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Snapping thumb syndrome

MedGen UID:
98044
•Concept ID:
C0410060
•
Acquired Abnormality
Synonyms: Bilateral trigger thumb (type); Congenital trigger thumb (type); Recurrent trigger thumb (type); Trigger Thumb
SNOMED CT: Clicking thumb (42786005); Trigger thumb (42786005); Triggering of thumb (42786005); Trigger thumb - acquired (42786005); Nodular tendinous disease of thumb (42786005); Snapping thumb syndrome (42786005)
 
Monarch Initiative: MONDO:0008600
OMIM®: 190410

Definition

Pediatric trigger thumb is caused by a mismatch between the flexor pollicis longus tendon and its sheath. Patients present with a hard, palpable nodule (Notta's node) at the base of the metacarpal and an inability to extend the thumb beyond 30 degrees, which can rarely be accompanied by triggering, snapping, or a digit locked in extension (summary by Wang et al., 2012). [from OMIM]

Clinical features

From HPO
Thumb deformity
MedGen UID:
107901
•Concept ID:
C0575897
•
Finding
An abnormal structure of the first digit of the hand.
See: Feature record | Search on this feature

Professional guidelines

PubMed

Physical modalities for the conservative treatment of wrist and hand's tenosynovitis: A systematic review.
Ferrara PE, Codazza S, Cerulli S, Maccauro G, Ferriero G, Ronconi G
Semin Arthritis Rheum 2020 Dec;50(6):1280-1290. Epub 2020 Aug 29 doi: 10.1016/j.semarthrit.2020.08.006. PMID: 33065423
Current Concepts in the Management of Trigger Finger in Adults.
Gil JA, Hresko AM, Weiss AC
J Am Acad Orthop Surg 2020 Aug 1;28(15):e642-e650. doi: 10.5435/JAAOS-D-19-00614. PMID: 32732655
Trigger Finger: Adult and Pediatric Treatment Strategies.
Giugale JM, Fowler JR
Orthop Clin North Am 2015 Oct;46(4):561-9. Epub 2015 Aug 13 doi: 10.1016/j.ocl.2015.06.014. PMID: 26410644

Recent clinical studies

Etiology

Musculoskeletal complications in patients with diabetes mellitus.
Choi JH, Kim HR, Song KH
Korean J Intern Med 2022 Nov;37(6):1099-1110. Epub 2022 Oct 27 doi: 10.3904/kjim.2022.168. PMID: 36300322Free PMC Article
Common Hand Conditions: A Review.
Currie KB, Tadisina KK, Mackinnon SE
JAMA 2022 Jun 28;327(24):2434-2445. doi: 10.1001/jama.2022.8481. PMID: 35762992
Physical modalities for the conservative treatment of wrist and hand's tenosynovitis: A systematic review.
Ferrara PE, Codazza S, Cerulli S, Maccauro G, Ferriero G, Ronconi G
Semin Arthritis Rheum 2020 Dec;50(6):1280-1290. Epub 2020 Aug 29 doi: 10.1016/j.semarthrit.2020.08.006. PMID: 33065423
Trigger Finger? Just Shoot!
Merry SP, O'Grady JS, Boswell CL
J Prim Care Community Health 2020 Jan-Dec;11:2150132720943345. doi: 10.1177/2150132720943345. PMID: 32686570Free PMC Article
Carpal Tunnel Syndrome: A Potential Early, Red-Flag Sign of Amyloidosis.
Donnelly JP, Hanna M, Sperry BW, Seitz WH Jr
J Hand Surg Am 2019 Oct;44(10):868-876. Epub 2019 Aug 7 doi: 10.1016/j.jhsa.2019.06.016. PMID: 31400950

Diagnosis

Musculoskeletal complications in patients with diabetes mellitus.
Choi JH, Kim HR, Song KH
Korean J Intern Med 2022 Nov;37(6):1099-1110. Epub 2022 Oct 27 doi: 10.3904/kjim.2022.168. PMID: 36300322Free PMC Article
Common Hand Conditions: A Review.
Currie KB, Tadisina KK, Mackinnon SE
JAMA 2022 Jun 28;327(24):2434-2445. doi: 10.1001/jama.2022.8481. PMID: 35762992
Hand and Wrist Tendinopathies.
Patrick NC, Hammert WC
Clin Sports Med 2020 Apr;39(2):247-258. doi: 10.1016/j.csm.2019.10.004. PMID: 32115083
Carpal Tunnel Syndrome: A Potential Early, Red-Flag Sign of Amyloidosis.
Donnelly JP, Hanna M, Sperry BW, Seitz WH Jr
J Hand Surg Am 2019 Oct;44(10):868-876. Epub 2019 Aug 7 doi: 10.1016/j.jhsa.2019.06.016. PMID: 31400950
Tendinopathies of the Hand and Wrist.
Adams JE, Habbu R
J Am Acad Orthop Surg 2015 Dec;23(12):741-50. Epub 2015 Oct 28 doi: 10.5435/JAAOS-D-14-00216. PMID: 26510626

