Trigger Twins: 2 Cases of Ipsilateral Twin Trigger Digit and a Review of Published Literature

Background. The aetiology of trigger digits has been debated since Notta first described them in 1850. Aetiology has been segregated for adult and paediatric presentations. While an adult trigger digit is most likely an acquired inflammatory process, the same is not true for cases in children: no in...

Full description

Saved in:
Bibliographic Details
Main Authors: David Brinkman, Gerard Sheridan, Michael O’Sullivan
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/8697360
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850166907292876800
author David Brinkman
Gerard Sheridan
Michael O’Sullivan
author_facet David Brinkman
Gerard Sheridan
Michael O’Sullivan
author_sort David Brinkman
collection DOAJ
description Background. The aetiology of trigger digits has been debated since Notta first described them in 1850. Aetiology has been segregated for adult and paediatric presentations. While an adult trigger digit is most likely an acquired inflammatory process, the same is not true for cases in children: no inflammatory reaction is seen on microscopic evaluation. We wish to add strength to a genotypical aetiology for paediatric cases. Methods. We present two cases of monozygotic twins with trigger digits managed in our institution. A comprehensive review of literature was conducted for cases of trigger digit in monozygotic twins to support our theory. Results. Our two sets of twins enjoyed a full recovery from surgery at one-month follow-up. A total of seven other cases of monozygotic twins were found in literature. Conclusion. Our cases add to the growing body of evidence supporting a genotypical aetiology for paediatric trigger digit.
format Article
id doaj-art-e520ce8fb9e748cf82e449811be8e9a1
institution OA Journals
issn 2090-6749
2090-6757
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-e520ce8fb9e748cf82e449811be8e9a12025-08-20T02:21:19ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/86973608697360Trigger Twins: 2 Cases of Ipsilateral Twin Trigger Digit and a Review of Published LiteratureDavid Brinkman0Gerard Sheridan1Michael O’Sullivan2Department of Orthopaedics, Galway University Hospital, Newcastle Road, Galway, IrelandDepartment of Orthopaedics, Galway University Hospital, Newcastle Road, Galway, IrelandDepartment of Orthopaedics, Galway University Hospital, Newcastle Road, Galway, IrelandBackground. The aetiology of trigger digits has been debated since Notta first described them in 1850. Aetiology has been segregated for adult and paediatric presentations. While an adult trigger digit is most likely an acquired inflammatory process, the same is not true for cases in children: no inflammatory reaction is seen on microscopic evaluation. We wish to add strength to a genotypical aetiology for paediatric cases. Methods. We present two cases of monozygotic twins with trigger digits managed in our institution. A comprehensive review of literature was conducted for cases of trigger digit in monozygotic twins to support our theory. Results. Our two sets of twins enjoyed a full recovery from surgery at one-month follow-up. A total of seven other cases of monozygotic twins were found in literature. Conclusion. Our cases add to the growing body of evidence supporting a genotypical aetiology for paediatric trigger digit.http://dx.doi.org/10.1155/2019/8697360
spellingShingle David Brinkman
Gerard Sheridan
Michael O’Sullivan
Trigger Twins: 2 Cases of Ipsilateral Twin Trigger Digit and a Review of Published Literature
Case Reports in Orthopedics
title Trigger Twins: 2 Cases of Ipsilateral Twin Trigger Digit and a Review of Published Literature
title_full Trigger Twins: 2 Cases of Ipsilateral Twin Trigger Digit and a Review of Published Literature
title_fullStr Trigger Twins: 2 Cases of Ipsilateral Twin Trigger Digit and a Review of Published Literature
title_full_unstemmed Trigger Twins: 2 Cases of Ipsilateral Twin Trigger Digit and a Review of Published Literature
title_short Trigger Twins: 2 Cases of Ipsilateral Twin Trigger Digit and a Review of Published Literature
title_sort trigger twins 2 cases of ipsilateral twin trigger digit and a review of published literature
url http://dx.doi.org/10.1155/2019/8697360
work_keys_str_mv AT davidbrinkman triggertwins2casesofipsilateraltwintriggerdigitandareviewofpublishedliterature
AT gerardsheridan triggertwins2casesofipsilateraltwintriggerdigitandareviewofpublishedliterature
AT michaelosullivan triggertwins2casesofipsilateraltwintriggerdigitandareviewofpublishedliterature