特发性扳机指的夜间夹板治疗
Night Splinting for Idiopathic Trigger Digits.
作者信息
Drijkoningen Tessa, van Berckel Marijn, Becker Stéphanie J E, Ring David C, Mudgal Chaitanya S
机构信息
1 Massachusetts General Hospital, Boston, USA.
出版信息
Hand (N Y). 2018 Sep;13(5):558-562. doi: 10.1177/1558944717725374. Epub 2017 Aug 20.
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.
背景
本研究评估了为期6周的夜间夹板治疗近期发病的特发性扳机指。
方法
年龄超过18岁、Quinnell分级为1级或2级、特发性扳机指或拇指且症状持续时间少于3个月的患者，有资格使用定制的手部塑形夜间矫形器。记录症状改善情况和/或扳机现象的缓解情况。患者还在初次就诊时、6至8周后以及3个月后完成了手臂、肩部和手部功能障碍简短版问卷以及疼痛数字评定量表。
结果
34例患者佩戴夜间矫形器至少6周。在最终评估时，残疾和疼痛程度大幅降低。18例患者（55%）的扳机症状完全缓解。16例患者在夹板治疗后扳机现象未缓解，因此接受了类固醇注射。
结论
夜间夹板治疗是症状持续时间少于3个月的特发性扳机指/拇指的一种非侵入性治疗选择。
Zotero 插件