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SUCCESS OF CONSERVATIVE TREATMENT OF TRIGGER THUMB IN CHILDREN AFTER MINIMUM FOLLOW-UP OF FIVE YEARS
Edilson Forlin1, Ellen Yuri Kaetsu2, José Eduardo Eid de Vasconcelos3
1MD (Orthopedics), MSc and PhD from Unifesp. Orthopedist at Hospital Pequeno Príncipe, Curitiba, PR, Brazil.
Revista Brasileira De Ortopedia
|April 6, 2016
Summary
Conservative treatment for pediatric trigger thumb is highly effective, particularly when diagnosed before age two. This approach can help avoid unnecessary surgical release in children.
Area of Science:
- Pediatric Orthopedics
- Hand Surgery
- Musculoskeletal Disorders
Background:
- Trigger thumb is a common condition in children.
- Surgical release is often considered but may not always be necessary.
Purpose of the Study:
- To evaluate the effectiveness of conservative trigger thumb treatment in children.
- To determine the necessity of surgical intervention for pediatric trigger thumb.
Main Methods:
- Retrospective study of children with trigger thumb treated conservatively.
- Gentle manipulation and home stretching exercises were employed.
- Minimum follow-up period of five years.
Main Results:
- 13 thumbs in 11 children were treated, with a mean follow-up of 10 years.
- 77% of cases showed satisfactory results with conservative management.
- Successful outcomes were more frequent in children diagnosed before age two.
Conclusions:
- Conservative treatment for pediatric trigger thumb demonstrates a high success rate.
- Early diagnosis (before age two) is crucial for successful conservative management.
- Conservative approaches can prevent unnecessary surgical release in many pediatric cases.
