Show simple item record

dc.contributor.authorBretón-Gómez, Guillermo Andresspa
dc.contributor.authorVargas-Rueda, John Jairospa
dc.contributor.authorArdila Forero, Paola Andreaspa
dc.contributor.authorLópez Villegas, Andreaspa
dc.date.accessioned2020-10-27T14:19:15Z
dc.date.available2020-10-27T14:19:15Z
dc.date.issued2020-03-31
dc.identifier.issn2382-4603
dc.identifier.issn0123-7047
dc.identifier.urihttp://hdl.handle.net/20.500.12749/9904
dc.description.abstractIntroducción. El dedo en gatillo es una anomalía infrecuente en niños que afecta principalmente al dedo pulgar, de etiología desconocida. El manejo puede ser conservador o quirúrgico. Reporte de caso. Paciente pediátrica escolar de 4 años y 7 meses de edad es remitida al servicio de cirugía plástica por deformidad en flexión fija del pulgar derecho, de 4 meses de evolución asociada a nódulo palpable. Se interviene quirúrgicamente de forma efectiva, sin complicaciones, secuelas ni recurrencia. Discusión. La paciente fue manejada quirúrgicamente de forma efectiva. Se hizo un seguimiento durante 3 años con una evolución satisfactoria, teniendo una recuperación total de la función del pulgar, sin secuelas y adecuada adaptabilidad al medio. Conclusión. Este artículo tiene como objetivo presentar un caso clínico que busca llamar la atención sobre las indicaciones del tratamiento conservador versus quirúrgico que existen en la literatura, corresponde a una paciente pediátrica de nuestro medio con dedo pulgar en gatillo bilateral, su manejo y los resultados postoperatorios. El dedo pulgar en gatillo pediátrico tiene una baja prevalencia en el mundo. No hay estudios de incidencia ni prevalencia en nuestro medio. La edad de presentación es variable, los signos y síntomas no son iguales a los del adulto, el compromiso puede ser bilateral, su diagnóstico es clínico y el tratamiento quirúrgico, dependiendo del grado de compromiso, puede ser el más efectivo.spa
dc.format.mimetypeapplication/pdfspa
dc.format.mimetypeText/xmlspa
dc.language.isospaspa
dc.publisherUniversidad Autónoma de Bucaramanga UNAB
dc.relationhttps://revistas.unab.edu.co/index.php/medunab/article/view/3616/3209
dc.relationHttps://revistas.unab.edu.co/index.php/medunab/article/view/3616/3220
dc.relation/*ref*/Flatt A. Notta’s nodules and trigger digits. Baylor University Medical Center Proceedings. 2007; 20(2):143-145. doi: 10.1080/08998280.2007.11928272 2. Kuo M, Rayan G. Complete annular and partial oblique pulley release for pediatric locked trigger thumb. Hand 5. 2010; 5(4):408–414. doi: 10.1007/s11552-010-9274-8 3. Rekha Y. Delayed Case of Congenital Bilateral Trigger Thumb: A Case Report and Review of Literature. J Orthop Case Rep. 2014; 4(1):24–27. doi: 10.13107/jocr.2250-0685.143 4. Khoshhal K, Jarvis J, Uhthoff H. Congenital trigger thumb in children: electron microscopyand immunohistochemical analysis of the first annular pulley. Journal of Pediatric Orthopaedics B. 2012; 21(4):295–299. doi: 10.1097/BPB.0b013e3283536962 5. Kikuchi N, Ogino T. Incidence and Development of Trigger Thumb in Children. The Journal of Hand Surgery. 2006; 31(4):541–543. doi: 10.1016/j.jhsa.2005.12.024 6. Huwae T, Bastian J, Lukman R. Congenital bilateral trigger thumb in 3 years old girl: A case report. International Journal of Surgery Open. 2018; 13:15-19. doi: 10.1016/j.ijso.2018.07.004 7. Schaverien M, Godwin Y. Paediatric trigger finger: Literature review and management algorithm. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2011; 64(5):623-631. doi: 10.1016/j.bjps.2010.09.011 8. Leung O, Ip F, Wong T, Wan S. Trigger thumbs in children: results of surgical release. hongMedJ. 2011; 17(5):372-375. pmid: 21979473 9. Herdem M, Bayram H, Toðrul E, Sarpel Y. Clinical analysis of the trigger thumb of childhood. Turk J Pediatr 2003; 45(3):237-239. pmid: 14696802 10. Twu J, Angeles J. Developmental Trigger Thumb. Pediatr Ann. 2016; 45(4):135-138. doi: 10.3928/00904481-20160317-02 11. Wang E, Xu X, Dagum, A. Mirror-image Trigger Thumb in Dichorionic Identical Twins. Orthopedics. 2012; 35(6):981-983. doi: 10.3928/01477447-20120525-48 12. Bae D, Shah A. Management of Pediatric Trigger Thumb and Trigger Finger. Journal of the American Academy Orthopaedic Surgeons. 2012;20(4):206-213 doi: 10.5435/JAAOS-20-04-206 13. Buchman MT, Gibson TW, McCallum D, Cuda DD, Ramos AG. Transmission electron microscopic pathoanatomy of congenital trigger thumb. Journal of Pediatric Orthopaedics. 1999; 19(3):411-412. pmid: 10344330 14. Han S, Yoon H, Shin D, Song D. Trigger Thumb in Children: Results of Surgical Treatment in Children: Above 5 Years of Age. Journal of Pediatric Orthopaedics. 2010; 30(7):710-714. doi: 10.1097/BPO.0b013e3181edef8d 15. Watanabe H, Hamada Y, Toshima T, Nagasawa K. Conservative treatment for trigger thumb in children. Archives of Orthopaedic and Trauma Surgery. 