RESEARCH ARTICLE


Multiple Congenital Bilateral Trigger Digits in a 2-Year-Old Child: Case Report



V De Luna, V Potenza*, L Garro, P Farsetti, R Caterini
Department of Orthopaedic Surgery, University of Rome Tor Vergata, Rome, Italy


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© De Luna et al.; Licensee Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the Policlinico Tor Vergata, Viale Oxford, 81, 00133, Roma, Italy; Tel: +39 06.2090.3466; E-mail: vitopotenza2@virgilio.it


Abstract

Trigger finger is a rare condition in children. In this paper, we report on a 2-year-old boy with multiple congenital bilateral trigger digits. The patient had no history of perinatal trauma, viral or bacterial infections, or metabolic disorders. The patient was treated with physiotherapy for one year. At the one-year follow-up, the boy presented with six trigger fingers (3 on the right hand, 3 on the left hand). Neither thumb was involved. The six trigger fingers were treated surgically: first, the right-hand trigger fingers and, six months later, those of the left hand. After each operation, a 4-week brace in extension was applied to the operated hand. The symptoms were completely resolved after surgical treatment. Many authors have recommended surgical release for the treatment of trigger finger in children; empirical treatment with physiotherapy may be an option when symptoms present or appear at an older age.

Keywords: Trigger digits, congenital, children, bilateral trigger fingers, metacarpophalangeal joint, surgical treatment.