Analysis of the surgical treatment of stenotic ligamentitis of fingers in children

Purpose of the study. Clinical analysis of the surgical treatment of stenotic ligamentitis of fingers in children. Materials and methods. A retrospective analysis of data examining 140 children and surgical treatment of 105 children with the diagnosis of "constrictive ligamentitis of fingers" was performed in the G. I. Turner Research Institute for Children’s Orthopedics in the period from 2011 to 2013. We considered gender and age of patients, the symptoms of the disease and patient complaints, and nature of the preferential affection of one or both hands and fingers as well as the family history. Results. Regarding gender, the patients were evenly distributed: 54 girls (51%) and 51 boys (49%). The largest number of children in need of surgical treatment (89) belonged to the age group of 1-4 years (85%). The prevalence of pre-emptive affection of fingers of one of the limbs has not been noted. The disease was mostly diagnosed on the first finger (131 cases). Recurrence of deformity in the long term was not noted. Conclusion. Conservative treatment may contribute to the progression of deformity. The applied surgical treatments permitted the maximum functional and cosmetic result.