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Congenital trigger digit
1Department of Orthopaedic Surgery, Loma Linda University Medical Center, CA 92350.
Clinical Orthopaedics and Related Research
|December 1, 1992
Summary
Surgical release of the flexor tendon sheath effectively treats congenital trigger digits in children. This simple procedure offers a conservative and successful approach for affected digits, primarily thumbs.
Area of Science:
- Pediatric Orthopedics
- Hand Surgery
- Congenital Hand Anomalies
Background:
- Congenital trigger digits present a common pediatric hand problem.
- Surgical release of the flexor tendon sheath is the standard treatment.
- This condition can affect multiple digits, most commonly the thumb.
Purpose of the Study:
- To evaluate the long-term outcomes of flexor tendon sheath release for congenital trigger digits.
- To assess the effectiveness and conservative nature of the surgical approach.
Main Methods:
- A retrospective review of 27 patients with 37 affected digits over 18 years.
- Surgical release of the flexor tendon sheath was performed.
- Average follow-up duration was 46.9 months.
Main Results:
- 33 digits required surgical intervention.
- The majority of affected digits were thumbs (32), with fewer cases in long (3) and ring (2) fingers.
- The surgical treatment demonstrated simplicity and effectiveness.
Conclusions:
- Flexor tendon sheath release is a simple, effective, and conservative surgical treatment for congenital trigger digits.
- The procedure yields positive outcomes in most pediatric cases.
- This surgical technique addresses the locking and triggering associated with the condition.