Related Experiment Video
Updated: Jun 7, 2026
Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
Published on: May 23, 2025
Paediatric trigger finger: Literature review and management algorithm
1Department of Plastic Surgery, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH54 6PP, UK. markschaverien@fastmail.fm
Insights
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.
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.
Abstract:
Trigger finger in the paediatric population is a distinct condition from trigger thumb in the child or trigger finger in the adult. This paper reviews the current practices applied in the treatment of paediatric trigger finger. Intra-operative photographs are used to illustrate the anatomic anomalies that may be present. An operative algorithm is presented suggesting a step-wise approach to check all structures that may cause the symptom of triggering whilst avoiding unnecessary dissection once the cause of the trigger has been corrected.
