Herdem Mustafa, Bayram Hüseyin, Toğrul Emre, Sarpel Yaman
Division of Hand Surgery, Department of Orthopedics and Traumatology, Cukurova University Faculty of Medicine, Adana, Turkey.
Turk J Pediatr. 2003 Jul-Sep;45(3):237-9.
Trigger thumb of childhood, termed congenital trigger thumb, is a pathology of the flexor pollicis longus tendon with an unknown etiology. In this study, treatment outcomes of 47 trigger thumbs of 36 children were evaluated. There were 18 males and 18 females with a mean age of 34 months (9 months-13 years). Average age of recognition of pathology by the family was 20.5 months (0-8 years). In seven of 11 bilateral cases pathology was recognized simultaneously while in the other four, diagnosis was made at different times. We used conservative treatment for all patients under three years of age, which was unsuccessful. Thus, surgical relase was performed in all cases. In the mean follow-up of seven years (range 5-15), contracture and palpable nodules disappeared. In conclusion, we believe trigger thumb in childhood should be treated surgically and that the term "congenital trigger thumb" should be changed to "developmental trigger thumb".
儿童扳机指，称为先天性扳机指，是一种病因不明的拇长屈肌腱病变。在本研究中，对36名儿童的47例扳机指的治疗结果进行了评估。其中男性18例，女性18例，平均年龄34个月（9个月至13岁）。家庭识别出病变的平均年龄为20.5个月（0至8岁）。在11例双侧病例中，7例病变被同时识别，而在其他4例中，诊断在不同时间做出。我们对所有3岁以下的患者采用保守治疗，但未成功。因此，所有病例均进行了手术松解。平均随访7年（范围5至15年），挛缩和可触及的结节消失。总之，我们认为儿童扳机指应采用手术治疗，“先天性扳机指”这一术语应改为“发育性扳机指”。
