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. Author manuscript; available in PMC: 2020 Jun 1.
Published in final edited form as: J Hand Surg Am. 2019 Feb 21;44(6):480–486.e1. doi: 10.1016/j.jhsa.2019.01.005

TABLE 1.

Tool Creation

Attribute Levels Notes

Success rate T: ~73%38,39
I: 45% to 84%2830,31
S: 97% to 100%32,33
• Success rate was typically defined as the absence of subsequent injections or surgical release,28 complete resolution of symptoms for the entirety of follow-up29
• There is significant variation in definition of and follow-up for success rate of surgery in the literature. This review does not differentiate between digit involved or comorbid factors
Complication rate T: Rare to none39
I: 0% to 1.6%2930
S: 3% to 37% (major: 3%, minor: 28%)27,34
• Primary reported complication of therapy is stiffness (up to 27%) that “resolved quickly”39
• Most common complications of injections include cellulitis,30 steroid flare, fat necrosis36
• Most common complications of surgery include major: synovial fluid cyst requiring excision, arthrofibrosis; minor: wound complications, stiffness, pain27
Immobilization time T: nightly for ~3–9 wk
I: none
S: none
• Levels based on literature review demonstrating a range of immobilization from 3 to 9 wk in the therapy group37
Pain associated with treatment T: +
I: ++
S: +++
• There is significant variation in definition and follow-up of pain associated with treatment in the literature5,27,35
Treatment cost T: $ $
I: $
S: $ $ $2
• Cost was discussed relative to other levels. When available, this discussion was put into the context of a patient’s remaining deductible
Anesthesia use T: none
I: none
S: local or MAC + local
• Levels based on literature review and general practice patterns6

I, injection; S, open surgical release; T, therapy and orthosis.