Year Book: Stenosing Tenosynovitis of the Fingers and Thumb: Results

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of a Prospective Trial of Steroid Injection and Splinting. Rhoades-Charles-E. Gelberman-Richard-H. Manjarris-Jon-F. 1985 Year Book of Orthopedics. Article 7-19. Clin. Orthop. 1984 Nov. 190. pp 236-238. Satisfactory results have been obtained in more than half of patients with stenosing tenosynovitis of the fingers and thumb, but the patients likeliest to respond favorably have not been identified. A prospective study was carried out of 39 patients in whom 39 fingers and 14 thumbs were treated by corticosteroid injection and splinting since 1978. The 23 women and 16 men had an average age of 63 years. Average follow-up was 25 months. A 40-mg dose of methylprednisolone was injected with 1 cc of 1 per cent lidocaine without epinephrine into the flexor sheath at the level of the distal palmar crease just proximal to the first annular pulley. The hand then was placed in a thermoplast splint for 3 weeks, with the interphalangeal joints flexed 15 degrees and the metacarpophalangeal joints flexed 15 degrees.