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Conservative treatment for trigger thumb in children.

H Watanabe1, Y Hamada, T Toshima

  • 1Department of Orthopaedic Surgery, Yamanashi Medical College, Nakakomagun, Japan.

Archives of Orthopaedic and Trauma Surgery
|August 21, 2001
PubMed
Summary

Conservative treatment, involving passive thumb exercises, proved highly effective for pediatric trigger thumbs. This approach achieved a 96% satisfactory outcome, suggesting its efficacy, particularly in earlier stages.

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Area of Science:

  • Pediatric Orthopedics
  • Hand Surgery
  • Conservative Management

Background:

  • Trigger thumb (stenosing tenosynovitis) is a common condition in children.
  • It can lead to pain, limited motion, and potential deformities if untreated.
  • Conservative options are often explored before surgical intervention.

Purpose of the Study:

  • To evaluate the effectiveness of conservative treatment for pediatric trigger thumbs.
  • To assess outcomes based on disease stage and age.
  • To compare conservative management with surgical indications.

Main Methods:

  • A cohort of 48 children (60 trigger thumbs) underwent conservative treatment.
  • Treatment consisted solely of passive range-of-motion exercises performed by parents.

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  • Patients were monitored for treatment adherence and outcomes.

    • Main Results:

    • A 96% satisfactory outcome was observed in 58 treated thumbs.
    • Complete recovery was achieved in 16 stage 2 thumbs and 8 stage 3 thumbs.
    • Two patients (two thumbs) withdrew from treatment; four stage 3 thumbs showed no improvement.

    Conclusions:

    • Conservative treatment, specifically passive exercise, is effective for pediatric trigger thumb, especially in stage 2.
    • Surgical intervention may be considered for stage 3 trigger thumb in children under 3 years to prevent flexion deformities.