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Delayed Case of Congenital Bilateral Trigger Thumb: A Case Report and Review of Literature

INTRODUCTION: Congenital trigger thumb is an uncommon anomaly of children. Its management is controversial, ranging from observation to extensive surgical release. We report a case of delayed presentation of bilateral trigger thumb along with a brief review of past literature. CASE REPORT: A six yea...

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Autor principal: Rekha, Y Bhanu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4722562/
https://www.ncbi.nlm.nih.gov/pubmed/27298940
http://dx.doi.org/10.13107/jocr.2250-0685.143
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author Rekha, Y Bhanu
author_facet Rekha, Y Bhanu
author_sort Rekha, Y Bhanu
collection PubMed
description INTRODUCTION: Congenital trigger thumb is an uncommon anomaly of children. Its management is controversial, ranging from observation to extensive surgical release. We report a case of delayed presentation of bilateral trigger thumb along with a brief review of past literature. CASE REPORT: A six year old girl presented with fixed flexion deformity of interphalangeal joints of both thumbs and Notta’s nodules. It is diagnosed as trigger thumb and release of bilateral A1pulleys is done. But we found another constricting annular pulley just distal to A1. Only after splitting the distal pulley, we could get complete extension of interphalangeal joints. At two years follow-up, the child is free of complications. CONCLUSION: Splitting of A1 pulley alone may not be sufficient in few cases of trigger thumb which may require distal release too
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spelling pubmed-47225622016-06-13 Delayed Case of Congenital Bilateral Trigger Thumb: A Case Report and Review of Literature Rekha, Y Bhanu J Orthop Case Reports Case Report INTRODUCTION: Congenital trigger thumb is an uncommon anomaly of children. Its management is controversial, ranging from observation to extensive surgical release. We report a case of delayed presentation of bilateral trigger thumb along with a brief review of past literature. CASE REPORT: A six year old girl presented with fixed flexion deformity of interphalangeal joints of both thumbs and Notta’s nodules. It is diagnosed as trigger thumb and release of bilateral A1pulleys is done. But we found another constricting annular pulley just distal to A1. Only after splitting the distal pulley, we could get complete extension of interphalangeal joints. At two years follow-up, the child is free of complications. CONCLUSION: Splitting of A1 pulley alone may not be sufficient in few cases of trigger thumb which may require distal release too Indian Orthopaedic Research Group 2014 /pmc/articles/PMC4722562/ /pubmed/27298940 http://dx.doi.org/10.13107/jocr.2250-0685.143 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rekha, Y Bhanu
Delayed Case of Congenital Bilateral Trigger Thumb: A Case Report and Review of Literature
title Delayed Case of Congenital Bilateral Trigger Thumb: A Case Report and Review of Literature
title_full Delayed Case of Congenital Bilateral Trigger Thumb: A Case Report and Review of Literature
title_fullStr Delayed Case of Congenital Bilateral Trigger Thumb: A Case Report and Review of Literature
title_full_unstemmed Delayed Case of Congenital Bilateral Trigger Thumb: A Case Report and Review of Literature
title_short Delayed Case of Congenital Bilateral Trigger Thumb: A Case Report and Review of Literature
title_sort delayed case of congenital bilateral trigger thumb: a case report and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4722562/
https://www.ncbi.nlm.nih.gov/pubmed/27298940
http://dx.doi.org/10.13107/jocr.2250-0685.143
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