Bilateral Symmetrical Congenital Trigger Thumb and Middle Finger in a 2-Year-Old Child: A Case Report

Vilai P, MD1, Vechmamontien S, MD1

Affiliation : 1 Department of Orthopedics Surgery, HRH Princess Maha Chakri Sirindhorn Medical Center, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand

In the case report, a 2-year-old child presented with fixed thumb interphalangeal joint and triggering of middle finger both hands symmetrically. The patient was diagnosed with bilateral symmetrical congenital trigger thumb and trigger middle fingers. The symptoms of the left hand resolved non-operatively with physiotherapy but the pathology on the right hand required surgery. The A1 pulley was released in the right thumb and right middle finger. Subsequent release of the A3 pulley and the ulnar slip flexor digitorum superficalis of the middle finger was resected. The outcomes were good post-operatively and both the patient and parents were satisfied with the treatment.

Keywords : Congenital trigger thumb, Congenital trigger finger, Bilateral and symmetrical

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