Trigger thumb in children: comparison of results between percutaneous release and open surgery | Revista Española de Cirugía Ortopédica y Traumatología (English Edition)

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Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Trigger thumb in children: comparison of results between percutaneous release an...

ISSN: 1988-8856

The Revista Española de Cirugía Ortopédica y Traumatología (Journal of Orthopaedics Surgery and Traumatology) is the official publication of the Spanish Society of Orthopaedic Surgery and Traumatology that has a combined total of 5,000 members, and is the leading Spanish journal of the specialty.
In the contents of the Journal, priority is given to original research articles on the specialty, which is also its main aim; the publication of the best original research articles in Spanish. In each issue it also publishes one or two clinical cases that are of great interest to the readers, since they are usually exceptional cases that are difficult to diagnose or treat. The Updates and Research Works sections are of great interest to specialists, due to the careful selection of the topics.
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Vol. 54. Issue 6.

Pages 351-356 (November - December 2010)

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Vol. 54. Issue 6.

Pages 351-356 (November - December 2010)

Original article

DOI: 10.1016/S1988-8856(10)70261-3

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Trigger thumb in children: comparison of results between percutaneous release and open surgery

Pulgar en resorte en niños. Comparación de resultados entre la liberación percutánea y la cirugía abierta

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L. Marcos Fuentesa, F.J. Downey Carmonab,

Corresponding author

docdowney@telefonica.net

Corresponding author.

, A. Tatay Díazb, E. Macías Morenob, D. Farrington Ruedab

a Paediatrics Department and its specialities, “Virgen del Rocío” University Hospitals, Seville, Spain

b Children's Orthopaedic Surgery and Traumatology Department, “Virgen del Rocío” University Hospitals, Seville, Spain

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Article information

Abstract

Objective

Assess the differences between open and percutaneous release of trigger thumb in children.

Material and methods

We performed a retrospective study of all the patients operated on at our institution between January 2000 and February 2009. Our exclusion criteria were: patients with trigger fingers other than the thumb, that were being operated on simultaneously of another condition, admitted for other reasons or refused treatment. The surgical technique was left to the preference of the attending physician.

Results

We found 176 trigger thumbs (159 children), with a mean age of 2.58 years, the majority being unilateral (n=142). Statistically significant differences between the two treatments were only found regarding surgical time (p<0.01); percutaneous release (14,56min) was less time-consuming than the open technique (33,49min).

Conclusion

Percutaneous release in children is a good, simple, cheap and fast alternative but it requires compliance of the parents in order to avoid recurrence and to obtain complete success.

Keywords:

Trigger thumb ;Surgery

Resumen

Objetivo

Evaluar las diferencias entre la liberación abierta y percutánea del pulgar en resorte en niños.

Material y métodos

Hemos realizado un estudio descriptivo retrospectivo de los niños intervenidos desde enero de 2000 hasta febrero de 2009 en nuestro centro. Se excluyeron aquellos pacientes con afectación de dedos largos (no pulgares), intervenidos simultáneamente de otras patologías o ingresados por otros motivos, así como aquellos que rechazaron el tratamiento propuesto. Se realizó una u otra técnica quirúrgica, así como las revisiones posteriores, según las preferencias del facultativo que atendía al paciente.

Resultados

Encontramos 176 pulgares en resorte (159 niños), con una edad media de 2,58 años, siendo la mayoría unilaterales (n=142). Hemos encontrado diferencias estadísticamente significativas entre ambos tratamientos con respecto al tiempo quirúrgico (p<0,01), siendo menor en la polectomía percutánea (14,56min) respecto a la cirugía abierta (33,49min).

Conclusión

La polectomía percutánea en niños es una buena alternativa, sencilla, económica y rápida pero, requiere la colaboración familiar para evitar las recurrencias y obtener el éxito completo.

Palabras clave:

Pulgar en resorte ;Cirugía

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