2001; 121(7):388-390. doi: 10.1007/s004020000249 16. De Luna V, Potenza V, Garro L, Farsetti P, Caterini R. Multiple Congenital Bilateral Trigger Digits in a 2-Year-Old Child: Case Report. The Open Orthopaedics Journal. 2013; 7: 75-77. doi: 10.2174/1874325001307010075 17. Baek G, Lee Y. The Natural History of Pediatric Trigger Thumb: A Study with a Minimum of Five Years Follow-up. Clinics Orthopedic Surgery. 2011; 3(2):157-159. doi: 10.4055/cios.2011.3.2.157 18. Forlin E, Kaetsu E, De Vasconcelos J. Success of conservative treatment of trigger thumb in children after minimum follow-up of five years. Revista Brasileira de Ortopedia. 2012; 47(4):483-7. doi: 10.1016/S2255-4971(15)30133-6 19. Tan AH, Lam KS, Lee EH. The treatment outcome of trigger thumb in children. Journal of Pediatric Orthopaedics. 2002; 11(3):256-259. doi: 10.1097/00009957-200207000-00011 20. Bae D. Pediatric Trigger Thumb. J Hand Surg Am. 2008; 33(7):1189–1191. doi: 10.1016/j.jhsa.2008.04.017 21. Ferreyra A, Schumacher F, Allende V, Masquijo J. Tratamiento quirúrgico del pulgar en resorte pediátrico. Revista Mexicana de Ortopedia Pediátrica. [Internet]. 2013[citado 14 de enero de 2019];2(15):105-110. Recuperado a partir de: https://www.medigraphic.com/pdfs/opediatria/op-2013/op132h.pdf 22. Van Loveren M, Van der Biezen J. The Congenital Trigger Thumb Is Release of the First Annular Pulley Alone Sufficient to Resolve the Triggering? Annals of Plastic Surgery. 2007; 58(3):335-337. doi: 10.1097/01.sap.0000238336.30617.72 23. Sevencan A, Inan U, Köse N, Omeroğlu H, Seber S. Percutaneous Release for Trigger Thumbs in Children: Improvements of the Technique and Results of 31 Thumbs. Journal of Pediatric Orthopaedics. 2010; 30(7):705-709. doi: 10.1097/BPO.0b013e3181efb90e
dc.relation.urihttps://revistas.unab.edu.co/index.php/medunab/article/view/3616
dc.rightsDerechos de autor 2020 MedUNAB
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.sourceMedUNAB; Vol. 23 Núm. 1 (2020): abril - julio 2020: Práctica basada en la evidencia, Enterocolitis necrotizante, Miedo a la muerte; 131-136
dc.subjectTrastorno del Dedo en Gatillo
dc.subjectAnomalías Congénitas
dc.subjectLactante
dc.subjectRecién Nacido
dc.subjectTratamiento Conservador
dc.subjectTerapéutica
dc.subjectComplicaciones Posoperatorias
dc.titleDedo pulgar en gatillo bilateral, tratamiento quirúrgico y conservador en paciente de 4 años de edad
dc.title.translatedBilateral trigger finger, surgical and conservative treatment in a 4 year old patient
dc.type.driverinfo:eu-repo/semantics/article
dc.type.localArtículospa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501
dc.subject.keywordsTrigger Finger Disordereng
dc.subject.keywordsCongenital Abnormalitieseng
dc.subject.keywordsInfanteng
dc.subject.keywordsNewborneng
dc.subject.keywordsConservative Treatmenteng
dc.subject.keywordsTherapeuticseng
dc.subject.keywordsPostoperative Complicationseng
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga UNABspa
dc.type.hasversionInfo:eu-repo/semantics/publishedVersion
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.identifier.repourlrepourl:https://repository.unab.edu.co
dc.description.abstractenglishIntroduction. Trigger finger is a rare anomaly in children; it is of unknown etiology and mainly affects the thumb. Management may be conservative or surgical. Case report. Pediatric patient of 4 years and 7 months of age is referred to plastic surgery service for fixed flexion deformity of the right thumb, after 4 months of evolution associated with a palpable nodule. It is successfully intervened surgically, without complications, sequels or recurrence. Discussion. The patient was effectively treated via surgery. Follow-up was carried out for three years with satisfactory evolution, showing full recovery of the function of the thumb, with no after-effects and with adequate adaptability to the environment. Conclusion. The objective of this article is to present a clinical case that aims to draw attention to the indications for conservative versus surgical treatment existing in the literature, corresponding to a pediatric patient from our milieu with a bilateral trigger finger, its treatment and postoperative results. Pediatric trigger finger has low prevalence in the world. There are no incidence or prevalence studies in this region. The age at which it arises is variable; the signs and symptoms are not the same as those of adults; involvement may be bilateral; diagnosis is clinical and surgery may be the most effective treatment, depending on the degree of involvement.eng
dc.identifier.doi10.29375/01237047.3616
dc.type.redcolhttp://purl.org/redcol/resource_type/ART
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Atribución-NoComercial-SinDerivadas 2.5 Colombia
Except where otherwise noted, this item's license is described as Atribución-NoComercial-SinDerivadas 2.5 Colombia