Percutaneous A1 Pulley Release of Locked Trigger Thumb in Children
Journal of the Korean Society for Surgery of the Hand
;
: 59-64, 2010.
Article
Dans Coréen
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Malformations
/
Pouce
/
Anomalies morphologiques de la main
/
Études de suivi
/
Amplitude articulaire
/
Doigt à ressaut
/
Articulations
/
Anesthésie locale
/
Articulation métacarpophalangienne
Type d'étude:
Etude diagnostique
/
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Enfant
/
Femelle
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Journal of the Korean Society for Surgery of the Hand
Année:
2010
Type:
Article
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