Pediatric Hand Conditions
An 18-month-old girl is brought by her parents who noticed that her left thumb is stuck in a bent position. The child does not appear to be in pain. Examination reveals the thumb IP joint held in approximately 30 degrees of flexion with a palpable nodule at the base of the thumb. Passive extension is possible but with a palpable click. The parents report the thumb has been this way for several months. Regarding pediatric trigger thumb:
Mark each as TRUE or FALSE
Pediatric trigger thumb is characterized by flexion of the interphalangeal (IP) joint with difficult...
Clinical features include a fixed flexion deformity of the thumb IP joint, a palpable nodule at the ...
Pediatric trigger thumb is caused by A1 pulley thickening without tendon involvement; it always pres...
Spontaneous resolution can occur in a significant proportion of cases (30-60% in some studies), part...
Surgical treatment involves release of the A1 pulley through a transverse incision at the MCP flexio...
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Click T (True) or F (False) for each option