Multiple congenital bilateral trigger digits in a 2-year-old child: case report

Area of Science:

• Pediatric Orthopedics
• Hand Surgery
• Congenital Hand Anomalies

Background:

• Trigger finger (stenosing tenosynovitis) is uncommon in pediatric populations.
• Congenital trigger digits can present as isolated or multiple affected digits.
• Etiology in children is often idiopathic, without clear predisposing factors.

Purpose of the Study:

• To report a case of multiple congenital bilateral trigger digits in a young child.
• To evaluate the efficacy of surgical intervention for pediatric trigger finger.
• To discuss treatment options for congenital trigger finger in children.

Main Methods:

• A case study of a 2-year-old boy with multiple congenital bilateral trigger digits.
• Initial conservative management with physiotherapy for one year.
• Surgical release of affected digits followed by a 4-week extension brace post-operatively.

Main Results:

• Physiotherapy for one year did not resolve the symptoms of six trigger digits.
• Surgical release of the trigger fingers on the right hand, followed by the left hand, led to complete symptom resolution.
• No recurrence or complications were noted after surgical treatment and bracing.

Conclusions:

• Surgical release is an effective treatment for multiple congenital bilateral trigger digits in children.
• Conservative management with physiotherapy may be less effective for multiple or severe pediatric trigger digits.
• Early surgical intervention should be considered for persistent congenital trigger finger in pediatric patients.