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Evaluating the Effects of Different Polishing Methods on Color Stability of Dental Restorations in Pediatric Dentistry
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Pediatric Trigger Digits.

Andrea S Bauer1, Donald S Bae1

  • 1Children's Orthopaedic Surgery Foundation, Boston Children's Hospital, Boston, MA.

The Journal of Hand Surgery
|October 7, 2015
PubMed
Summary
This summary is machine-generated.

Pediatric trigger thumb, often caused by tendon size mismatch, typically requires A1 pulley release surgery. Some cases may resolve spontaneously with non-surgical management over several years.

Keywords:
Congenital triggerpediatric triggertrigger fingertrigger thumb

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Area of Science:

  • Pediatric Orthopedics
  • Hand Surgery

Background:

  • Pediatric trigger thumb is a common condition presenting in early childhood, characterized by thumb interphalangeal joint flexion.
  • It is primarily attributed to a developmental size discrepancy between the flexor pollicis longus tendon and its surrounding sheath.

Purpose of the Study:

  • To review the current understanding and treatment approaches for pediatric trigger thumb and other pediatric trigger digits.
  • To discuss the efficacy of surgical versus non-surgical interventions.

Main Methods:

  • Review of existing surgical literature on A1 pulley release for trigger thumb.
  • Analysis of recent reports on non-surgical management and spontaneous resolution.
  • Examination of etiologies and treatment strategies for trigger digits other than the thumb in children.

Main Results:

  • Open A1 pulley release surgery demonstrates near-universal excellent outcomes for pediatric trigger thumb.
  • Non-surgical treatment may lead to spontaneous resolution over several years but requires significant parental patience.
  • Triggering in other pediatric digits often indicates underlying conditions requiring more extensive surgical intervention, potentially including A3 pulley release and flexor digitorum superficialis tendon resection.

Conclusions:

  • Surgical A1 pulley release remains the gold standard with high success rates for pediatric trigger thumb.
  • Non-surgical observation is a viable option for select families, acknowledging the potential for delayed spontaneous resolution.
  • Triggering in pediatric digits other than the thumb necessitates thorough investigation for underlying pathologies and often requires tailored surgical management beyond simple pulley release.