{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T13:04:39Z","timestamp":1779455079797,"version":"3.53.1"},"reference-count":35,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T00:00:00Z","timestamp":1700265600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T00:00:00Z","timestamp":1700265600000},"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":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The aim of this study is to analyze the clinical reality of pediatric trigger thumb among members of the European Paediatric Orthopaedic Society.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A 35-question survey was sent to all European Paediatric Orthopaedic Society members, focusing on surgeon\u2019s profile and experience, trigger thumb diagnostic and trigger thumb treatment approach. Descriptive statistics were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 99 responses were analyzed. Most important factor considered in the therapeutic approach was the presence of a locked interphalangeal joint (52%). Regarding treatment, 41.4% opt for conservative approach as the first line of treatment, while 30.3% consider surgery and 28.3% just observe. Nevertheless, 76% mention to treat conservatively their patients and 99% to consider surgery at some stage. Regarding surgical technique, 96% do it open and 56% consider 2\u2009years as the minimum age for procedure. Most surgeons perform this procedure in out-patient care (87%), don\u2019t administer prophylactic antibiotherapy (80%), use a tourniquet (75%), don\u2019t use any postoperative immobilization (64%), and report complications related to surgery (64%), mainly recurrence\/incomplete division (59%) and superficial wound infection (30%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our study shows a significant variability in the initial management of pediatric trigger thumb with a predominance of conservative management, followed by surgery and observation without treatment. The disparity in treatment options and timing, or waiting times before moving on to different therapeutic options, shows us that this is a controversial issue and that the development of prospective randomized controlled studies is needed to analyze the different treatment methods and determine which ones give the best outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18632521231214312","type":"journal-article","created":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T05:32:43Z","timestamp":1700285563000},"page":"64-71","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Trigger thumb treatment approach: Results of a survey of EPOS members"],"prefix":"10.1177","volume":"18","author":[{"given":"Marcos","family":"Carvalho","sequence":"first","affiliation":[{"name":"Department of Pediatric Orthopedics - Pediatric Hospital, Centro Hospitalar e Universit\u00e1rio de Coimbra (CHUC), EPE, Coimbra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura M","family":"Perez-Lopez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopaedic Surgery and Traumatology, Sant Joan de Deu Barcelona Children\u2019s Hospital, University of Barcelona, Barcelona, Spain"},{"name":"Sant Joan de Deu Research Foundation, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Farr","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics and Foot and Ankle Surgery, Orthopedic Hospital Speising, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nunzio","family":"Catena","sequence":"additional","affiliation":[{"name":"Head Reconstructive Surgery and Hand Surgery Unit, IRCCS Istituto Giannina Gaslini, Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2011.3.2.157"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.04.041"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.12.024"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-20-04-206"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.78B3.0780481"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(94)90046-9"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181b59ac1"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2020.10.016"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001486"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.05.006"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e318264484c"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000790"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414523245"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181edef8d"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.734115"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000809"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000119"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416641590"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004020000249"},{"key":"e_1_3_3_21_2","first-page":"1047","article-title":"Treatment of trigger digit in children","volume":"34","author":"Sugimoto Y.","year":"1991","unstructured":"Sugimoto Y. 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