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Trigger finger, also known as stenosing tenosynovitis, is a disorder characterized by catching or locking of the involved finger in full or near full flexion, typically with force. [2] There may be tenderness in the palm of the hand near the last skin crease (distal palmar crease ). [ 3 ]
Congenital trigger thumb is a trigger thumb in infants and young children. Triggering, clicking or snapping is observed by flexion or extension of the interphalangeal joint (IPJ). In the furthest stage, no extension is possible and there is a fixed flexion deformity of the thumb in the IPJ.
Although splinting is a widely used post-operative intervention, evidence of its effectiveness is limited, [81] leading to variation in splinting approaches. Most surgeons use clinical experience to decide whether to splint. [82] Cited advantages include maintenance of finger extension and prevention of new flexion contractures.
Treatment for de Quervain tenosynovitis focuses on reducing inflammation, restoring movement in the thumb, and maintaining the range of motion of the wrist, thumb, and fingers. [6] Symptomatic alleviation (palliative treatment) is provided mainly by splinting the thumb and wrist. Pain medications such as NSAIDs can also be considered.
In most uncomplicated cases, a satisfactory result can be gained when splint therapy starts before the age of six months. [15] Splinting should be tried for at least three months and possibly for as long as six months or longer. If the result of splint therapy stagnates, surgery treatment is indicated. [16]
Buddy wrapping, also called neighbour strapping [1] or buddy taping, is the act of bandaging a damaged or particularly a fractured finger or toe together with a healthy, uninjured one. The bandage or medical tape is usually stiff, not allowing the digits to move; the healthy digit acts as a splint , keeping the damaged one in a natural position ...
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The finger is then splinted to prevent further injury to the digit as it heals. Splint material and type varies depending on the reduction conducted. [26] Splint-assisted healing is most dependent on patient compliance. [19] Splinting for less than the recommended duration may lead to less effective healing and loss of function. [16]
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