Therapy

Traditional Physiotherapy vs. Fascial Manipulation for the Treatment of Trigger Finger: A Randomized Pilot Study.
Iordache SD, Frenkel Rutenberg T, Pizem Y, Ravid A, Firsteter O
Isr Med Assoc J 2023 Apr;25(4):286-291. PMID: 37129129
The Role of Hyaluronic Acid for Soft Tissue Indications: A Systematic Review and Meta-Analysis.
Khan M, Shanmugaraj A, Prada C, Patel A, Babins E, Bhandari M
Sports Health 2023 Jan-Feb;15(1):86-96. Epub 2022 Feb 3 doi: 10.1177/19417381211073316. PMID: 35114853Free PMC Article
Common Hand Conditions: A Review.
Currie KB, Tadisina KK, Mackinnon SE
JAMA 2022 Jun 28;327(24):2434-2445. doi: 10.1001/jama.2022.8481. PMID: 35762992
Current Concepts in the Management of Trigger Finger in Adults.
Gil JA, Hresko AM, Weiss AC
J Am Acad Orthop Surg 2020 Aug 1;28(15):e642-e650. doi: 10.5435/JAAOS-D-19-00614. PMID: 32732655
Trigger finger: An overview of the treatment options.
Matthews A, Smith K, Read L, Nicholas J, Schmidt E
JAAPA 2019 Jan;32(1):17-21. doi: 10.1097/01.JAA.0000550281.42592.97. PMID: 30589729

Prognosis

Hyperglycaemia is a causal risk factor for upper limb pathologies.
Green HD, Burden E, Chen J, Evans J, Patel K, Wood AR, Beaumont RN, Tyrrell J, Frayling TM, Hattersley AT, Oram RA, Bowden J, Barroso I, Smith C, Weedon MN
Int J Epidemiol 2024 Feb 1;53(1) doi: 10.1093/ije/dyad187. PMID: 38205890Free PMC Article
Amyloidosis and Considerations for the Hand Surgeon.
Brown CR, Bergin JD, Deal DN
J Hand Surg Am 2024 Mar;49(3):260-266. Epub 2023 Dec 2 doi: 10.1016/j.jhsa.2023.10.013. PMID: 38043036
Systematic YouTube Review - Trigger Finger Release.
Olson JT, Covarrubias O, Mo KC, Schmerler J, Kurian SJ, Laporte D
J Hand Surg Asian Pac Vol 2023 Jun;28(3):342-349. Epub 2023 May 5 doi: 10.1142/S2424835523500315. PMID: 37173138
Carpal Tunnel Syndrome: A Potential Early, Red-Flag Sign of Amyloidosis.
Donnelly JP, Hanna M, Sperry BW, Seitz WH Jr
J Hand Surg Am 2019 Oct;44(10):868-876. Epub 2019 Aug 7 doi: 10.1016/j.jhsa.2019.06.016. PMID: 31400950
Carpal tunnel syndrome and trigger digit: common diagnoses that occur "hand in hand".
Gancarczyk SM, Strauch RJ
J Hand Surg Am 2013 Aug;38(8):1635-7. Epub 2013 Jul 9 doi: 10.1016/j.jhsa.2013.04.032. PMID: 23849736

Clinical prediction guides

Traditional Physiotherapy vs. Fascial Manipulation for the Treatment of Trigger Finger: A Randomized Pilot Study.
Iordache SD, Frenkel Rutenberg T, Pizem Y, Ravid A, Firsteter O
Isr Med Assoc J 2023 Apr;25(4):286-291. PMID: 37129129
Common Hand Conditions: A Review.
Currie KB, Tadisina KK, Mackinnon SE
JAMA 2022 Jun 28;327(24):2434-2445. doi: 10.1001/jama.2022.8481. PMID: 35762992
Paediatric Trigger-Locked Thumb.
Fernandes C, Dong K, Rayan G
J Hand Surg Asian Pac Vol 2022 Feb;27(1):2-9. Epub 2022 Feb 23 doi: 10.1142/S2424835522300018. PMID: 35193463
Conservative management of trigger finger: A systematic review.
Lunsford D, Valdes K, Hengy S
J Hand Ther 2019 Apr-Jun;32(2):212-221. Epub 2017 Dec 28 doi: 10.1016/j.jht.2017.10.016. PMID: 29290504
Pediatric Thumb Flexion Deformities.
Shreve M, Chu A
Bull Hosp Jt Dis (2013) 2016 Mar;74(1):97-108. PMID: 26977555

Recent systematic reviews

The Role of Hyaluronic Acid for Soft Tissue Indications: A Systematic Review and Meta-Analysis.
Khan M, Shanmugaraj A, Prada C, Patel A, Babins E, Bhandari M
Sports Health 2023 Jan-Feb;15(1):86-96. Epub 2022 Feb 3 doi: 10.1177/19417381211073316. PMID: 35114853Free PMC Article
Physical modalities for the conservative treatment of wrist and hand's tenosynovitis: A systematic review.
Ferrara PE, Codazza S, Cerulli S, Maccauro G, Ferriero G, Ronconi G
Semin Arthritis Rheum 2020 Dec;50(6):1280-1290. Epub 2020 Aug 29 doi: 10.1016/j.semarthrit.2020.08.006. PMID: 33065423
Conservative management of trigger finger: A systematic review.
Lunsford D, Valdes K, Hengy S
J Hand Ther 2019 Apr-Jun;32(2):212-221. Epub 2017 Dec 28 doi: 10.1016/j.jht.2017.10.016. PMID: 29290504
Effectiveness of Conservative, Surgical, and Postsurgical Interventions for Trigger Finger, Dupuytren Disease, and De Quervain Disease: A Systematic Review.
Huisstede BM, Gladdines S, Randsdorp MS, Koes BW
Arch Phys Med Rehabil 2018 Aug;99(8):1635-1649.e21. Epub 2017 Aug 30 doi: 10.1016/j.apmr.2017.07.014. PMID: 28860097
Effectiveness of Occupational Therapy Interventions for Adults With Musculoskeletal Conditions of the Forearm, Wrist, and Hand: A Systematic Review.
Roll SC, Hardison ME
Am J Occup Ther 2017 Jan/Feb;71(1):7101180010p1-7101180010p12. doi: 10.5014/ajot.2017.023234. PMID: 28027038Free PMC Article

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