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Symptoms
- Unilateral or bilateral thumb(s) held in a flexed position at or shortly after birth
- Unilateral or bilateral thumb(s) catching on moving
- Palpable swelling in flexor tendon of thumb(s)
Surgery
- ⅓ of cases get better by themselves in one year
- Night time splint before 12 months
- If develops after one year it rarely gets better by itself
- Surgery should be considered if it has not resolved by 12 months of age
- Division of A1 pulley as a general anaesthetic day case
After Care
- Keep the dressings intact until seen in clinic
- Do not get them wet
- Over the counter Calpol and/or Nurofen for pain relief
- No exercise for 48 hours as this will encourage bleeding
