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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
PubMed

Insights

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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