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Spontaneous Resolution of Early-Onset Pediatric Trigger Thumb: A Case Study
Simonne M Jones1, Brett F Shannon2, Chabelly Gomez3
1Surgery, St. George's University School of Medicine, St. George's, GRD.
Cureus
|April 21, 2025
Summary
Pediatric trigger thumb (PTT) may resolve without surgery beyond 24 months. Non-invasive treatments like splinting and observation could be effective, even for fixed deformities.
Area of Science:
- Orthopedics
- Pediatric Surgery
Background:
- Pediatric trigger thumb (PTT) is a common condition characterized by thumb flexion deformity.
- Surgical intervention is typically recommended for fixed PTT after 24 months of age.
Observation:
- A case study of a 4-year-old female with congenital PTT, presenting from infancy.
- The patient exhibited a fixed thumb flexion deformity that resolved spontaneously at 40 months without surgical treatment.
Findings:
- Emerging evidence suggests non-surgical management may resolve PTT beyond 24 months.
- Spontaneous resolution might involve tissue remodeling, tendon adaptation, and gradual A1 pulley release.
Implications:
- Non-invasive treatments, including splinting and observation, warrant consideration for fixed PTT beyond 24 months.
- Conservative management may offer a successful alternative to surgery in select PTT cases.
