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Doctor at Fortis Hospital Anandapur treats 1 year old for Congenital Trigger Thumb

On 29th April 2019, Dr. Ashwin Choudhary, Consultant of the Department of Bone and Joint Care at Fortis Hospital Anandapur, operated on a 1 year old male child, suffering from Congenital Trigger Thumb. .

The child visited the surgeon with complaint of inability to extend the joint and right thumb with pain. On examination, the consultant diagnosed him with a Congenital Trigger Thumb in the right hand, which means that the child had a fixed flexion deformity of the interphalangeal joint of the right thumb due to which his thumb was locked in a flexed position. The child’s mother was counseled about the condition of the child, and she agreed for the surgical procedure. During the procedure, the paediatric orthopedic surgeon released the sheath of the FPL i.e. Flexor Pollicis Longus tendon and the A1 pulley. Through the surgery, the doctors were able to successfully extend the thumb to the normal position.

Congenital Trigger Thumb is rare anomaly found in children. Statistics show that cases with such deformity are observed in 3.3 infants out of 1000. In the regular practice of Dr. Chowdhary, he witnesses 1 or 2 cases in a year. During the first year of birth, attempts can be made to treat the condition with physiotherapy and massage under medical supervision, but if the child has not recovered after the 1st year, surgery is the usual method of treatment. If left untreated, this can lead to a permanent deformity, thus making day to day tasks more difficult.      

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