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Consequences of Untreated Pediatric Trigger Thumb: Case Report.

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Pediatric trigger thumbs may not resolve spontaneously and can require surgical intervention. Even after 21 years, surgery can restore normal thumb function and motion.

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Area of Science:

  • Hand Surgery
  • Pediatric Orthopedics
  • Congenital Hand Anomalies

Background:

  • Pediatric trigger thumb (stenosing tenosynovitis) poses a surgical dilemma.
  • Surgical risks include infection, nerve injury, and anesthesia complications.
  • The necessity of surgical intervention versus spontaneous resolution is debated.

Observation:

  • A case of pediatric trigger thumb remained symptomatic for 22 years.
  • The patient experienced persistent difficulty with thumb interphalangeal joint extension.
  • Long-term consequences of untreated trigger thumb were a concern.

Findings:

  • Surgical intervention was performed after 22 years of symptoms.
  • The patient achieved complete resolution of trigger thumb symptoms post-surgery.
  • Normal thumb motion and function were restored.

Implications:

  • This case suggests some pediatric trigger thumbs do not resolve without surgical treatment.
  • Late surgical intervention, even after decades, can be effective.
  • Effective treatment can restore full thumb function and improve quality of life.