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The outcome of treatment of trigger thumb in children

Department of Orthopaedics, Royal Hospital for Sick Children, Yorkhill, Glasgow G3 8SJ, UK.

Correspondence should be sent to Mr R. A. Dunsmuir at 190 East-woodmains Road, Clarkston, Glasgow G76 7HA, UK.

Our aim was to determine the outcome of the treatment of trigger thumb in children. There was a rate of spontaneous recovery of 49% in those children whose thumbs were observed before a final decision to operate was made. Spontaneous recovery occurred more commonly in children over 12 months old. All patients treated by operation had a satisfactory outcome with few complications. The overall rate of recurrence was 4.0% and it was more common in younger children. Our results suggest that a conservative approach to surgery for this condition could be adopted.