Open Versus Percutaneous Surgery for Trigger Thumb in Children | Revista Española de Cirugía Ortopédica y Traumatología (English Edition)

Article information

Purpose

To compare open versus percutaneous surgery in the treatment of stenosing tenosynovitis of the thumb (trigger thumb) in a pediatric population.

Materials and methods

A retrospective study was performed comparing both surgical techniques by reviewing 108 patients (135 thumbs) with a follow-up period of 24 months.

Results

Six patients out of 92 (6.52%) were incapable of complete extension of the interphalangeal joint of the thumb after open surgery. When percutaneous surgery was performed there was recurrence in 15 thumbs of the 43 that underwent surgery (34.8%). No complications were seen related to lack of sensitivity, residual pain, nor alterations of thumb mobility in any of the patients in the two compared series.

Conclusions

Due to the percentage of recurrences seen, percutaneous surgery for trigger thumb is not recommended in a pediatric population.

Key words:

trigger thumb

open thumb surgery

percutaneous thumb surgery

children

Objetivo

Comparar la técnica quirúrgica abierta con la percutánea para el tratamiento de la tenosinovitis estenosante del pulgar en la infancia.

Material y método

Se realizó un estudio retrospectivo donde se revisaron 108 pacientes (135 pulgares) con un período de seguimiento medio de 24 meses, comparando ambas técnicas quirúrgicas.

Resultados

Seis pacientes de 92 (6,52%) presentaban incapacidad para la extensión completa de la articulación interfalángica del primer dedo tras cirugía abierta. Mediante cirugía percutánea la recidiva ocurrió en 15 pulgares de 43 intervenidos (34,8%). No aparecieron complicaciones relacionadas con déficit de sensibilidad, dolor residual, ni alteraciones de la movilidad del primer dedo en ninguna de las dos series comparadas.

Conclusiones

El porcentaje de recidiva acontecido tras el tratamiento percutáneo del pulgar en resorte justifica no recomendar su utilización en la población infantil.

Palabras clave:

pulgar en resorte

polectomía abierta

polectomía percutánea

niños

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