Mulpruek P, Prichasuk S
Ramathibodi Hospital, Bangkok, Thailand.
J Hand Surg Br. 1998 Apr;23(2):255-7. doi: 10.1016/s0266-7681(98)80190-3.
Forty-two children with trigger thumb were reviewed to determine the possibility of spontaneous recovery and the outcome of treatment. There were 22 boys and 20 girls. All of them had a normal physical examination at birth. Ten patients had spontaneous recovery within 3 months of their initial visit. Thirty-two patients underwent surgical release. All of them had satisfactory results. Our findings suggest that spontaneous recovery of trigger thumb in children is possible and may be related to a traumatic cause for the condition. Delaying operation until after the age of 3 years will not affect the outcome.
对42例扳机指患儿进行了回顾性研究,以确定其自发恢复的可能性及治疗结果。其中男22例,女20例。所有患儿出生时体格检查均正常。10例患儿在初次就诊后3个月内自发恢复。32例患儿接受了手术松解。所有患儿术后效果均满意。我们的研究结果表明,儿童扳机指有可能自发恢复,且可能与该病的创伤性病因有关。手术推迟至3岁以后进行并不影响治疗效果。