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Pediatric Trigger Digits M65.30 756.8

 

synonyms:

Pediatric Trigger Digits ICD-10

Pediatric Trigger Digits ICD-9

  • 727.03 (Pediatric Trigger finger)
  • 756.8(other congenital musculoskeletal anomalies of muscle, tendon, fascia)

 

Pediatric Trigger Digits Etiology / Epidemiology / Natural History

  • Thumbs Pediatric Trigger digtis are common
  • Finger Pediatric Trigger digits are uncommon
  • Aquired, not congenital
  • Sporadic occurance
  • 30% bilateral

Pediatric Trigger Digits Anatomy

  • Finger related to anomalous anatomy: abnormal lumbrical insertions, proximal decussaiotn of the FDS

Pediatric Trigger Digits Clinical Evaluation

  • Palpable nodule of the flexor pollicis longus. May have Pediatric Triggering or a fixed flexion contracture if the IP joint.

Pediatric Trigger Digits Xray / Diagnositc Tests

Pediatric Trigger Digits Classification / Treatment

  • Thumb, infants: may resolve spontaneously by age 1 in up to 50% of patients.
  • Thumb >1y/o: release of A1 pulley
  • Finger: more extensive release is required. Need to expose the lumbrical, A1 pulleys, A# pulleys may beed ecision of the slip of the FDS.

Pediatric Trigger Digits Associated Injuries / Differential Diagnosis

  • Mucopolysaccharidosis
  • Diabtetes
  • Juvenile rheumatoid arthritis

Pediatric Trigger Digits Complications

  • Recurrence

Pediatric Trigger Digits Follow-up Care

Pediatric Trigger Digits Review References

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