Bilateral multiple trigger fingers in a pediatric patient: A rare case report

Area of Science:

• Pediatric Orthopedics
• Hand Surgery
• Musculoskeletal Conditions

Background:

• Trigger finger, or stenosing flexor tenosynovitis, involves a tendon-sheath mismatch at the A1 pulley.
• Pediatric trigger finger is less common than trigger thumb, with bilateral involvement being exceptionally rare.

Observation:

• A 5-year-old boy presented with a year-long history of bilateral index and ring finger triggering.
• Physical examination revealed nodules and active triggering in the affected fingers.
• Initial conservative management including physiotherapy yielded no improvement.

Findings:

• Surgical release of the trigger fingers was performed in staged procedures.
• Post-operative follow-up confirmed full range of motion and successful resolution of symptoms.
• The case underscores the rarity of multiple bilateral trigger fingers in children.

Implications:

• Bilateral trigger fingers in pediatric patients may indicate underlying conditions requiring investigation.
• Thorough clinical assessment, including history and physical examination, is crucial before surgical intervention.
• Understanding the distinct pathophysiology in children is vital for effective management, as spontaneous resolution may occur after addressing underlying causes.