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Original Article
Online Published: 05 Jul 2014
 


Paediatric trigger thumb: our experiences and review of the literature

Yüksel Kankaya, Kadri Özer, Nezih Sungur, Özlem Çolak Aslan, Adile Turan, Uğur Koçer.


Abstract
Objectives: The aim of this study is to report our experiences and surgical results in paediatric trigger thumb and to review the literature about paediatric trigger thumb.
Methods: We performed a retrospective study of our paediatric trigger thumb patients who underwent open surgery. Our study includes 19 thumbs of 13 children with a mean age of 30 months. Analysis into gender, age of onset, age of surgery, family history and postoperative complications were carried out. Biopsies of A1 annular pulley from 6 thumbs were examined histopathologically.
Results: In all, 6 (46%) of the children presented with bilateral trigger thumbs and 6 (46%) of the children had palpable node of Notta. Two (15%) of children who had bilateral involvement, had a positive family history. Flexion deformity and nodule were commonly observed during physical examination. After surgery, there were no complications or recurrences. There were no secondary surgeries. Histopathological examination of specimens sent to pathology department showed mostly degenerated fibrous tissue.
Conclusion: Surgical treatment with A1 pulley release resulted in successful resolution of trigger thumb. However, conservative treatments can be considered before 3 years of age for 6 months before surgery as a safe and useful method.

Key words: Congenital, paediatric, thumb, trigger


 
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How to Cite this Article
Pubmed Style

Yuksel Kankaya, Kadri Ozer, Nezih Sungur, Ozlem Colak Aslan, Adile Turan, Uğur Kocer. Paediatric trigger thumb: our experiences and review of the literature. Hand Microsurg. 2013; 2(1): 11-17. doi:10.2399/emd.13.65265

Web Style

Yuksel Kankaya, Kadri Ozer, Nezih Sungur, Ozlem Colak Aslan, Adile Turan, Uğur Kocer. Paediatric trigger thumb: our experiences and review of the literature. https://handmicrosurgeryjournal.com/?mno=163603 [Access: September 13, 2024]. doi:10.2399/emd.13.65265

AMA (American Medical Association) Style

Yuksel Kankaya, Kadri Ozer, Nezih Sungur, Ozlem Colak Aslan, Adile Turan, Uğur Kocer. Paediatric trigger thumb: our experiences and review of the literature. Hand Microsurg. 2013; 2(1): 11-17. doi:10.2399/emd.13.65265


Vancouver/ICMJE Style

Yuksel Kankaya, Kadri Ozer, Nezih Sungur, Ozlem Colak Aslan, Adile Turan, Uğur Kocer. Paediatric trigger thumb: our experiences and review of the literature. Hand Microsurg. (2013), [cited September 13, 2024]; 2(1): 11-17. doi:10.2399/emd.13.65265


Harvard Style

Yuksel Kankaya, Kadri Ozer, Nezih Sungur, Ozlem Colak Aslan, Adile Turan, Uğur Kocer (2013) Paediatric trigger thumb: our experiences and review of the literature. Hand Microsurg, 2 (1), 11-17. doi:10.2399/emd.13.65265


Turabian Style

Yuksel Kankaya, Kadri Ozer, Nezih Sungur, Ozlem Colak Aslan, Adile Turan, Uğur Kocer. 2013. Paediatric trigger thumb: our experiences and review of the literature. Hand and Microsurgery, 2 (1), 11-17. doi:10.2399/emd.13.65265


Chicago Style

Yuksel Kankaya, Kadri Ozer, Nezih Sungur, Ozlem Colak Aslan, Adile Turan, Uğur Kocer. "Paediatric trigger thumb: our experiences and review of the literature." Hand and Microsurgery 2 (2013), 11-17. doi:10.2399/emd.13.65265


MLA (The Modern Language Association) Style

Yuksel Kankaya, Kadri Ozer, Nezih Sungur, Ozlem Colak Aslan, Adile Turan, Uğur Kocer. "Paediatric trigger thumb: our experiences and review of the literature." Hand and Microsurgery 2.1 (2013), 11-17. Print. doi:10.2399/emd.13.65265


APA (American Psychological Association) Style

Yuksel Kankaya, Kadri Ozer, Nezih Sungur, Ozlem Colak Aslan, Adile Turan, Uğur Kocer (2013) Paediatric trigger thumb: our experiences and review of the literature. Hand and Microsurgery, 2 (1), 11-17. doi:10.2399/emd.13.65265




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    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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