Pediatric Trigger Thumb: Congenital or Developmental? A Unique Case Report

Author:

Venkatadass Krishnamoorthy1,Bhardwaj Praveen2,Sabapathy S. Raja2

Affiliation:

1. Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India

2. Department of Hand, Plastic and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India

Abstract

AbstractPediatric trigger thumb is the new terminology for the so-called congenital trigger thumb. This change in appellation was suggested based on recent knowledge acquired through prospective studies of a large number of newborns for the presence of trigger thumb at birth across many centers. In this background, we came across a newborn with trigger thumb which was diagnosed right after birth, putting aside all theories of nonexistence of congenital trigger thumb. We report a case of congenital trigger thumb diagnosed at birth, which was managed surgically at 9 months of age, who has good clinical and functional outcomes at 1-year follow-up. Herewith, we would like to submit that congenital trigger thumb does exist, though might be a very rare occurrence.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

Reference9 articles.

1. Management of pediatric trigger thumb and trigger finger;A S Shah;J Am Acad Orthop Surg,2012

2. Clinical analysis of the trigger thumb of childhood;M Herdem;Turk J Pediatr,2003

3. Open surgery versus nonoperative treatments for paediatric trigger thumb: a systematic review;S Farr;J Hand Surg Eur Vol,2014

4. Incidence of trigger digits in newborns;W B Rodgers;J Hand Surg Am,1994

5. Acquired thumb flexion contracture in children: congenital trigger thumb;J B Slakey;J Bone Joint Surg Br,1996

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