Percutaneous A1 Pulley Release of Locked Trigger Thumb in Children
Journal of the Korean Society for Surgery of the Hand
;
: 59-64, 2010.
Article
in Korean
| WPRIM
| ID: wpr-38793
ABSTRACT
PURPOSE:
To report the clinical outcomes of percutaneous A1 pulley release for the surgical treatment of locked trigger thumb in children. MATERIALS ANDMETHODS:
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Congenital Abnormalities
/
Thumb
/
Hand Deformities
/
Follow-Up Studies
/
Range of Motion, Articular
/
Trigger Finger Disorder
/
Joints
/
Anesthesia, Local
/
Metacarpophalangeal Joint
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Child
/
Female
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Society for Surgery of the Hand
Year:
2010
Type:
Article
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