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Related Experiment Videos

Extension splint for trigger thumb in children.

Zhon-Liau Lee1, Chia-Hsieh Chang, Wen-Yi Yang

  • 1Chang Gung Children Hospital, Taoyuan, Taiwan. jchase@lww.com

Journal of Pediatric Orthopedics
|October 27, 2006
PubMed
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Splinting is an effective treatment for pediatric trigger thumb, with 71% of cases showing improvement or cure. This conservative approach is recommended before considering elective surgery for non-improved cases.

Area of Science:

  • Pediatric Orthopedics
  • Hand Surgery
  • Musculoskeletal Disorders

Background:

  • Trigger thumb (stenosing tenosynovitis) is a common condition in young children.
  • Conservative management options are sought to avoid or delay surgical intervention.

Purpose of the Study:

  • To evaluate the efficacy of extension splinting as a treatment for reducible pediatric trigger thumb.
  • To compare splinting outcomes with observation alone.

Main Methods:

  • A retrospective review of 62 reducible trigger thumbs in 50 children (0-4 years).
  • Thirty-one thumbs were splinted for a mean of 11.7 weeks; 31 were observed.
  • Outcomes (cured, improved, nonimproved) were assessed at a mean 20-month follow-up.

Main Results:

Related Experiment Videos

  • The splinted group showed 71% (22/31) cured or improved outcomes.
  • The observed group had only 23% (7/31) cured or improved outcomes.
  • Nonimproved cases after splinting still had excellent results with subsequent surgery.

Conclusions:

  • Extension splinting is a viable, effective treatment option for pediatric trigger thumb.
  • Conservative splinting can be considered prior to elective surgical release.
  • Surgical release remains a successful option for refractory cases.