The Natural History of Pediatric Trigger Thumb

Goo Hyun Baek; Ji Hyeung Kim; Moon Sang Chung; Seung Baik Kang; Young Ho Lee; Hyun Sik Gong
May 2008
Journal of Bone & Joint Surgery, American Volume;May2008, Vol. 90-A Issue 5, p980
Academic Journal
Background: Pediatric trigger thumb is a condition of flexion deformity of the interphalangeal joint in children. Although the surgical outcome is satisfactory, the indications for nonoperative treatment for this condition are not clear. The aim of the present study was to determine the rate of resolution of untreated pediatric trigger thumb. Methods: Data on seventy-one thumbs in fifty-three children were collected prospectively. The dates of the first visits ranged from April 1994 to March 2004. Patients were diagnosed with pediatric trigger thumb during initial outpatient department visits. During the present study, no treatment such as passive stretching or splinting was applied. The amount of flexion deformity at the thumb interphalangeal joint was measured at every six-month follow-up visit, and the duration of follow-up was at least two years after diagnosis. The end point of follow-up was when the deformity caused pain or secondary deformity or prevented normal use of the hand. The median duration of follow-up was forty-eight months. Results: Of the seventy-one trigger thumbs, forty-five (63%) resolved spontaneously. The median time from the initial visit to resolution was forty-eight months. There was no significant difference in the pattern of resolution between patients with unilateral and bilateral trigger thumb. Although resolution was not observed in the remaining twenty-six thumbs, flexion deformities improved in twenty-two thumbs. For the first two years after the initial visit, the mean flexion deformity significantly decreased over the one-year intervals (p < 0.05). Conclusions: Pediatric trigger thumb can be expected to resolve without treatment in >60% of patients. Moreover, the flexion deformity can be expected to show an improving pattern in patients who do not have resolution. This information may help both parents and surgeons to make decisions regarding the treatment of pediatric trigger thumb. Level of Evidence: Prognostic Level IV. See Instructions to Authors for a complete description of levels of evidence.


Related Articles

  • Resistance Force and Limitation Factor up to the Joint's End-Range after Joint Immobility: An Experimental Study on the Rat Ankle. NAKAHIRA, TAKESHI; OKI, SADAAKI; ONO, TAKEYA; KANAI, SHUSAKU; OTSUKA, AKIRA // Rigakuryoho Kagaku;2010, Vol. 25 Issue 4, p583 

    [Purpose] The purpose of this study was to investigate the resistance force and the limitation factor up to the joint's end-range after joint immobility. [Subjects] Eighteen adult female Wistar rats were used in this study. [Methods] Both their ankle joints were immobilized using casts for the...

  • Good results seen at 17 years follow-up of more than 1,000 mosaicplasty cases. Brockenbrough, Gina // Orthopedics Today;Jul2009, Vol. 29 Issue 7, p24 

    The article discusses a study on the efficacy of mosaicplasty as an option for treating full-thickness defects in the knee and other weight-bearing joints.

  • Arthroplasty in the young patient. Keller, Julie M.; Vadasdi, Katie B.; Bigliani, Louis U. // British Journal of Hospital Medicine (17508460);May2009, Vol. 70 Issue 5, p266 

    Shoulder pain and loss of function caused by degenerative joint disease is extremely disabling to young people who have an active lifestyle. If non-operative and minimally invasive treatment fails, shoulder arthroplasty is a reasonable option. This article reviews the options and indications for...

  • Pediatric Elbow Dislocation Associated with Proximal Radioulnar Translocation: A Report of Three Cases and a Review of the Literature. Combourieu, Benoit; Thevenin-Lemoine, Camille; Abelin-Genevois, Kariman; Mary, Pierre; Damsin, Jean-Paul; Vialle, Raphaël // Journal of Bone & Joint Surgery, American Volume;Jul2010, Vol. 92-A Issue 8, p1780 

    The article presents case studies of three children having proximal radioulnar dislocation. Initial examination of a six-year-old girl showed a swollen, painful right elbow without vascular and neurologic problems. A posterior dislocation had been diagnosed to a twelve-year-old boy two months...

  • WHAT'S NEW IN PEDIATRIC ORTHOPAEDICS. Kocher, Mininder S.; Newton, Peter O. // Journal of Bone & Joint Surgery, American Volume;May2005, Vol. 87-A Issue 5, p1171 

    Provides updates on the field of pediatric orthopedics. Management of children who have brachial plexus palsy; Performance of open radial head reduction, ulnar osteotomy, and annular ligament reconstruction; Evaluation of the function associated with various prostheses with use of the Unilateral...

  • Interobserver Reliability of Radiographic Measurements of Contralateral Feet of Pediatric Patients with Unilateral Clubfoot. Radler, Christof; Egermann, Marcus; Riedl, Karin; Ganger, Rudolf; Grill, Franz // Journal of Bone & Joint Surgery, American Volume;10/20/2010, Vol. 92-A Issue 14, p2427 

    Background: Radiographs have traditionally been used to describe and quantify foot deformities in infants and children. We hypothesized that the interobserver reliability of measurements obtained from radiographs of pediatric feet would be low, especially with regard to the infant foot, and that...

  • LEGG-CALVÉ-PERTHES DISEASE. Herring, John A.; Hui Taek Kim; Browne, Richard // Journal of Bone & Joint Surgery, American Volume;Oct2004, Vol. 86-A Issue 10, p2103 

    Background: Accurate and reliable radiographic classifications of the relative severity and outcome of Legg-Calvé-Perthes disease are essential in the study of that disease. As part of a prospective multicenter study*, we sought to define more clearly the lateral pillar classification of...

  • LEGG-CALVÉ-PERTHES DISEASE. Herring, John A.; Hui Taek Kim; Browne, Richard // Journal of Bone & Joint Surgery, American Volume;Oct2004, Vol. 86-A Issue 10, p2121 

    Background: The treatment of Legg-Calvé-Perthes disease has been based on uncontrolled retrospective studies with relatively small numbers of patients. This large, controlled, prospective, multicenter study was designed to determine the effect of treatment and other risk factors on the...

  • PROOF POSITIVE.  // Joe Weider's Muscle & Fitness;Jul2012, Vol. 73 Issue 7, p29 

    The article reports on a study, which found that women, men and children consuming a daily multivitamin showed improved cognitive function and also informs about the effect of turmeric extract in decreasing joint swelling.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics