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. 2018 Sep;13(5):558-562.
doi: 10.1177/1558944717725374. Epub 2017 Aug 20.

Night Splinting for Idiopathic Trigger Digits

Tessa Drijkoningen  1 , Marijn van Berckel  1 , Stéphanie J E Becker  1 , David C Ring  1 , Chaitanya S Mudgal  1
Affiliations

Night Splinting for Idiopathic Trigger Digits

Tessa Drijkoningen et al. Hand (N Y). 2018 Sep.

Abstract

Background: This study assessed nighttime splinting for 6 weeks as treatment for recent onset idiopathic trigger fingers.

Methods: Patients over 18 years with a Quinnell grade 1 or 2, idiopathic trigger finger or thumb causing symptoms for less than 3 months were eligible for a custom-made hand-based orthoplast night orthotic. Improvement of symptoms and/or resolution of triggering were recorded. Patients also completed the short version of the Disabilities of the Arm, Shoulder and Hand and a numerical rating scale for pain at the initial visit, after 6 to 8 weeks, and after 3 months.

Results: Thirty-four patients wore a night orthotic for at least 6 weeks. At final evaluation, there was a substantial reduction in disability and pain. Symptoms of triggering resolved completely in 18 patients (55%). Sixteen patients did not resolve their triggering after splinting and therefore underwent a steroid injection.

Conclusion: Night splinting is a noninvasive treatment option for idiopathic trigger fingers/thumb with symptoms for less than 3 months.

Keywords: QuickDASH; night splint; treatment; trigger finger.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: DCR received funding from Skeletal Dynamics, Wright Medical, deputy editor for Clinical Orthopaedics and Related Research, universities and hospitals and from lawyers for expert review. The other authors had no conflict of interest.

Figures

Figure 1.
Figure 1.
Volar view of night orthotic.
Figure 2.
Figure 2.
Dorsal view of night orthotic.
Figure 3.
Figure 3.
Thumb orthotic.
See this image and copyright information in PMC

References

    1. Akhtar S, Bradley MJ, Quinton DN, et al. Management and referral for trigger finger/thumb. BMJ. 2005;331:30-33. - PMC - PubMed
    1. Beaton DE, Wright JG, Katz JN, Upper Extremity Collaborative G. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005;87:1038-1046. - PubMed
    1. Chin DH, Jones NF. Repetitive motion hand disorders. J Calif Dent Assoc. 2002;30:149-160. - PubMed
    1. Choudhury MM, Tay SC. Prospective study on the management of trigger finger. Hand Surg. 2014;19:393-397. - PubMed
    1. Colbourn J, Heath N, Manary S, et al. Effectiveness of splinting for the treatment of trigger finger. J Hand Ther. 2008;21:336-343. - PubMed

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