Presentation and aetiology of paediatric trigger finger: a systematic review.
J Hand Surg Eur Vol
; 47(2): 192-196, 2022 02.
Article
de En
| MEDLINE
| ID: mdl-34610771
ABSTRACT
Paediatric trigger finger is a rare condition distinct from paediatric trigger thumb and adult trigger digits. We performed a systematic review of paediatric trigger finger presentation and aetiology in order to guide workup and management. Fifty-one studies with 193 patients and 398 trigger fingers were included. Most patients had a single, unilateral trigger finger (54%). Fifty-five patients (29%) had an underlying condition, such as mucopolysaccharidosis; these cases appeared to be associated with multiple or bilateral trigger fingers or with carpal tunnel syndrome. All patients with mucopolysaccharidosis were treated surgically. Conservative management was reported in 33% of all patients, and two-thirds of these did not need further intervention. Patients undergoing surgical release infrequently had recurrence of triggering (6%). We propose an algorithmic approach for patients presenting with paediatric trigger finger. Presence of bilateral or multiple trigger digits or concomitant carpal tunnel syndrome should raise suspicion for an atypical underlying pathology.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Doigt à ressaut
Type d'étude:
Diagnostic_studies
/
Etiology_studies
/
Systematic_reviews
Limites:
Child
/
Humans
Langue:
En
Journal:
J Hand Surg Eur Vol
Année:
2022
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique