Cited by 108Orthopedic Surgery and RehabilitationDiabetes Management and ResearchSkin Diseases and Diabetes

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The Effect of Corticosteroid Injection for Trigger Finger on Blood Glucose Level in Diabetic Patients

Wang, Angela A., Hutchinson, Douglas T.·2006·The Journal of Hand Surgery

DOI 10.1016/j.jhsa.2006.03.022

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Abstract

Purpose To determine how corticosteroid injections for trigger finger affect the blood glucose level in diabetic patients and the clinical results of those injections.Methods Eighteen diabetic patients receiving a methylprednisolone injection for a single trigger finger were studied. Six patients had type I (juvenile-onset) diabetes and 12 patients had type II (adult-onset) diabetes. Patients recorded their usual blood glucose measurements and then they recorded their blood glucose measurements for 5 days after injection. Clinical efficacy of the injections was measured by avoidance of surgery.Results There were 3 men and 15 women with an average age of 58 years. The blood glucose level increased after corticosteroid injection for all patients. The first morning after injection showed the biggest increase in blood glucose level: 73% more than the average preinjection levels. By the fifth morning after injection the blood glucose levels still were increased by 26% more than the preinjection levels. This trend was marked particularly in type I diabetic patients, who had an average blood glucose level increase the first morning after injection of 145%, which decreased over 5 days to 22% greater than baseline levels. Sixteen patients had follow-up evaluation over a period of 1 year and of these 16 patients 7 required surgery for this condition.Conclusions A digital injection of the corticosteroid methylprednisolone acetate in diabetic patients with trigger finger causes a hyperglycemic effect that lasts for at least 5 days but can help prevent the need for surgery more than half the time.Type of study/level of evidence Therapeutic, Level IV.

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Authors: Wang, A. A., & Hutchinson, D. T.
Affiliations: University of Utah (US)
Corresponding author: Wang, Angela A.
ORCID: Wang, Angela A.
Hutchinson, Douglas T.
Venue: The Journal of Hand Surgery
Publisher: Elsevier BV
Published: 2006-07
Volume: 31
Issue: 6
Pages: 979-981
ISSN: 0363-5023 (ISSN-L)
DOI: 10.1016/j.jhsa.2006.03.022
OpenAlex: W2096146363
Cited by: 108
References: 8
Citations by year: 2026: 2 · 2025: 2 · 2024: 3 · 2023: 7 · 2022: 3 · 2021: 5 · 2020: 6 · 2019: 3 · 2018: 6 · 2017: 6 · 2016: 6 · 2015: 12 · 2014: 5 · 2013: 6 · 2012: 7
FWCI: 6.46
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: The Journal Of Hand Surgery (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Orthopedic Surgery and Rehabilitation
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Dermatology › Skin Diseases and Diabetes
Keywords: trigger finger, corticosteroid injection, methylprednisolone acetate, diabetes mellitus, blood glucose, hyperglycemia, type 1 diabetes, type 2 diabetes, surgical avoidance
MeSH terms: Methylprednisolone Acetate, Adult, Aged, Aged, 80 and over, Blood Glucose, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Humans, Hyperglycemia, Injections, Male, Methylprednisolone, Middle Aged, Prospective Studies, Tendons, Blood Glucose Self-Monitoring, Treatment Outcome, Trigger Finger Disorder

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The Effect of Corticosteroid Injection for Trigger Finger on Blood Glucose Level in Diabetic Patients

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