A Metaanalysis of Corticosteroid Injection for Trigger Digits Among Patients With Diabetes

The pooled data showed that patients with insulin-dependent diabetes and patients with non insulin-dependent diabetes had worse prognoses after corticosteroid injection for trigger digit than patients without diabetes. Furthermore, the patients with insulin-dependent diabetes had a trend toward multiple digit involvement and much worse treatment outcomes than the patients with non insulin-dependent diabetes. The authors conclude that more aggressive treatment, such as surgical intervention, should be considered for those patients expected to have high failure rates after injection.