Paediatric trigger finger: Literature review and management algorithm

Area of Science:

• Paediatric Orthopaedics
• Hand Surgery
• Musculoskeletal Disorders

Background:

• Trigger finger in children differs clinically and anatomically from adult trigger finger or paediatric trigger thumb.
• Understanding these distinctions is crucial for appropriate diagnosis and treatment.
• Current treatment practices for paediatric trigger finger vary.

Purpose of the Study:

• To review current treatment practices for paediatric trigger finger.
• To illustrate common anatomical anomalies associated with paediatric trigger finger.
• To present a structured operative algorithm for managing paediatric trigger finger.

Main Methods:

• Review of current literature and clinical practices for paediatric trigger finger treatment.
• Analysis of intra-operative photographs to identify anatomical variations.
• Development of a step-wise surgical algorithm.

Main Results:

• Paediatric trigger finger presents unique anatomical considerations.
• An operative algorithm provides a systematic approach to surgical exploration.
• The algorithm aims to identify and correct the triggering mechanism while minimizing dissection.

Conclusions:

• Paediatric trigger finger necessitates a tailored treatment strategy distinct from adult presentations.
• A methodical operative approach ensures thorough evaluation of anatomical structures.
• The proposed algorithm facilitates efficient and effective surgical correction of paediatric trigger finger.