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Related Experiment Videos

Trigger fingers and thumb: when to splint, inject, or operate.

M R Patel1, L Bassini

  • 1Division of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, N.Y.

The Journal of Hand Surgery
|January 1, 1992
PubMed
Summary

Corticosteroid injections were more effective than splinting for treating trigger fingers, achieving an 84% success rate compared to 66% for splinting. However, splinting remains a viable option for patients avoiding injections.

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Musculoskeletal Disorders

Background:

  • Trigger finger, or stenosing tenosynovitis, is a common condition affecting the hand.
  • Non-surgical treatments are sought to manage symptoms and improve function.

Purpose of the Study:

  • To compare the efficacy of splinting versus corticosteroid injections for treating trigger fingers.
  • To evaluate long-term outcomes and identify factors influencing treatment success.

Main Methods:

  • A comparative study involving 100 patients with trigger fingers.
  • Group 1: 50 patients treated with metacarpophalangeal joint splinting for 6 weeks.
  • Group 2: 50 patients treated with corticosteroid (betamethasone and lidocaine) injection.

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Main Results:

  • Injection group: 84% success rate; Splinting group: 66% success rate.
  • Splinting success varied by digit: 50% for thumbs, 70% for fingers.
  • Unsuccessful splinting cases were often resolved with subsequent injections.

Conclusions:

  • Corticosteroid injections demonstrate higher efficacy in treating trigger fingers compared to splinting.
  • Splinting is a suitable alternative for patients who decline corticosteroid injections.
  • Factors like symptom severity and duration impact treatment outcomes in both methods.