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Splint therapy for trigger finger in children.

Y Tsuyuguchi, K Tada, H Kawaii

    Archives of Physical Medicine and Rehabilitation
    |February 1, 1983
    PubMed
    Summary
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    A modified coil spring splint effectively treated pediatric trigger digits by maintaining the interphalangeal (IP) joint. This splint therapy healed 75% of cases, demonstrating its significant efficacy in children.

    Area of Science:

    • Pediatric Orthopedics
    • Hand Surgery
    • Musculoskeletal Disorders

    Background:

    • Trigger digits (stenosing tenosynovitis) are common in children.
    • Conservative treatments are often preferred to avoid surgery in pediatric patients.
    • Maintaining joint position is crucial for healing in digit injuries.

    Purpose of the Study:

    • To evaluate the effectiveness of a modified coil spring splint for treating pediatric trigger digits.
    • To assess the healing rate and duration of splinting required for resolution.
    • To determine if splint therapy can reduce the need for surgical intervention.

    Main Methods:

    • A retrospective review of 83 trigger digits in 65 children treated over 9 years.
    • Utilized a modified coil spring splint to maintain the interphalangeal (IP) joint in extension or hyperextension.

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  • Recorded outcomes of splint therapy alone and identified cases requiring subsequent surgery.

    • Main Results:

    • Sixty-two of 83 digits (75%) achieved complete healing with splint therapy alone.
    • The average splinting duration for successful treatment was 9.4 months.
    • Eight digits (approximately 10%) did not respond to splinting and required surgical intervention.

    Conclusions:

    • Modified coil spring splinting is a highly effective non-operative treatment for pediatric trigger digits.
    • Maintaining the interphalangeal (IP) joint in neutral extension or hyperextension facilitates healing.
    • This splinting approach significantly reduces the need for surgical management in affected children.