Tan Andrew Hwee Chye, Lam Khee Sien, Lee Eng Hin
Department of Orthopaedic Surgery, Singapore General Hospital, Republic of Singapore.
J Pediatr Orthop B. 2002 Jul;11(3):256-9. doi: 10.1097/00009957-200207000-00011.
Our objectives were to determine the treatment outcome of trigger thumb and to identify its possible cause. One hundred and thirty-eight thumbs from 115 children were reviewed. There was an overall success rate of 66% following conservative treatment and the success rate appears to be higher in the younger age group and in those treated with splint therapy, which includes wearing a splint and regular therapy exercises. The outcome of the children who underwent surgery was good with a recurrence rate of 1.4% and a wound infection rate of 2.8%. Our results suggest that a more conservative approach to this problem should be adopted. Our data also suggest that this condition may be acquired rather than congenital.
我们的目标是确定扳机指的治疗效果并找出其可能的病因。我们回顾了115名儿童的138根拇指。保守治疗后的总体成功率为66%，且成功率在较年幼的年龄组以及接受夹板治疗（包括佩戴夹板和定期进行治疗性锻炼）的儿童中似乎更高。接受手术的儿童治疗效果良好，复发率为1.4%，伤口感染率为2.8%。我们的结果表明，对于这个问题应采取更为保守的方法。我们的数据还表明，这种情况可能是后天获得的而非先天性的。
