Post operative photo of<unk>  release surgery in a diabetic patient. See: Corticosteroid injections can cure<unk>  digits. Treatment consists of injection of a corticosteroid such as methylprednisolone often combined with a local anesthetic (lidocaine) at the A1 pulley in the palm. The infiltration of the affected site is straightforward using standard anatomic landmarks. There is evidence that the steroid does not need to enter the sheath. The role of sonographic guidance is therefore debatable. Injection of the tendon sheath with a corticosteroid is effective over weeks to months in more than half of people. Steroid injection is not effective in people with Type 1 diabetes. If<unk> ing persists 2 months after injection, a second injection can be considered. Most specialists recommend no more than 3 injections because corticosteroids can weaken the tendon and there is a possibility of tendon rupture.<unk> ing is predictably resolved by a relatively simple surgical procedure under local anesthesia. The surgeon will cut the sheath that is restricting the tendon. The patient should be awake in order to confirm adequate release. On occasion,<unk> ing does not resolve until a slip of the FDS tendon is resected. One study suggests that the most cost-effective treatment is up to two corticosteroid injections followed by open release of the first annular pulley. Choosing surgery immediately is an option and can be affordable if done in the office under local anesthesia. Surgery For symptoms that have persisted or recurred for more than 6 months and/or have been unresponsive to conservative treatment, surgical release of the pulley may be indicated. The main surgical approaches are percutaneous release and open release. The percutaneous approach, is preferred in some centers due to its reported shorter time of recuperation of motor function, fewer complications, and less pain. Complication of the surgical management include, persistent<unk> , bowstringing, digital nerve injury, and continued<unk> ing. Surgery instead of steroid injections may result in a lower recurrence rate. However, the quality of the evidence is poor.
Trigger finger
Pigeon toe
Jammed finger
Hammer toe
Jersey finger
Trench foot
Rocker bottom foot
Mallet finger