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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2013, Number 2

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Rev Mex Ortop Ped 2013; 15 (2)

Surgical treatment of pediatric trigger thumb

Ferreyra A, Schumacher FE, Allende V, Masquijo JJ

Language: Spanish
References: 25
Page: 105-110
PDF size: 186.59 Kb.


ABSTRACT

Introduction: Trigger finger is a rare condition in children, affecting mainly the thumb. The aim of this study was to evaluate the functional results and complications of surgical treatment of trigger thumb in children. Methods: We retrospectively evaluated all patients with surgically treated between January 2002 and August 2011. We evaluated interphalangeal range of motion and complications such as infection or sensory deficit. A satisfactory result indicated no triggering and full range of motion. Parents were asked about satisfaction of the procedure. Results: We performed 45 surgeries in the evaluated period; 31 patients (38 thumbs) could be located and evaluated (17 female and 14 male). Average age at time of surgery was 2.4 years (range: 1.7 to 7.2 years). Average follow-up was 4.7 years (range: 1-9 years). Three cases (8%) had recurrence and required subsequent release. All patients recovered full range of motion. There were no residual flexion contractures or sensory deficit. Two patients (5%) had superficial wound infection. Both responded favorably to oral antibiotic therapy. Parents reported satisfaction with the treatment. Conclusion: Open release of the A1 pulley is a safe and effective procedure for the treatment of trigger thumb in the pediatric population, with a low rate of recurrence and complications.


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