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Related Experiment Videos

Trigger fingers in children.

P Tordai1, O Engkvist

  • 1Department of Hand Surgery, Söder Hospital, Stockholm, Sweden.

The Journal of Hand Surgery
|December 10, 1999
PubMed
Summary
This summary is machine-generated.

Pediatric triggering digits, excluding thumbs, often require surgical intervention beyond simple pulley release. This study found nodules absent in non-thumb triggering fingers, necessitating more extensive surgical procedures for effective treatment.

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Area of Science:

  • Pediatric Orthopedics
  • Hand Surgery
  • Pediatric Hand Conditions

Background:

  • Triggering digits (excluding thumbs) are less common in children than triggering thumbs.
  • This condition can affect multiple digits within the same hand.
  • Previous research has primarily focused on triggering thumbs, leaving a gap in understanding non-thumb involvement.

Purpose of the Study:

  • To investigate the clinical presentation and surgical management of pediatric triggering digits other than the thumb.
  • To compare operative findings with those of triggering thumbs.
  • To determine the extent of surgical intervention required for non-thumb triggering digits.

Main Methods:

  • Retrospective review of 12 children with 17 affected digits (excluding thumbs) over an 8-year period.

Related Experiment Videos

  • Analysis of surgical findings, including the presence of nodules and the extent of pulley release.
  • Comparison of surgical outcomes with non-operative management.

    • Main Results:

    • Seventeen non-thumb digits in 12 children were identified, with some having multiple affected digits.
    • Seven digits were managed non-surgically, with one case experiencing persistent triggering.
    • Ten digits in 7 children underwent surgery, revealing no nodules.
    • Surgical release often required more than A-1 pulley incision, involving flexor digitorum superficialis tendon slips and A-2 pulley release.

    Conclusions:

    • Pediatric triggering digits, excluding thumbs, present unique surgical challenges.
    • The absence of nodules in these cases suggests a different underlying pathology compared to triggering thumbs.
    • More extensive surgical release, including the A-2 pulley, is frequently necessary for successful treatment.