Conservative treatment for trigger thumb in children

Citation
H. Watanabe et al., Conservative treatment for trigger thumb in children, ARCH ORTHOP, 121(7), 2001, pp. 388-390
Citations number
22
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
ISSN journal
0936-8051 → ACNP
Volume
121
Issue
7
Year of publication
2001
Pages
388 - 390
Database
ISI
SICI code
0936-8051(200107)121:7<388:CTFTTI>2.0.ZU;2-C
Abstract
Conservative treatment was performed for 60 trigger thumbs (19 right, 17 le ft, 12 bilateral) in 48 children (19 boys, 29 girls); the age at initial di agnosis ranged from 0 to 48 months old (mean 26 months). In this approach, only passive exercise of the affected thumb was per-formed by the mother. A s a result, two patients (two thumbs) dropped out of treatment. Fifty-six t humbs out of 58 showed a satisfactory result (96%). Sixteen thumbs (in stag e 2) and eight thumbs (in stage 3) showed completely recovery. Four thumbs (in stage 3) have not yet improved. In conclusion, we suggest that conserva tive treatment is effective for trigger thumbs in stage 2, while surgical t herapy was thought to be indicated for stage 3 before the age of 3 years to avoid flexion deformity.