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Operative versus conservative treatment of trigger thumb in children
Kyungil Kim1, Young Kwan Moon1, Han Yong Lee2
1Department of Orthopedic Surgery, Wonkwang University Sanbon Hospital, Gunpo, Republic of Korea.
Medicine
|November 19, 2022
Summary
Surgical release offers better outcomes for trigger thumb in children over 24 months compared to conservative treatment. Conservative management shows a higher failure rate, with no post-operative recurrence observed after surgery.
Area of Science:
- Pediatric Orthopedics
- Congenital Hand Anomalies
Background:
- Trigger thumb is an uncommon pediatric anomaly with debated management strategies.
- Treatment options range from observation to surgical intervention.
Purpose of the Study:
- To compare clinical outcomes of surgical release versus conservative treatment for pediatric trigger thumb.
- To analyze factors influencing treatment success and recurrence.
Main Methods:
- Retrospective analysis of 366 children with 511 trigger thumbs.
- Comparison of outcomes based on treatment modality (conservative vs. surgical).
- Evaluation of age at onset, sex, familial history, and complications.
Main Results:
- Conservative treatment failed in 68 of 96 children, necessitating surgery.
- Surgical treatment demonstrated better outcomes after 24 months of age.
- No post-operative recurrence of trigger thumb was reported.
Conclusions:
- Surgical release is more effective for trigger thumb in children over 24 months.
- Conservative treatment has a higher failure rate and often requires subsequent surgical intervention.
- Surgical intervention for trigger thumb in children appears to have a low recurrence rate.
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