Venkatadass Krishnamoorthy, Bhardwaj Praveen, Sabapathy S Raja
Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.
Department of Hand, Plastic and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.
J Hand Microsurg. 2020 Oct;12(Suppl 1):S75-S77. doi: 10.1055/s-0040-1701166. Epub 2020 Apr 9.
Pediatric trigger thumb is the new terminology for the so-called congenital trigger thumb. This change in appellation was suggested based on recent knowledge acquired through prospective studies of a large number of newborns for the presence of trigger thumb at birth across many centers. In this background, we came across a newborn with trigger thumb which was diagnosed right after birth, putting aside all theories of nonexistence of congenital trigger thumb. We report a case of congenital trigger thumb diagnosed at birth, which was managed surgically at 9 months of age, who has good clinical and functional outcomes at 1-year follow-up. Herewith, we would like to submit that congenital trigger thumb does exist, though might be a very rare occurrence.
小儿扳机指是所谓先天性扳机指的新术语。这一称谓的改变是基于最近通过多个中心对大量新生儿出生时扳机指情况进行前瞻性研究所获得的知识而提出的。在此背景下，我们遇到了一名出生后即被诊断为扳机指的新生儿，摒弃了所有关于先天性扳机指不存在的理论。我们报告一例出生时诊断为先天性扳机指的病例，该患儿在9个月大时接受了手术治疗，1年随访时临床和功能预后良好。在此，我们想说先天性扳机指确实存在，尽管可能非常罕见。
