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Release of trigger finger in children. Long term results
B P Paaske1, N H Søe-Nielsen, H H Noer
1Department of Orthopaedics, Gentofte Hospital, University of Copenhagen, Denmark.
Insights
Trigger finger release surgery is quick and effective, with a low re-operation rate. Bilateral trigger finger prevalence suggests a predisposition to the condition.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
Background:
- Trigger finger (stenosing tenosynovitis) is a common condition affecting the hand.
- Surgical intervention is often required for persistent cases, particularly in children.
Purpose of the Study:
- To evaluate the outcomes of trigger finger release surgery in a pediatric and adult population.
- To investigate the incidence of bilateral trigger finger and associated predispositions.
Main Methods:
- Retrospective review of 58 patients (80 trigger fingers) over a 10-year period.
- Analysis of patient demographics, age at surgery, time to diagnosis, and surgical outcomes.
- Examination for contralateral, asymptomatic trigger finger thickening.
Main Results:
- Surgery was quick, effective, and had no complications in most cases.
- Only one patient required re-operation with a successful outcome.
- Bilateral trigger finger thickening was found in 19% of patients, suggesting a predisposition.
Conclusions:
- Trigger finger release surgery is a safe and highly effective procedure.
- A significant percentage of patients exhibit asymptomatic contralateral thickening, indicating a potential predisposition to bilateral involvement.
Abstract:
During a 10 year period 58 patients had 80 trigger fingers operated on at this hospital. The male/female ratio was 32:26 and most children were operated on at between the ages of 2 and 4 years, and 15 months (range 2-99) after the lesion had been noticed. The operation was quick and effective with no complications. Only one patient was re-operated on, with a good result. Thirteen patients had bilateral lesions. Both hands were examined and in 11 patients (19%) we found that the thickening corresponding to the trigger finger was also present on the opposite side but giving no symptoms. There seems to be a predisposition to bilateral affections.