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Most patients had a single, unilateral trigger finger (54%). Fifty-five patients (29%) had an underlying condition, such as mucopolysaccharidosis; these cases appeared to be associated with multiple or bilateral trigger fingers or with carpal tunnel syndrome. All patients with mucopolysaccharidosis were treated surgically. Conservative management was reported in 33% of all patients, and two-thirds of these did not need further intervention. Patients undergoing surgical release infrequently had recurrence of triggering (6%). We propose an algorithmic approach for patients presenting with paediatric trigger finger. Presence of bilateral or multiple trigger digits or concomitant carpal tunnel syndrome should raise suspicion for an atypical underlying pathology.<\/jats:p>","DOI":"10.1177\/17531934211035642","type":"journal-article","created":{"date-parts":[[2021,10,6]],"date-time":"2021-10-06T00:58:20Z","timestamp":1633481900000},"page":"192-196","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Presentation and aetiology of paediatric trigger finger: a systematic review"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0414-0556","authenticated-orcid":false,"given":"Alison L.","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA"},{"name":"Division of Plastic Surgery, Dalhousie University, Halifax, NS, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Perioperative Medicine & Pain Management, Dalhousie University, Halifax, NS, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Parker","sequence":"additional","affiliation":[{"name":"W.K. 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