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Old 03-03-2009, 05:53 PM   #1
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Default Trigger Thumb?

My son (4yrs old) was just diagnosed with "trigger thumb." The doctor said that there is no other choice than to operate! His surgery is scheduled for March 17th he will need to be put completely under to have this surgery. The doctor/surgeon said it should take 15 minutes to do. He will need to keep his hand immobilized for 2 DAYS!!! I must have looked at the doctor like he lost his mind because he said that he knows it will be difficult as I was peeling my son off of the medical equipment in the room.

Does anyone have any experience with trigger thumb or a 4 year old going through surgery?

-Isha
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Old 03-03-2009, 07:17 PM   #2
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I have trigger finger. I was *lucky* enough that my doctor tried a cortisone shot first before recommending surgery. Oh my...that was painful!! But it has controlled it enough that I have gotten by without surgery. It still locks up on me occasionally but I can live with it. One thing you may want to ask the doctor though...my doctor told me that surgery could not guarantee that the trigger finger would not return. You may want to ask about that before heading into surgery. JMHO. Good luck and I hope your son is okay!
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Old 03-03-2009, 10:39 PM   #3
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I had an older friend who had to have surgery for her trigger thumb, and my sister is having trouble with one now.

My grandaughter (almost 4 now) was born with a severe cleft palate and lip, and has been through many surgeries since she was 2 months old. Her last surgery, they put soft velcro splints on her arms for 2 weeks so she couldn't bend them to bother her mouth. Surely they have something that can immobilize his thumb or hand???

The more anxious you are, the more anxious he will be. Perhaps you can have a new toy or two for him to look forward to after the surgery. Helium balloons are always a nice thing too, immediately after the surgery.

I'm sure you will both be ok!
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Old 03-04-2009, 09:01 AM   #4
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Does your child have any asthma-like symptoms?
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Old 03-04-2009, 09:06 AM   #5
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My mom had that trigger thumb surgery and she's been fine ever since. It was really no big deal (she likes to watch and was mad they wouldn't let her, but she's weird that way).

As far as kids and surgery, a friend of mine had a daughter who lost part of her leg as a baby and has had many surgeries growing up. She learned from experience that children who are calm while going under are calm waking up and vice versa. What worked for her DD was looking at a picture book while going under, one of those I Spy kind of books where there's lots of stuff to search for. Got her mind off the surgery and calm while waiting to fall asleep.

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Old 03-04-2009, 07:16 PM   #6
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Thanks all for the replies. The doctor said that he had to go into surgery because his thumb could grow shorter than it should as a result of it, he also said that he could potentialy start making up for the imobilized thumb by using his hand in a way that would give him a handycap. He currently has zero mobility in that thumb and it has been like that for a while. There is a hard "bumb" at the base of his thumb the DR said that was inflamition caused by the tendon being stuck.

Slow learner- Thanks for the info. The Doctor did say that there is a possiblity that it could return, and why. He said if he doesn't cut the tendon enough it could grow back and lock up, then we would have to go through the surgery again.

Cathysfancy and ajm- I think you both hit the nail the nail on the head. I am super anxious about it. I have never been through surgery so I have no point of referance. I have explaned it to my son he said "okay, the doctor is going to make a little cut on my thumb to help my hand...cool!" I was like "um,...yeah,.... okay" as I google some more horror stories. I also didn't think about toys and books for the going to sleep part or the wake up. Thanks that is a good tip.

LeahsCreations- He doesn't have asthma that we know of but my DH has it pretty bad so we try to watch for it. Does that cause complications?

Sorry it took so long for me to respond, we had a wild and crazy day but I do appreciate each of you taking the time to type out a responce and value the information you all gave me.

-Isha
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Old 03-04-2009, 07:37 PM   #7
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This won't help you in any way but it is a true story and makes me laugh every time my friend tells it. He was 7 at the time (68 now) and he had trigger finger also. His older brother told him the 'solution' was to go into the garage, take a hammer and slam it down on the finger and it would straighten it out. The kid, smart as he was, did as his brother recommended. Broke the finger! The dad just shook his head and could believe his son fell for that 'remedy!' Well, years and year went by, the guy grew up and became a very good physical therapist. One of the doctors he worked with noticed the trigger finger and said, 'You know, I have a lot of success with trigger fingers. If you would like, I can more than likely operate and make it normal.' My friend was really excited so they began the preps for the coming surgery which involved x-rays. The doctor came in and said, 'I'm so very sorry but it looks like you had a pretty massive break to that finger at one time or another. There is nothing I can do for it.' So he lives with the trigger finger and the memory of a very, shall we say, helpful-NOT! brother! Kids-----
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Old 03-05-2009, 06:36 AM   #8
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Quote:
Originally Posted by PJill View Post
This won't help you in any way but it is a true story and makes me laugh every time my friend tells it. He was 7 at the time (68 now) and he had trigger finger also. His older brother told him the 'solution' was to go into the garage, take a hammer and slam it down on the finger and it would straighten it out. The kid, smart as he was, did as his brother recommended. Broke the finger! The dad just shook his head and could believe his son fell for that 'remedy!' Well, years and year went by, the guy grew up and became a very good physical therapist. One of the doctors he worked with noticed the trigger finger and said, 'You know, I have a lot of success with trigger fingers. If you would like, I can more than likely operate and make it normal.' My friend was really excited so they began the preps for the coming surgery which involved x-rays. The doctor came in and said, 'I'm so very sorry but it looks like you had a pretty massive break to that finger at one time or another. There is nothing I can do for it.' So he lives with the trigger finger and the memory of a very, shall we say, helpful-NOT! brother! Kids-----
This is to funny, and a little sad...but funny! Poor kid, I certainly understand that brother relationship, I have two boys and another one on the way! I think I may need to go hide the hammers

-Isha
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Old 03-05-2009, 07:35 AM   #9
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[/quote]I think you both hit the nail the nail on the head. I am super anxious about it. I have never been through surgery so I have no point of referance. I have explaned it to my son he said "okay, the doctor is going to make a little cut on my thumb to help my hand...cool!" I was like "um,...yeah,.... okay" as I google some more horror stories. I also didn't think about toys and books for the going to sleep part or the wake up. Thanks that is a good tip.

-Isha[/quote]

Please check with your hospital where the surgery is being performed. Many hospitals now have a specialist to help children and their anxious parents deal with upcoming surgeries. When my daughter was 18 months she went in for her first surgery. The day before she got to take a "tour" of the day surgery area and pick out a bonne belle lip gloss that they would smear into the anesthesia mask to make the anesthesia smell better and more fun (it actually smells kinda like garlic). Then upon arrival they had toys and a big welcome sign for her. She even got to bring home a doll that a volunteer had made for her. She had 4 surgeries within the next 4 years and she was always happy to go in cause she knew a sign and a small toy would be waiting for her. DD is now almost 13 and still has the original doll they gave her. PS During my 16 ops over the last 5 years I called "Mallory" the child specialist and each time she met me at the door and stayed with me for a bit lol guess I am a BIG KID now!
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