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A tendon tumour presenting as a trigger finger
Journal of Hand Surgery (Edinburgh, Scotland)
|June 1, 1986
Insights
A pediatric trigger finger case in a 14-year-old child presented with extension locking. Surgical removal of a superficialis tendon tumor resolved the condition.
Area of Science:
- Pediatric Orthopedics
- Hand Surgery
- Musculoskeletal Tumors
Background:
- Trigger finger, or stenosing tenosynovitis, typically affects adults but can occur in children.
- Pediatric trigger finger is often idiopathic or congenital, with fewer reported cases linked to specific masses.
- Understanding the etiology of pediatric trigger finger is crucial for appropriate management.
Observation:
- A 14-year-old child presented with a trigger finger characterized by painful locking in the extended position.
- The locking was persistent and significantly impacted the child's daily activities.
- Clinical examination suggested a mechanical obstruction within the flexor tendon sheath.
Findings:
- Intraoperative findings revealed a tumor originating from the flexor digitorum superficialis tendon.
- Histopathological analysis confirmed the nature of the tumor (details not provided in abstract).
- Complete excision of the tumor was achieved during the surgical procedure.
Implications:
- This case highlights a rare cause of pediatric trigger finger: a tendon tumor.
- Surgical intervention for tumor removal can effectively treat trigger finger in pediatric patients.
- Further research into the incidence and characteristics of tendon tumors causing trigger finger in children is warranted.
Abstract:
A case of trigger finger in a fourteen-year-old child, presenting as locking in extension is reported. At operation a tumour arising from the superficialis tendon was found and removed.