Outcome of the physiotherapy vs steroid injection in patients with trigger fingers in Hospital Tengku Ampuan Afzan (HTAA) /

Trigger finger, or stenosisng tenovaginitis, is one of the most common presentation to hand clinics. This condition arises as a result of discrepancy between the diameter of the flexor tendon and its sheath at the A1 pulley. Due to the constriction of the A1 pulley, there is “pinching” of the flex...

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Bibliographic Details
Main Author: Su, Yuen (Author)
Format: Thesis
Language:English
Published: Kuantan, Pahang : Kulliyyah of Medicine, International Islamic University Malaysia, 2017
Subjects:
Online Access:Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library.
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100 1 |a Su, Yuen,  |e author 
245 1 0 |a Outcome of the physiotherapy vs steroid injection in patients with trigger fingers in Hospital Tengku Ampuan Afzan (HTAA) /  |c by Su Yuen 
264 1 |a Kuantan, Pahang :  |b Kulliyyah of Medicine, International Islamic University Malaysia,  |c 2017 
300 |a xii, 52 leaves :  |b colour illustrations ;  |c 30cm. 
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500 |a Abstracts in English 
500 |a "A dissertation submitted in fulfilment of the requirement for the degree of Master of Orthopaedic Surgery." --On title page. 
502 |a Thesis (MORTH)--International Islamic University Malaysia, 2017. 
504 |a Includes bibliographical references (leaves 39-41). 
520 |a Trigger finger, or stenosisng tenovaginitis, is one of the most common presentation to hand clinics. This condition arises as a result of discrepancy between the diameter of the flexor tendon and its sheath at the A1 pulley. Due to the constriction of the A1 pulley, there is “pinching” of the flexor tendon as a result of bunching-up of the fiber, which then causes formation of a nodule. At present, there are many treatment options with different success rates for trigger fingers. The purpose of this study is to compare the outcome of physiotherapy versus corticosteroid injection for the management of trigger fingers. In this single-centered, prospective randomized study, 25 patients with trigger fingers of Quinnell grade 1, 2 and 3 were randomly assigned to physiotherapy or corticosteroid injection groups. The effectiveness of the treatment was assessed by looking at the visual analogue scale, grip strength, severity of triggering and disabilities of arm, shoulder and hand (DASH) score at 6 and 12 weeks after commencement of treatment. Both groups showed statistically significant improvements in all outcome measures after treatment. Despite disease resolution at twelve weeks of treatment for both groups, corticosteroid injection group allowed earlier recovery of symptoms and improvement in our studies. 
596 |a 1 6 
610 |a Hospital Tengku Ampuan Afzan 
650 0 |a Hand  |x Wounds and injuries Treatment 
650 0 |a Adrenocortical hormones 
650 0 |a Physical therapy 
655 7 |a Theses, IIUM local 
690 |a Dissertations, Academic  |x Department of Orthopaedics,Traumatology & Rehabilitation  |z IIUM 
710 2 |a International Islamic University Malaysia.  |b Department of Orthopaedics,Traumatology & Rehabilitation 
856 4 |u https://lib.iium.edu.my/mom/services/mom/document/getFile/R2gLEE6AqM5aexCYOIiGUcikmU7fdf3W20191024093407712  |z Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. 
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