Avoiding digital nerve injury in paediatric trigger thumb release

Trigger thumb in infancy.

Open versus percutaneous release for the treatment of trigger thumb.

The purpose of this retrospective study was to compare the outcomes and complications of conventional open surgical release and percutaneous needle release in the treatment of trigger thumb. The study comprised 87 patients with trigger thumb who were treated with either open pulley (n=52) or percutaneous (n=32) release between 2008 and 2011. All patients were reevaluated at a mean follow-up of ...

Bilateral trigger thumb in infants.

'Trigger thumb' or 'snapping thumb' in infants is a curious digital restriction in the very young and perhaps is best referred to as a tendovaginitis stenosans of the sheath of the flexor hallucis longus muscle as it is found in infants. The characteristic feature of this condition is the sudden overcoming of involuntary resistance occurring in the normal range of movement of the interphalangea...

Trigger thumb and finger in pediatric patients

Objectives: Trigger finger in pediatric patients is not as commonly seen as it is in adults. With that, it is ten times less likely to be seen than trigger thumb. Trigger finger usually presents in children less than 8 years old. It may be associated with anatomic, metabolic, inflammatory, and central nerve disorders. Flexion deformity of the finger is reported as the most frequent presentation...

Autosomal dominant inheritance pattern for trigger thumb.

Notta, in 1850, provided the first clinical description of trigger thumb.1,2 He reported the presence of a nodule on a flexor tendon that was interfering with its gliding motion. Since this first description, the etiology of trigger fingers has been debated. Although a genetic basis has been suspected, the evidence for such in reported cases in the English literature is sparse. We present a ped...