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Related Experiment Videos

Trigger digits in children.

W N Moon1, S W Suh, I C Kim

  • 1Department of Orthopaedic Surgery, Samsung Chiel Hospital and the Women's Healthcare Center, Seoul, Korea. chee96@unitel.co.kr

Journal of Hand Surgery (Edinburgh, Scotland)
|February 13, 2001
PubMed
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Congenital trigger thumb and finger are rare in newborns, with no cases found in a large prospective study. However, spontaneous recovery is common in children, especially for trigger finger.

Area of Science:

  • Pediatric Orthopedics
  • Hand Surgery
  • Developmental Pediatrics

Background:

  • Trigger digit, including trigger thumb and trigger finger, is a common condition in children.
  • The congenital incidence and natural history of trigger digits require further elucidation.

Purpose of the Study:

  • To determine the congenital incidence of trigger thumb and finger in newborns.
  • To review the spontaneous recovery rate, treatment outcomes, and age at presentation for pediatric trigger digits.

Main Methods:

  • Prospective examination of 7,700 newborn children for congenital trigger digits.
  • Retrospective review of 43 pediatric trigger digit cases (35 thumbs, 8 fingers) diagnosed between 1995 and 1998.

Main Results:

Related Experiment Videos

  • No congenital trigger thumb or finger cases were identified in 7,700 newborns.
  • Spontaneous recovery was observed in 12 of 35 trigger thumbs and all 8 trigger fingers.
  • Surgical release was performed on 23 trigger thumbs with satisfactory outcomes.

Conclusions:

  • Congenital trigger digits appear to have a very low incidence.
  • Trigger finger presents earlier and has a higher spontaneous recovery rate than trigger thumb.
  • While surgery is effective for trigger thumb, non-operative management and observation are important due to high spontaneous recovery rates, particularly for trigger finger.