Surgical Release of the Pediatric Trigger Thumb

Marek, Daniel J.; Fitoussi, Franck; Bohn, Deborah C.; Heest, Ann E. Van

doi:10.1016/j.jhsa.2011.01.011

Cited by 48 publications

(26 citation statements)

References 25 publications

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“…This procedure has demonstrated good results with a low complication rate. [12][13][14][15][16] PR is considered a reasonable surgical option in adults [17][18][19] but is not widely used in children.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Trigger Thumb Release in Children

Masquijo

Ferreyra

Lanfranchi

et al. 2014

Journal of Pediatric Orthopaedics

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Section: Discussionmentioning

confidence: 99%

Percutaneous Trigger Thumb Release in Children

Masquijo

Ferreyra

Lanfranchi

et al. 2014

Journal of Pediatric Orthopaedics

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“…Han et al (2010) reported full relief of flexion contractures in all cases regardless of the age at operation. Although one study showed a perfect outcome in the short-term (full IP motion after a mean of 27 days postoperatively), patient questionnaires revealed full thumb extension in only 95 of 101 cases after a mean follow-up of 4 years (Marek et al, 2011). The largest series reviewed the outcome of 166 patients treated surgically (200 thumbs; Dunsmuir and Sherlock, 2000).…”

Section: Open Surgerymentioning

confidence: 99%

Open surgery versus nonoperative treatments for paediatric trigger thumb: a systematic review

Farr

Grill

Rudolf

et al. 2014

J Hand Surg Eur Vol

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The purpose of this systematic review was to determine the outcome of interphalangeal (IP) joint motion in children undergoing open surgical release, splinting, and passive exercising therapy for the treatment of paediatric trigger thumb. We conducted an online literature search of seven major databases. Only studies with a mean follow-up of at least 12 months were considered for inclusion. Seventeen retrospective studies and one prospective study met all the inclusion criteria. They reported on the results of surgery (634 children, 759 thumbs), splinting (115 children, 138 thumbs), and passive exercising (89 children, 108 thumbs). The mean follow-up periods were 59 (surgery), 23 (splinting), and 76 months (exercising), respectively. Full IP joint motion without residual triggering was achieved in 95% of all children undergoing surgery, in 67% of children treated with continuous splinting, and 55% after passive exercising. Based on the low level of evidence available, it seems that open surgery resulted in more reliable and rapid outcomes compared with nonoperative treatment.

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“…15 Slakey i Hennrikus predlažu da se škljocavi palac u djece canje iz kojeg se postupno razvija fiksna fleksijska kontraktura, koja je ujedno i najčešća klinička prezentacija ovog stanja -takozvani palac "zaključan" u fleksiji (slika 2.). 5,26,27 Zbog ove kliničke slike dio autora preferira naziv fleksijska kontraktura palca pred škljocavim palcem. 21 Ovo stanje uglavnom je bezbolno, ali uz nelagodu koja se javlja pri forsiranoj ekstenziji.…”

Section: Prirođena Ili Stečena Deformacija?unclassified

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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Surgical Release of the Pediatric Trigger Thumb

Cited by 48 publications

References 25 publications

Percutaneous Trigger Thumb Release in Children

Percutaneous Trigger Thumb Release in Children

Open surgery versus nonoperative treatments for paediatric trigger thumb: a systematic review

Trigger Thumb in Children

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