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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.
Insights
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.
Abstract:
Pediatric trigger thumb (PTT) and finger (PTF) are upper extremity deformities that frequently go unrecognized by providers. Early recognition by pediatricians and caregivers is vital because PTT is successfully treated nonoperatively in more than 95% of patients if diagnosed early. Similarly, PTF can be successfully treated nonoperatively in 67% of patients. Although PTT is typically benign and 10 times more common, PTF may be associated with underlying concurrent medical conditions, such as juvenile rheumatoid arthritis, diabetes, mucopolysaccharide and lysosomal disorders, and trisomy 18. Routine examinations consisting of full hand range of motion should be performed in all children. Clinicians should be aware of the importance of conservative treatment options for PTT and PTF and the value of screening for underlying medical conditions associated with PTF.
