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KMID : 1143020230280010047
Archives of Hand and Microsurgery
2023 Volume.28 No. 1 p.47 ~ p.51
Resection of one slip of the flexor digitorum superficialis resulting finger deformity in pediatric trigger finger: a case report
Kim Do-Won

Yoon Jung-Soo
Lim Soo-A
Han Yea-Sik
Eo Su-Rak
Abstract
Pediatric trigger finger (PTF) is a rare hand disorder caused by various anatomic abnormalities and systemic illnesses. We report a case of PTF in a 16-month-old boy, revealing a flexion deformity of his right middle finger. We noted an abnormally proximal location of Camper¡¯s chiasm and bulging of the flexor digitorum profundus intraoperatively. We released the A1 pulley completely and resected an ulnar slip of the flexor digitorum superficialis (FDS). The short-term outcome was satisfactory; however, the patient experienced a mild flexion deformity and ulnar deviation of the right middle finger at a 4-year follow-up visit. During reexploration, we noted severe scar adhesion along the previously cut end of the ulnar slip of the FDS. Therefore, we performed en-bloc scar tissue release with additional resection of the remaining radial slip of the FDS. To prevent recurrence after PTF release, close monitoring with short-term follow-up and early physiotherapy should be emphasized.
KEYWORD
Hand, Trigger finger disorder, Pediatrics
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