Congenital Bilateral Multiple Trigger Fingers in A 5-Year-Old Child

Abstract

Paediatric bilateral multiple trigger fingers are extremely rare. The underlying etiopathogenesis and hence the surgical principles of management of trigger finger in children are different from those of pediatric trigger thumb and adult trigger finger. In this paper, we report the case of a 5 year old girl with congenital trigger digits involving the middle, ring and little fingers of both hands. She did not have any episode of trauma, viral or bacterial infections or any metabolic disorder. Following lack of any improvement with a physiotherapy and a splintage regime for 6 weeks, we offered surgical management for the affected digits. Release was done in step-wise pattern. We present the intraoperative findings and surgical management of congenital trigger finger.

Keywords: Child; Congenital; Trigger fingers.

Fig. 1

Arrow showing thickened A2 pulley and adhesion between FDS and FDP of ring finger.

Fig. 2

Microphotograph suggestive of mild inflammation at 100×.