D98. A Descriptive Study of Pediatric Trigger Finger at the Children’S Hospital Of The King’S Daughters: 2012-2022

PURPOSE: Trigger finger occurs in 3 in 1000 children, typically between the ages of 1 to 4.1 If untreated, patients may experience extensive pain, loss of function and physical deformity. Most cases appear to be idiopathic in nature; however, some cases are linked to other underlying medical conditions.2 This study was completed to better understand the patient population, identify possible predictive factors, and analyze treatment outcomes. METHODS: The study is a single institution retrospective chart review of patients under the age of 18 who were diagnosed with and treated for trigger finger from 1/1/2012 to 12/1/2022. Patients were then assessed based on operative vs non-operative management. RESULTS: In total, 315 patients were included in the study with an average age of diagnosis was 3.2 years old. Of these, 239 patients were recommended to undergo surgery where 237 underwent surgery, 7 required a second surgery, and 0 required a third surgery. Of patients that underwent operative intervention with limited function, the most common symptoms were pain, limited extension/finger remained in flexion, and stiffness. CONCLUSION: Management varies based upon severity and age. In our management, surgery had a high success rate with 83% good functional status following surgery and only a 2% reoperation rate. Additionally, no significant identifiable causes were observed.