Functional outcome of steroid injection in trigger finger between professional and service workers /

Trigger finger is one of the commonest causes of disabling hand pain in orthopaedics and affects individuals regardless of their daily activities. It is characterized by inflammatory changes in the retinacular sheath and peritendinous tissue at fibro-osseous tunnels which result in pain and triggeri...

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Bibliographic Details
Main Author: Muhamad Syafiz Ahmad Ismani (Author)
Format: Thesis
Language:English
Published: Kuantan, Pahang : Kulliyyah of Medicine, International Islamic University Malaysia, 2018
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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040 |a UIAM  |b eng  |e rda 
041 |a eng 
043 |a a-my--- 
100 0 |a Muhamad Syafiz Ahmad Ismani,  |e author 
245 1 |a Functional outcome of steroid injection in trigger finger between professional and service workers /  |c by Muhamad Syafiz bin Ahmad Ismani 
264 1 |a Kuantan, Pahang :  |b Kulliyyah of Medicine, International Islamic University Malaysia,  |c 2018 
300 |a xi, 89 leaves :  |b illustrations ;  |c 30cm. 
336 |2 rdacontent  |a text 
337 |2 rdamedia  |a unmediated 
338 |2 rdacarrier  |a volume 
338 |2 rdacarrier  |a online resource 
347 |2 rdaft  |a text file  |b PDF 
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, 2018. 
504 |a Includes bibliographical references (leaves 63-70). 
520 |a Trigger finger is one of the commonest causes of disabling hand pain in orthopaedics and affects individuals regardless of their daily activities. It is characterized by inflammatory changes in the retinacular sheath and peritendinous tissue at fibro-osseous tunnels which result in pain and triggering of the finger due to the discrepancy between the diameter of the flexor tendon and its sheath at the A1 pulley. This study aims to evaluate the degrees of responses of trigger finger upon steroid injection among professionals and service workers. An observational cohort study, evaluating the functional outcome of steroid injection among professionals and service workers according to the Green Classification and assessing the functional outcome using the Michigan Hand Outcomes Questionnaire (MHQ) in three separate visit; pre injection, post injection 6 and 12 weeks. The classification of professional and service group is according to the Malaysia Standard Classification of Occupation 2013 (MASCO). Both groups will undergo physiotherapy post steroid injection for optimum results. Forty four fingers in each group, with various stages of trigger finger underwent steroid injection. Overall MHQ score in both groups show a good functional outcome between pre injection and post injection at 12 weeks, (P values <0.001). Comparing the grades of trigger finger, the data analysis shows good functional outcome between pre injection and post injection at 12 weeks (P values <0.01) in both groups. There was only 1 (2.2%) patient in service group who underwent open release after the second visit following the steroid injection treatment. There are 7% of patients has hypopigmentation at the injection area. There is no serious complication been reported. Steroid injection is an excellent option of treatment trigger finger for professional and service workers allowing early return to work with no differences in outcome regardless of the stage. The treatment is shown to have a good functional outcome in both groups. We also concluded that extrasynovial/extrasheath inoculation of corticosteroid is adequate to yield remarkable results. 
596 |a 6 
655 7 |a Theses, IIUM local 
690 |a Dissertations, Academic  |x Department of Orthopaedics,Traumatology & Rehabilitation  |z IIUM 
700 0 |a Raffael Ismail,  |e degree supervisor 
700 0 |a Kamarul Ariffin Khalid,  |e degree supervisor 
710 2 |a International Islamic University Malaysia.  |b Department of Orthopaedics,Traumatology & Rehabilitation 
856 4 |u http://studentrepo.iium.edu.my/handle/123456789/10348  |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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