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Long arm casting for treatment of trigger finger in children: report of three cases
S H Saeed Banadaky1, B Baghianimoghadam
1Orthopedic Surgery Department, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. saeed@ssu.ac.ir
Insights
Trigger digit in children, a rare condition, involves finger locking due to tendon issues. This study explored long arm casting as a novel, non-invasive treatment for pediatric trigger digits.
Area of Science:
- Pediatric Orthopedics
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Trigger digit (stenosing tenosynovitis) is uncommon in children, often presenting as a persistently flexed digit.
- The condition involves tendon sheath (A1 pulley) constriction, impeding smooth finger movement.
- Current treatments include conservative methods and surgery, with limited data on non-invasive pediatric interventions.
Observation:
- Three pediatric patients with trigger digits were treated using long arm casting.
- This approach aimed to immobilize the affected digit and surrounding structures.
- Casting was utilized as a conservative, non-surgical management strategy.
Findings:
- Long arm casting demonstrated potential as a treatment for pediatric trigger digits.
- This case series introduces casting as a previously unreported therapeutic option.
- The study highlights a novel approach to managing this rare pediatric condition.
Implications:
- Casting may offer a viable, non-invasive alternative for treating pediatric trigger digits.
- Further research is warranted to establish the efficacy and long-term outcomes of casting.
- This approach could reduce the need for surgical intervention in select pediatric cases.
Abstract:
Trigger digit in children is rare. Triggering predominantly occurs in thumbs presenting a flexion deformity of interphalangeal joint of finger. In children, the disease usually presents with a remained finger in locked flexion, unlike the adults in whom triggering is more prevalent. The pathology of the disease includes locking of the tendon over A1 pulley. Some treatment modalities have been suggested to cure the trigger thumb, such as conservative therapy without any invasive approach, and surgery. To the best of our knowledge, there is no report about casting as a treatment method for trigger finger in children. Herein, we report three cases of patients with trigger finger, who were treated by using long arm casting.
