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Pediatric Trigger Digits.
Hannah Prock-Gibbs1, Brandon J Marshall2, Joanne R Werntz1,2,3
1University of Central Florida College of Medicine, Orlando, FL.
Pediatrics in Review
|April 1, 2022
Summary
Pediatric trigger thumb and finger are common upper extremity deformities. Early diagnosis and nonoperative treatment are crucial for successful outcomes and screening for associated conditions.
Area of Science:
- Pediatric Orthopedics
- Developmental Pediatrics
Background:
- Pediatric trigger thumb (PTT) and pediatric trigger finger (PTF) are common upper extremity deformities.
- These conditions are often unrecognized by healthcare providers and caregivers, delaying crucial early intervention.
Purpose of the Study:
- To highlight the importance of early recognition and diagnosis of PTT and PTF.
- To emphasize the efficacy of nonoperative treatment for these conditions.
- To underscore the necessity of screening for associated medical conditions in pediatric trigger finger.
Main Methods:
- The study reviews the clinical presentation and management of pediatric trigger thumb and finger.
- It emphasizes the role of routine physical examinations, including full hand range of motion assessments.
- The abstract discusses the outcomes of nonoperative treatment and the importance of identifying associated medical conditions.
Main Results:
- Pediatric trigger thumb (PTT) has a high success rate (>95%) with early nonoperative treatment.
- Pediatric trigger finger (PTF) can be successfully treated nonoperatively in 67% of cases.
- PTF is more frequently associated with underlying medical conditions than PTT.
Conclusions:
- Early recognition and diagnosis of PTT and PTF by pediatricians and caregivers are vital for successful nonoperative management.
- Routine hand examinations are recommended for all children.
- Screening for associated medical conditions is important for pediatric trigger finger patients.

