A splint for stenosing tenovaginitis of the finger
Weiser, H.I.
Harefuah 100(1): 29
1981
ISSN/ISBN: 0017-7768 PMID: 7250827 Document Number: 181753
Patients [15] with trigger finger or snapping thumb due to stenosing tenovaginitis refused operation and were at first reluctant to have local injections. To alleviate the pain and blocking of finger flexion, the proximal interphalangeal joint was partially immobilized by a loose-fitting annular splint of Orthoplast, 3 cm long on the volar aspect and 2 cm long on the dorsal aspect of the joint. The splint was made within a few minutes by the occupational therapist. All patients had immediate relief of symptoms by the splint which was worn regularly for 3-4 wk. Eleven patients then received, in addition, 1 or 2 local injections into the tendon sheath of 2 ml lignocaine HCl 1% and 10 mg triamcinolone acetonide. Of 15 patients, 12 were eventually able to discard the splint without return of symptoms during a follow-up period of 8 mo.