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. 2013 Apr 5:7:75-7.
doi: 10.2174/1874325001307010075. Print 2013.

Multiple congenital bilateral trigger digits in a 2-year-old child: case report

V De Luna  1 , V Potenza, L Garro, P Farsetti, R Caterini
Affiliations

Multiple congenital bilateral trigger digits in a 2-year-old child: case report

V De Luna et al. Open Orthop J. .

Abstract

Trigger finger is a rare condition in children. In this paper, we report on a 2-year-old boy with multiple congenital bilateral trigger digits. The patient had no history of perinatal trauma, viral or bacterial infections, or metabolic disorders. The patient was treated with physiotherapy for one year. At the one-year follow-up, the boy presented with six trigger fingers (3 on the right hand, 3 on the left hand). Neither thumb was involved. The six trigger fingers were treated surgically: first, the right-hand trigger fingers and, six months later, those of the left hand. After each operation, a 4-week brace in extension was applied to the operated hand. The symptoms were completely resolved after surgical treatment. Many authors have recommended surgical release for the treatment of trigger finger in children; empirical treatment with physiotherapy may be an option when symptoms present or appear at an older age.

Keywords: Trigger digits; bilateral trigger fingers; children; congenital; metacarpophalangeal joint; surgical treatment..

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Figures

Fig. (1)
Fig. (1)
Surgical procedure on the right hand: transverse incision in the palm and release of the A1 pulleys of the index, middle and ring fingers.
Fig. (2)
Fig. (2)
One month after the operation on the right hand. Full extension of the operated fingers was present. At that time, the left hand showed trigger digits in the middle, ring and little fingers.
Fig. (3)
Fig. (3)
Surgical procedure on the left hand: transverse incision in the palm and release of the A1 pulleys of the middle, ring and little fingers.
See this image and copyright information in PMC

References

    1. Sprecher EE. Trigger thumb in infants. J Bone Joint Surg Am. 1949;31A(3):672–4. - PubMed
    1. Fahey JJ, Bollinger JA. Trigger-finger in adults and children. J Bone Joint Surg Am. 1954;36-A(6):1200–18. - PubMed
    1. Wood VE, Sicilia M. Congenital trigger digit. Clin Orthop Relat Res. 1992;(285):205–9. - PubMed
    1. Sevencan A, Inan U, Köse N, Omeroğlu H, Seber S. Percutaneous release for trigger thumbs in children: improvements of the technique and results of 31 thumbs. J Pediatr Orthop. 2010;30(7):705–9. - PubMed
    1. Moutet F, Lebrun C, Sartorius C. 10 congenital trigger fingers. Apropos of a case report. Ann Chir Main. 1987;6(4):299–302. - PubMed

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