J Hand Microsurg 2020; 12(S 01): S75-S77
DOI: 10.1055/s-0040-1701166
Case Report

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

Krishnamoorthy Venkatadass
1   Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India
,
Praveen Bhardwaj
2   Department of Hand, Plastic and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India
,
S. Raja Sabapathy
2   Department of Hand, Plastic and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India
› Author Affiliations

Abstract

Pediatric 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.



Publication History

Article published online:
09 April 2020

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  • References

  • 1 Shah AS, Bae DS. Management of pediatric trigger thumb and trigger finger. J Am Acad Orthop Surg 2012; 20 (04) 206-213
  • 2 Herdem M, Bayram H, Toğrul E, Sarpel Y. Clinical analysis of the trigger thumb of childhood. Turk J Pediatr 2003; 45 (03) 237-239
  • 3 Farr S, Grill F, Ganger R, Girsch W. Open surgery versus nonoperative treatments for paediatric trigger thumb: a systematic review. J Hand Surg Eur Vol 2014; 39 (07) 719-726
  • 4 Rodgers WB, Waters PM. Incidence of trigger digits in newborns. J Hand Surg Am 1994; 19 (03) 364-368
  • 5 Slakey JB, Hennrikus WL. Acquired thumb flexion contracture in children: congenital trigger thumb. J Bone Joint Surg Br 1996; 78 (03) 481-483
  • 6 Moon WN, Suh SW, Kim IC. Trigger digits in children. J Hand Surg [Br] 2001; 26 (01) 11-12
  • 7 Kikuchi N, Ogino T. Incidence and development of trigger thumb in children. J Hand Surg Am 2006; 31 (04) 541-543
  • 8 Neu BR, Murray JF. Congenital bilateral trigger digits in twins. J Hand Surg Am 1983; 8 (03) 350-352
  • 9 Ger E, Kupcha P, Ger D. The management of trigger thumb in children. J Hand Surg Am 1991; 16 (05) 944-947