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Related Experiment Videos

A new cause of trigger thumb.

M Brown1, R T Manktelow

  • 1Division of Plastic Surgery, University of Toronto, Ont, Canada.

The Journal of Hand Surgery
|July 1, 1992
PubMed
Summary
This summary is machine-generated.

A painful thumb locking condition caused by a sesamoid bone in the interphalangeal joint was successfully treated. Surgical removal of the sesamoid bone resolved the triggering and restored normal thumb function.

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Anatomy

Background:

  • Intermittent joint locking can cause significant pain and functional impairment.
  • Sesamoid bones, though common in the hand, can occasionally lead to pathology.
  • Thumb pain and triggering are common presenting complaints in hand clinics.

Observation:

  • A case of severe, painful thumb triggering was observed.
  • The triggering was attributed to intermittent locking of the interphalangeal joint.
  • A sesamoid bone was identified as the cause of the joint locking.

Findings:

  • The interphalangeal joint sesamoid bone was surgically excised.
  • Post-operative recovery showed complete resolution of the triggering.
  • The patient regained full, pain-free thumb function.

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Implications:

  • Surgical excision of sesamoid bones is an effective treatment for related joint locking and pain.
  • This case highlights the importance of considering sesamoid pathology in thumb triggering.
  • Accurate diagnosis and targeted surgical intervention can restore hand function.