Paediatric trigger finger
Authors:
M. Homza; P. Dráč
Authors‘ workplace:
Primář: doc. MUDr. Igor Čižmář, PhD.
; Traumatologické oddělení FN Olomouc
Published in:
Prakt. Lék. 2014; 94(1): 38-40
Category:
Case Report
Overview
The restriction of thumb extension or less frequently, of digits extension in children is caused by the profundus flexor tendon local thickening, contrary to a similar affection in adults. This situation is often incorrectly considered to be a finger trauma or its consequence. We can see the spontaneous resolution of some paediatric trigger fingers and it brings forward controversial approaches to treatment possibilities – from “wait and see” to physiotherapy, splinting, minimal invasive percutaneous tendon release to surgical open release. We present a three-year-old patient treated by open surgical release after a one-year period of no improvement. This case report is supplemented with an overview of literature.
Keywords:
paediatric trigger finger – aetiology – surgical therapy
Sources
1. Baek GH, Kim JH, Chung MS, et al. The natural history of pediatric trigger thumb. J Bone Joint Surg Am 2008; 90(5): 980–985.
2. Cardon LJ, Ezaki M, Carter PR. Trigger finger in children. J Hand Surg Am 1999; 24(6): 1156–1161.
3. Dinham JM, Meggit BF. Trigger thumbs in children. A review of the natural history and indications for treatment in 105 patients. J Bone Joint Surg Br 1974; 56(1): 153–155.
4. Kikuchi N, Ogino T. Incidence and development of trigger thumb in children. J Hand Surg Am 2006; 31(4): 541–543.
5. Kozin SH. Deformities of the thumb. In Green DP, Hotchkiss RN, Pederson WC, Wolfe PW. Green’s operative Hand Surgery. Philadelphia: Elsevier, Churchill Livingstone 2005; 1445–1448.
6. Lee ZL, Chang CH, Yang, WY, et al. Extension splint for trigger thumb in children. J Pediatric Orthop 2006; 26(6): 785–787.
7. Maňák P. Čtení (nejen) o ruce. Olomouc: Univerzita Palackého v Olomouci 2008; 95–98.
8. Nietosvaara Y. Pediatric trigger digit. In Gilbert A, Romanowski L, Czarnecki P. FESSH 2009 Instructional course book. Poznaň: Fundacja Uniwersytetu Medycznego 2009; 153–155.
9. Slakey JE, Hennrikus WL. Acquired thumb flexion contracture in children: Congenital trigger thumb. J Bone Joint Surg Br 1996; 78(3): 481–483.
10. Szabo Z. Trigger finger. In Gilbert A, Romanowski L, Czarnecki P. FESSH 2009 Instructional course book. Poznaň: Fundacja Uniwersytetu Medycznego 2009; 115–118.
11. Wang HC, Lin GT. Retrospective study of open versus percutaneous surgery for trigger thumb in children. Plast Reconst Surg 2005; 115(7): 1963–1970.
12. Wolfe SW. Tenosynovitis. In Green DP, Hotchkiss RN, Pederson WC, Wolfe SW. Green’s operative Hand Surgery. Philadelphia: Elsevier, Churchill Livingstone 2005; 2137–2158.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2014 Issue 1
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