An evaluation of pediatric cases with trigger finger

Year 2013, Volume: 30 Issue: 3, 225 - 227, 05.11.2013

Alper Çıraklı , Ahmet Pişkin , Murat Erdoğan , Sevgi Çıraklı Hicabi Sezgin

https://doi.org/10.5835/jecm.omu.30.03.003

Abstract

Trigger finger is a rarely seen condition in childhood. It generally occurs in the thumbs and in the differential diagnosis flexion deformities originating in the joint should be included. This study comprised 23 cases in 19 children who underwent surgery for trigger finger between 2005 and 2013 in our clinic. All the patients passed through the postoperative period without any problems. Several treatment methods are in use, however it is suggested that surgery is required as the first treatment option especially in childhood. Surgical treatment is made in the form of a percutaneous or open incision in the longitudinal plane of the A1 pulley system. In recent years, although percutaneous methods are in common use, open surgical methods have been thought to be more reliable as the surgical area is small and the digital veins and nerves can be easily damaged in pediatric cases. In addition, it can be considered necessary for early movement in the postoperative period.

Keywords

Loosening, Pediatric, Surgical treatment, Trigger finger

References

• Amradi, A., Dardane, M.A., 2011. Percutaneous release of trigger thumb in children: 63 cases. Chir. Main. 30, 102-104.
• Baek, G.H., Lee, H.J., 2011. The natural history of pediatric trigger thumb: A study with a minimum of 5 years follow-up. Clin. Orthop. Surg. 3, 157-160.
• Bain, G.I., Turnbull, J., Charles, M.N., Roth, J.H., Richards, R.S., 1995. Percutaneous A1 pulley release: A cadaveric study. J. Hand. Surg. Am. 20, 781-784.
• Cebesoy, O., Köse, K.C., Baltaci, E.T., Isik, M., 2007. Percutaneous release of the trigger thumb: Is it safe, cheap and effective? Int. Orthop. 31, 345–349.
• Chambers, R.G., 2009. Corticosteroid injection for trigger finger. Am. Fam. Physician. 80, 454.
• Colbourn, J., Heath, N., Manary, S., Pacifico, D., 2008. Effectiveness of splinting for the treatment of trigger finger. J. Hand. Ther Am. 21, 3363
• Ertürk, C., Altay, M.A., Kalender, A.M., 2009. Mini-açık tetik parmak gevşetmesi. Tıp Araştırmaları Dergisi. 7, 141-144.
• Ger, E., Kupcha, P., Ger, D., 1991. The management of trigger thumb in children. J. Hand. Surg. Am. 16, 944-947.
• Kelle, B., 2012. Trigger finger in childhood: A case report. J. P.M.R. Sci. 15, 61-63.
• Medina, J., Lorea, P., Marcos, A., Martin, F., Reboso, L., Foucher, G., 2008. Flexion deformities of the thumb: Clasped thumb and trigger thumb. Chir Main. 27, 35-39.
• Moon, W.N., Suh, S.W., Kim, I.C., 2001. Trigger digits in children. J. Hand. Surg. Brith. 26, 11–12.
• Pargali, N., Habibzadeh, F., 2011. Bilateral trigger finger in a 5-year-old child: Case report. J. Plast. Reconstr. Aesthet. Surg. 64, 283-284. Park, J., Dumanian, G.A., 2009. Shower emboli and digital necrosis after a single corticosteroid injection for trigger thumb: Case report. J. Hand. Surg. Am. 34, 313-316.
• Patel, M.R., Bassini, L., 1992. Trigger fingers and thumb: When to splint, inject or operate. J. Hand. Surg. Am. 17, 110-113.
• Pope, D.F., Wolfe, S.W., 1995. Safety and efficacy of percutaneous trigger finger release. J. Hand. Surg. Am. 20, 280-283.
• Saeed Banadaky, S.H., Baghianimoghadam, B., 2012. Long arm casting for treatment of trigger finger in children: Report of three cases. J. Med. Life. 5, 105-106.
• Sevencan, A., Inan, U., Kose, N., Omeroglu, H., Seber, S., 2010. Percutaneous release for trigger thumbs in children: Improvements of the technique and results of 31 thumbs. J. Pediatr. Orthop. 30, 705-709.
• Ty, J.M., James, M.A., 2009. Failure of differentiation: Part II. Hand. Clin. 25, 195-213.
• Watanabe, H., Hamada, Y., Toshima, T., Nagasawa, K., 2001. Conservative treatment for trigger thumb in children. Arch. Orthop. Trauma Surg. 121, 388-390.
• Wolfe, S.W., 2005. Tenosynovitis. In: Green, D.P., Hotchkiss, R.N., Pederson, W.C., Wolfe, S.W., Green’s operative hand surgery. Vol. 2, 5 th ed. Philadelphia: Elsevier Churchill Livingstone, pp. 2137-2158.
• Yenidünya, M.O., 2010. Tetik Başparmak: Doğumsal, gelişimsel ve geç bir sağlık sorunu olarak. Yeni Tıp Dergisi. 27, 33-36.
• Yenidünya, M.O., Tasbas B.A., 1999. A simple sign for the differential diagnosis of the congenital trigger thumb. Plast. Reconstr. Surg. 103, 748-7