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Neglected congenital trigger thumb.

G Gannot1, S Saleh1, L Fuchs1

  • 1Orthopedics Department, Hand Surgery Unit, Kaplan Medical Center, 1 Pasternak Rd, Rehovot, Israel.

Hand Surgery & Rehabilitation
|March 10, 2022
PubMed
Summary
This summary is machine-generated.

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Untreated congenital trigger thumb in a 40-year-old male led to joint deformity and pain. Early surgical intervention is crucial for preventing long-term complications and preserving thumb function.

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Congenital Hand Anomalies

Background:

  • Trigger thumb (stenosing tenosynovitis) is a common condition affecting the thumb.
  • Congenital trigger thumb, though less common, can present in adulthood if neglected.
  • Delayed treatment can lead to secondary joint changes and functional deficits.

Observation:

  • A 40-year-old male presented with bilateral triggering, specifically of the fourth digit, and a history of childhood left thumb pain and stiffness.
  • The left thumb became fixed in flexion, with X-rays revealing aberrant interphalangeal joint configuration and sclerosis.
  • Altered joint surface curvature and reduced contact area were noted in the affected thumb.

Findings:

  • Neglected congenital trigger thumb can result in significant structural changes to the interphalangeal joint.
Keywords:
Congenital trigger thumbNeglected trigger thumbPediatric trigger thumbPouce à ressaut congénitalPouce à ressaut négligéPouce à ressaut pédiatrique

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  • Radiographic evidence demonstrated joint surface abnormalities and sclerosis, indicating long-term consequences of untreated triggering.
  • Altered biomechanics of the thumb interphalangeal joint were observed.

    • Implications:

    • This case highlights the importance of timely surgical intervention for congenital trigger thumb to prevent irreversible joint damage.
    • Early diagnosis and treatment are essential for maintaining normal thumb function and preventing secondary osteoarthritis.
    • Understanding the long-term sequelae of neglected trigger thumb informs clinical management and patient counseling.