- 作者：Ritsu Shiozawa ; MD ; poirot56@pb3.so-net.ne.jp ; Shigeharu Uchiyama ; MD ; Yoshihiro Sugimoto ; MD ; Shota Ikegami ; MD ; Norimasa Iwasaki ; MD ; Hiroyuki Kato ; MD
- 关键词：Children ; static splint ; trigger finger
- 刊名：The Journal of Hand Surgery
- 出版年：2012
- 出版时间：June, 2012
- 年：2012
- 卷：37
- 期：6
- 页码：1211-1216
- 全文大小：511 K
Purpose
Because pediatric trigger finger is much less common than pediatric trigger thumb, there is no consensus on the efficacy of splinting, owing to both the rarity of the condition and a lack of natural history and comparative therapeutic data. We performed the present retrospective study on 47 fingers to compare pediatric trigger finger treatment by splinting and nonsplinting.Methods
We included 24 children with a total of 47 trigger fingers. Affected fingers included 4 index, 28 middle, 11 ring, and 4 little fingers. Patient age at initial examination ranged from 1 month to 9 years (mean, 2 y). We observed 24 fingers treated with a static splint and 23 fingers treated without it. The time from initial examination to follow-up ranged from 2 to 18 years.
Results
In the splinting group, 16 fingers (67 % ) resolved, 4 fingers (17 % ) improved, and 4 fingers (17 % ) remained unchanged. Seven fingers (29 % ) ultimately required surgery. In the nonsplinting group, 7 fingers (30 % ) resolved spontaneously, 1 (4 % ) improved, and 15 (65 % ) remained unchanged. Fifteen fingers (65 % ) later underwent surgical release. The rate of resolution in the splinting group was significantly higher than that in the nonsplinting group. The proportion of fingers needing surgical treatment in the splinting group was significantly lower than that in the nonsplinting group.
Conclusions
For treatment of pediatric trigger finger, it is advisable to fit a static splint at the first visit.
Type of study/level of evidence
Therapeutic IV.