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synonyms:
Pediatric Trigger Digits ICD-10
- M65.311 - Trigger thumb, right thumb
- M65.312 - Trigger thumb, left thumb
- M65.319 - Trigger thumb, unspecified thumb
- M65.321 - Trigger finger, right index finger
- M65.322 - Trigger finger, left index finger
- M65.329 - Trigger finger, unspecified index finger
- M65.331 - Trigger finger, right middle finger
- M65.332 - Trigger finger, left middle finger
- M65.339 - Trigger finger, unspecified middle finger
- M65.341 - Trigger finger, right ring finger
- M65.342 - Trigger finger, left ring finger
- M65.349 - Trigger finger, unspecified ring finger
- M65.351 - Trigger finger, right little finger
- M65.352 - Trigger finger, left little finger
- M65.359 - Trigger finger, unspecified little finger
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
Pediatric Trigger Digits Follow-up Care
Pediatric Trigger Digits Review References
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