Bilateral, multiple, trigger digits in a 3-year-old child

Abstract

A trigger finger is characterized by clicking, catching, or loss of motion of the involved finger and is associated with dysfunction and pain. Trigger digits in the pediatric population are relatively uncommon and multiple, bilateral trigger digits in children are extremely rare. Patients may present with the classical triggering as seen in adults or with digits locked in flexion. In this paper, we are reporting a 3-year-old girl who presented with flexion deformity of multiple digits with involvement of left thumb, middle, ring finger, and right thumb. After a failed trial of conservative management, the patient underwent surgery. Complete correction could be achieved with open division of the A1 pulleys of the involved digits. There has been no recurrence even after 3 years postsurgery. We believe that open release gives satisfactory results even in multiple trigger digits and should be the preferred treatment, especially for children presenting with digits locked in flexion.