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Paediatric trigger finger: Literature review and management algorithm.

M V Schaverien¹, Y Godwin

¹Department of Plastic Surgery, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH54 6PP, UK. markschaverien@fastmail.fm

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|October 26, 2010

Summary

Paediatric trigger finger is unique and requires specific treatment approaches. This review details current practices and presents an operative algorithm for effective management of this condition in children.

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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.

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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.