Percutaneous A1 Pulley Release of Locked Trigger Thumb in Children.
- Author:
Jong Pil KIM
1
;
Myung Ho KIM
;
Moon Jib YOO
;
Sang Young MOON
;
Sung Hyun YOON
Author Information
1. Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Korea. kimjp@dankook.ac.kr
- Publication Type:Original Article
- Keywords:
Trigger thumb;
Children;
Percutaneous release
- MeSH:
Anesthesia, Local;
Child;
Congenital Abnormalities;
Female;
Follow-Up Studies;
Hand Deformities;
Humans;
Joints;
Male;
Metacarpophalangeal Joint;
Range of Motion, Articular;
Thumb;
Trigger Finger Disorder
- From:Journal of the Korean Society for Surgery of the Hand
2010;15(2):59-64
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report the clinical outcomes of percutaneous A1 pulley release for the surgical treatment of locked trigger thumb in children. MATERIALS AND METHODS: Twenty-six trigger thumbs in 24 patients with a average of 14.2 months follow-up after percutaneous release were enrolled. There were 15 females and 9 males with an average age of 39 months. The mean time from first presentation to surgery was 16 months. Procedures were performed under local anesthesia. Postoperative examinations at immediate, 3 months and 1-year recorded pain, triggering and range of motion and presence of complications. RESULTS: All thumbs had a satisfactory result without digital nerve injury. Eleven patients(46%) had a mean 14.3degrees extension loss of the interphalangeal joint and 12.0degrees hyperextension of the metacarpophalangeal joint of the thumb, compared to the contralateral thumb. At final follow-up, all but 1 patient were completely resolved. The duration of symptoms and age were higher in the group with thumb deformity (p<0.05). CONCLUSION: Temporary thumb deformity is possible after surgical treatment of trigger thumb in children with a long duration of symptoms. Percutaneous release can be a safe and satisfactory treatment option in pediatric trigger thumb.
