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Conservative management of trigger finger: A systematic review
Dianna Lunsford1, Kristin Valdes1, Selena Hengy1
1Gannon University, Ruskin, FL, USA.
Summary
Orthotic management for trigger finger (TF) effectively reduces pain and improves stenosing tenosynovitis scale scores. Immobilizing a single joint for 6-10 weeks is recommended, with a call for patient-reported outcome measures in future studies.
Area of Science:
- Orthopedics
- Hand Therapy
- Rehabilitation Medicine
Background:
- Trigger finger (TF) is a prevalent hand condition.
- Current evidence on orthotic management efficacy for TF requires evaluation.
- Understanding orthotic characteristics and patient-reported outcomes is crucial.
Purpose of the Study:
- To systematically review and evaluate the evidence for the efficacy of orthotic management in treating trigger finger (TF).
- To identify and characterize the types of orthoses used in TF management.
- To determine if studies assessed patient gains using patient-reported outcomes.
Main Methods:
- A systematic review was conducted.
- Included studies encompassed randomized controlled trials, prospective, and retrospective cohort studies.
- The review considered limited high-level evidence.
Main Results:
- Four studies showed moderate to large effect sizes (0.49–1.99) for pain reduction with orthotic devices.
- Two studies reported clinically significant changes in stenosing tenosynovitis scale scores (effect sizes 0.97–1.63).
- Seven studies utilized orthoses to immobilize a single joint of the affected digit.
Conclusions:
- Orthotic management of TF demonstrated effectiveness in reducing pain and improving functional scores.
- Immobilization of a single joint for 6-10 weeks is recommended for orthotic management of TF.
- Future research should incorporate validated patient-reported outcome measures and more randomized controlled trials.
Keywords:
Conservative treatmentFlexor tenosynovitisOrthosisSplintingStenosing tenosynovitisTrigger fingerMore Related Videos
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