Splint thumb and wrist
Instruct patient to remove splint briefly each day to perform range-of-motion exercises
NSAIDs for 10-14 days
Persistent cases may require steroid injection or surgical<unk> compression
First steroid injection provides permanent relief in ~50%
Second steroid injection > 1 mo later curative in another 40%
0.5-1 cc of 1% lidocaine
Plus 0.5-1 cc of long acting steroid (methylprednisolone acetate, triamcinolone)
Intertendinous septum presence increases likelihood of needing surgery
Instruct patient to remove splint briefly each day to perform range-of-motion exercises
Second steroid injection > 1 mo later curative in another 40%
0.5-1 cc of 1% lidocaine
Plus 0.5-1 cc of long acting steroid (methylprednisolone acetate, triamcinolone)
De Quervain tenosynovitis
Distal finger
Morton's neuroma
Finger amputation
Nursemaid's elbow
Fingertip laceration
Flexor tenosynovitis
Nail avulsion