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扳机指、弹响指和扣拇

Trigger Thumb, Trigger Finger and Clasped Thumb.

作者信息

Carvalho Marcos, Barreto Maria Inês, Alves Cristina, Soldado Francisco

机构信息

Department of Pediatric Orthopaedics, Pediatric Hospital, Centro Hospitalar e Universitário de Coimbra (CHUC), EPE, Av. Afonso Romão, 3000-602 Coimbra, Portugal.

Pediatric Hand Surgery and Microsurgery, Barcelona Children's Hospital, HM Nens, HM Hospitales, 08009 Barcelona, Spain.

出版信息

Children (Basel). 2024 Mar 1;11(3):294. doi: 10.3390/children11030294.

DOI:10.3390/children11030294
PMID:38539329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10969764/
Abstract

Finger deformities are a common reason for medical observation in children. Subtle clinical differences can have a significant impact on the diagnosis and treatment of these patients. Identification of the basic diagnostic and treatment principles of trigger thumb, trigger finger, and clasped thumb is of paramount importance to all general practitioners, pediatricians, and orthopedic surgeons who are involved in the care of children. The purpose of this article is to review the most important concepts regarding these important topics, focusing on etiology, epidemiology, clinical presentation, diagnosis, treatment and prognosis.

摘要

手指畸形是儿童接受医学观察的常见原因。细微的临床差异可能对这些患者的诊断和治疗产生重大影响。识别扳机指、扳机拇和扣拇的基本诊断和治疗原则，对于所有参与儿童护理的全科医生、儿科医生和骨科医生来说至关重要。本文的目的是回顾有关这些重要主题的最重要概念，重点关注病因、流行病学、临床表现、诊断、治疗和预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/c00863d65f3e/children-11-00294-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/0f80c3d7ff96/children-11-00294-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/28bc9231dc90/children-11-00294-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/818d642f85fd/children-11-00294-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/c84924bde81d/children-11-00294-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/ad40fd70b04d/children-11-00294-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/c00863d65f3e/children-11-00294-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/0f80c3d7ff96/children-11-00294-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/28bc9231dc90/children-11-00294-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/818d642f85fd/children-11-00294-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/c84924bde81d/children-11-00294-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/ad40fd70b04d/children-11-00294-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4eb/10969764/c00863d65f3e/children-11-00294-g006.jpg

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1
Trigger Thumb, Trigger Finger and Clasped Thumb.扳机指、弹响指和扣拇
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引用本文的文献

1
Pediatric trigger thumb treated with A1 pulley release with or without postoperative thumb immobilization: a retrospective study.采用或不采用术后拇指固定的 A1 滑车松解术治疗小儿扳机指：一项回顾性研究
J Orthop Surg Res. 2025 Aug 30;20(1):799. doi: 10.1186/s13018-025-06203-2.

本文引用的文献

1
Trigger thumb treatment approach: Results of a survey of EPOS members.扳机指治疗方法：EPOS 成员调查结果
J Child Orthop. 2023 Nov 18;18(1):64-71. doi: 10.1177/18632521231214312. eCollection 2024 Feb.
2
Pediatric Wide-Awake Local Anesthesia No-Tourniquet Hand Surgery: A Practical Approach.小儿清醒局部麻醉无止血带手部手术：一种实用方法
J Hand Surg Glob Online. 2022 Jun 9;4(6):426-431. doi: 10.1016/j.jhsg.2022.05.002. eCollection 2022 Nov.
3
Presentation and aetiology of paediatric trigger finger: a systematic review.
小儿扳机指的表现与病因：系统综述。
J Hand Surg Eur Vol. 2022 Feb;47(2):192-196. doi: 10.1177/17531934211035642. Epub 2021 Oct 5.
4
Efficacy Analysis of Day Surgery A1 Pulley Release for Pediatric Trigger Thumb.日间手术A1滑车松解治疗小儿扳机指的疗效分析
Front Pediatr. 2021 Sep 14;9:734115. doi: 10.3389/fped.2021.734115. eCollection 2021.
5
Characteristics of Congenital Clasped Thumb: A Case Report and Literature Review.先天性扣拇指的特征：一例病例报告及文献综述
Front Pediatr. 2021 Jul 14;9:638059. doi: 10.3389/fped.2021.638059. eCollection 2021.
6
Trigger Thumb in Twins: Case Report.双胞胎中的扳机指：病例报告。
World J Plast Surg. 2021 May;10(2):110-114. doi: 10.29252/wjps.10.2.110.
7
The Natural History of Pediatric Trigger Thumb in the United States.美国小儿扳机指的自然史。
J Hand Surg Am. 2021 May;46(5):424.e1-424.e7. doi: 10.1016/j.jhsa.2020.10.016. Epub 2021 Jan 9.
8
Network meta-analysis of management of trigger thumb in children.儿童扳机指治疗的网状 Meta 分析。
J Pediatr Orthop B. 2021 Jul 1;30(4):351-357. doi: 10.1097/BPB.0000000000000809.
9
Clinical results of splinting versus observation for pediatric trigger thumb.小儿扳机指夹板固定与观察的临床结果
J Pediatr Orthop B. 2021 Jul 1;30(4):346-350. doi: 10.1097/BPB.0000000000000790.
10
Pulling the Trigger: Recommendations for Surgical Care of the Pediatric Trigger Thumb.扣动扳机：小儿扳机指手术治疗的建议
J Pediatr Orthop. 2020 Jul;40(6):300-303. doi: 10.1097/BPO.0000000000001486.