Serial Ultrasound Evaluation of Pediatric Trigger Thumb

Verma, Manisha; Craig, Clifford L.; DiPietro, Michael A.; Crawford, Jeff; Vanderhave, Kelly L.; Farley, Frances A.; Caird, Michelle S.

doi:10.1097/bpo.0b013e318287f728

Cited by 34 publications

(21 citation statements)

References 21 publications

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“…Interestingly, the authors noted that 2 patients with unilateral triggering had an enlarged FPL tendon on the initially unaffected side later began triggering, which suggested that ultrasound was a potential early diagnostic tool. 13 Plain radiographs are generally not indicated when the history and clinical examination are consistent with a trigger thumb.…”

Section: Clinical Picture Trigger Thumbmentioning

confidence: 99%

Pediatric Trigger Digits

Bauer,

Bae

2015

The Journal of Hand Surgery

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Section: Clinical Picture Trigger Thumbmentioning

confidence: 99%

Pediatric Trigger Digits

Bauer,

Bae

2015

The Journal of Hand Surgery

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“…Se ha demostrado que es una alteración del desarrollo, 9,2,1 porque al nacimiento el tendón es de tamaño normal, pero en los primeros 3 años de vida se va engrosando. 10,11,9 En 25 a 30% de los casos ocurre afectación bilateral, 2 aunque no suele manifestarse al mismo tiempo. 5 Existen reportes de familias que muestran un patrón de herencia dominante con penetrancia variable, 7 pero no existe predisposición por género; a diferencia del resto de los dedos, el pulgar en gatillo no se relaciona con alteraciones sistémicas.…”

Section: Figuraunclassified

Pulgar en gatillo, pulgar en resorte, o tenosinovitis estenosante del pulgar pediátrico

Nuño

Maya²,

Soriano

2021

Acta Pediatr Mex

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El pulgar en gatillo es una patología de etiología idiopática en la que el tendón flexor largo del pulgar se encuentra engrosado proximal a la polea A1 generando una discrepancia de tamaño que impide el deslizamiento del tendón a través dicha polea, Se presenta de manera global en 3 de cada 1000 RNV siendo mas común en población hispana, su diagnóstico es clínico por lo que no se requieren estudios de extensión, la resolución espontánea de esta patología se presenta en el 30% de los casos aproximadamente, porcentaje que puede aumentar si se realiza terapia física; sin embargo los pacientes que no presentan mejoría deben ser referidos al ortopedista pediátrico para recibir tratamiento quirúrigico.

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“…pokazuju da škljocavi palac nastaje kada poprečni presjek tetive fleksora nadmaši mogućnost prilagodbe poprečnog presjeka ovojnice na razini A1 pulleya. 17 Kim i sur. s pomoću najnovijeg ultrazvučnog mjerenja poprečnog presjeka tetive nalaze prosječno 77% veću površinu poprečnog presjeka tetive proksimalno od A1 pulleya u odnosu prema površini ispod njega.…”

Section: Etiologija I Patofiziologijaunclassified

“…Nalaz zadebljale, potpuno homogene vlaknaste tetive postavlja dijagnozu škljocavog palca. 17 Prema Hülsemannu i sur., četiri su bitna klinička entiteta slična škljocavom palcu. 31…”

Section: Diferencijalna Dijagnozaunclassified

Trigger Thumb in Children

Pavljak

Bulić

Antabak

2019

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The natural course of the condition in pediatric trigger thumb is still controversial, and accordingly, the recommendations for treatment vary considerably and there are no clear and broadly accepted guidelines. In this paper, we tried to provide a current literary overview of the disease progression and diagnostic and therapeutic abilities with an emphasis on the ultimate outcome of the treatment. Trigger thumb represents one of the most common pediatric hand conditions, mostly seen in preschool children. As a result of anatomic size mismatch between the flexor pollicis longus tendon and its sheath, disrupted tendon gliding is characteristic. The interphalangeal joint of the affected thumb fixed in a flexion contracture presents typical clinical finding. The first description of trigger thumb is attributed to Notta, and the palpable nodule at the volar aspect of the interphalangeal joint flexion crease still bears his name. Medical history and physical examination are used to diagnose this deformity with ultrasound as a potential early diagnostic tool. It is possible to misdiagnose a fracture, dislocation of the thumb or thumb-in-palm deformity. Clinical investigation has improved our understanding of the natural history and its benignancy. Therapeutic treatment depends on parent and physician preference. It can be either conservative, consisting of splint therapy and passive stretching exercises, or surgical, releasing of the A1 pulley that reliably restores thumb interphalangeal joint motion. Although it may take several years for spontaneous resolution, families willing to wait are given an opportunity to avoid hospitalization stress and surgical intervention.

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Serial Ultrasound Evaluation of Pediatric Trigger Thumb

Abstract: Level 2 diagnostic study.

Cited by 34 publications

References 21 publications

Pediatric Trigger Digits

Pediatric Trigger Digits

Pulgar en gatillo, pulgar en resorte, o tenosinovitis estenosante del pulgar pediátrico

Trigger Thumb in Children

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