticosteroid injection therapy at Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: A cross-sectional descriptive study was conducted on 24 patients diagnosed with Grade II and III trigger finger (according to Green’s classification, 1997) who underwent local corticosteroid injection at Can Tho University of Medicine and Pharmacy Hospital. Results: The mean age of the patients was 55.33±13.31 years, with females accounting for 79.2%. Housewives represented the largest occupational group (25%). The thumb (Digit I) was the most commonly affected finger (37.5%), and the condition predominantly occurred in the dominant hand (79.2%). Major clinical symptoms included moderate pain (87.5%), which was most severe in the morning (79.2%). Physical examination revealed localized swelling in 41.7% of cases and a palpable nodule in the palm in 87.5% of patients. Ultrasonography showed that increased tendon thickness was the most frequent finding (70.8%). Treatment outcomes indicated good results in 83.3% of patients, while the remaining 16.7% were classified as fair. Conclusion: Local corticosteroid injection is an effective treatment for trigger finger, with a high success rate in shortterm follow-up.