Differenzialdiagnosen des Pollex rigidus

Hülsemann, Wiebke; Mann, M.; Winkler, F. J.

doi:10.1055/s-0042-100459

Cited by 2 publications

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“…U diferencijalnoj dijagnozi škljocavog palca najvažniji je tip II: manji i tanji palac, smanjen interdigitalni prostor uz hipoplaziju mišića tenara. 31,32…”

Section: ) Hipoplazija Palcaunclassified

Trigger Thumb in Children

Pavljak

Bulić

Antabak

2019

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The natural course of the condition in pediatric trigger thumb is still controversial, and accordingly, the recommendations for treatment vary considerably and there are no clear and broadly accepted guidelines. In this paper, we tried to provide a current literary overview of the disease progression and diagnostic and therapeutic abilities with an emphasis on the ultimate outcome of the treatment. Trigger thumb represents one of the most common pediatric hand conditions, mostly seen in preschool children. As a result of anatomic size mismatch between the flexor pollicis longus tendon and its sheath, disrupted tendon gliding is characteristic. The interphalangeal joint of the affected thumb fixed in a flexion contracture presents typical clinical finding. The first description of trigger thumb is attributed to Notta, and the palpable nodule at the volar aspect of the interphalangeal joint flexion crease still bears his name. Medical history and physical examination are used to diagnose this deformity with ultrasound as a potential early diagnostic tool. It is possible to misdiagnose a fracture, dislocation of the thumb or thumb-in-palm deformity. Clinical investigation has improved our understanding of the natural history and its benignancy. Therapeutic treatment depends on parent and physician preference. It can be either conservative, consisting of splint therapy and passive stretching exercises, or surgical, releasing of the A1 pulley that reliably restores thumb interphalangeal joint motion. Although it may take several years for spontaneous resolution, families willing to wait are given an opportunity to avoid hospitalization stress and surgical intervention.

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“…U diferencijalnoj dijagnozi škljocavog palca najvažniji je tip II: manji i tanji palac, smanjen interdigitalni prostor uz hipoplaziju mišića tenara. 31,32…”

Section: ) Hipoplazija Palcaunclassified

Trigger Thumb in Children

Pavljak

Bulić

Antabak

2019

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Fehlbildungen an Hand und Unterarm

Unglaub

Langer

Hahn³

et al. 2016

Orthopäde

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Many congenital malformations of the hand and forearm, e. g. polydactyly, thumb duplication, syndactyly and radial aplasia, are already evident at birth and newborns are promptly referred to specialized departments. In contrast, orthopedic surgeons are often confronted with malformations of the hand and forearm, which gradually become clinically conspicuous during growth. This review article focuses on these specific malformations, which regularly upset the patients in practice and in most cases the parents even more so. In addition to the diagnostics and differential diagnostics, the conservative and surgical treatment options are presented.

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Differenzialdiagnosen des Pollex rigidus

Cited by 2 publications

References 1 publication

Trigger Thumb in Children

Trigger Thumb in Children

Fehlbildungen an Hand und Unterarm

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