{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T06:52:09Z","timestamp":1794293529500,"version":"4.9.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T00:00:00Z","timestamp":1731456000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>The aim of this study was to report the natural history of paediatric trigger thumbs, determining the rate and factors predictive of spontaneous resolution. A total of 62 patients presenting with 79 thumbs locked in flexion were observed for a mean of 4.2 years. The median age at presentation was 20.5 months. The spontaneous resolution rate was 37% at 5 years and 50% at 8 years of follow-up. Of the thumbs, 27% had undergone surgery at 5 years and 48% at 8 years. Thumbs that spontaneously resolved did so at a mean of 3.4 years. Thumbs presenting with an interphalangeal joint angle of less than 30\u00b0 were likely to resolve spontaneously, with a sensitivity of 0.50 and specificity of 0.82. It is reasonable to offer observation alone for 4 to 5 years as the first line of management for paediatric trigger thumb.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence<\/jats:bold>\n                    : III\n                  <\/jats:p>","DOI":"10.1177\/17531934241295903","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T06:43:35Z","timestamp":1731480215000},"page":"616-621","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The natural history of paediatric trigger thumbs. A prospective cohort study"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6887-691X","authenticated-orcid":false,"given":"Ee Ming","family":"Chew","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, KK Women\u2019s and Children\u2019s Hospital, Singapore, Republic of Singapore"},{"name":"Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore, Republic of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noah Yu Ting","family":"Sim","sequence":"additional","affiliation":[{"name":"Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Republic of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole Kim Luan","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Surgery, KK Women\u2019s and Children\u2019s Hospital, Singapore, Republic of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth Pak Leung","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, KK Women\u2019s and Children\u2019s Hospital, Singapore, Republic of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi Ling","family":"Chua","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, KK Women\u2019s and Children\u2019s Hospital, Singapore, Republic of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn Sinn Yii","family":"Chia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, KK Women\u2019s and Children\u2019s Hospital, Singapore, Republic of Singapore"},{"name":"Department of Orthopaedic Surgery, Sengkang General Hospital, Singapore, Republic of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,13]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00296"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2011.3.2.157"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199905000-00024"},{"key":"e_1_3_3_5_1","first-page":"153","article-title":"Trigger thumbs in children. 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