Hudson D A, Grobbelaar A O, Bloch C E
Department of Plastic and Reconstructive Surgery, University of Cape Town.
S Afr J Surg. 1998 Aug;36(3):91-2.
The effectiveness of simple surgical release of trigger thumb/finger in children was assessed and the onset of this condition relative to age was investigated in a retrospective study between 1977 and 1992. Referrals to the congenital hand clinic at Red Cross War Memorial Children's Hospital, Cape Town, were studied. A total of 53 children (68 digits) with a mean age of 1.9 years were treated during this period (as day cases). The thumb was involved in 60 digits and involvement was bilateral in 11 children. Symptoms had been present since birth in 43 children. In 51 children (96%) the trigger digit was released successfully; the 2 recurrences were due to inadequate surgical release. Trigger digit in children appears to be a congenital condition. Simple surgical release is effective treatment and can be performed on an ambulant basis.
在一项1977年至1992年的回顾性研究中，评估了儿童扳机指/扳机拇单纯手术松解的有效性，并研究了该病的发病与年龄的关系。对转诊至开普敦红十字战争纪念儿童医院先天性手部诊所的病例进行了研究。在此期间共治疗了53例儿童（68个手指），平均年龄1.9岁（均为日间手术）。60个手指为拇指受累，11名儿童为双侧受累。43名儿童自出生即有症状。51名儿童（96%）扳机指松解成功；2例复发是由于手术松解不彻底。儿童扳机指似乎是一种先天性疾病。单纯手术松解是有效的治疗方法，可在门诊进行。
