小儿拇指腱鞘炎,俗称“先天性拇指扳机指”、小儿“弹响指”,是指儿童拇长屈肌腱在腱鞘内滑动受阻,致使拇指指间关节处于屈曲状态,而被动活动时会产生像扳机一样的阻挡感而得名的一种疾病。扳机指是儿童常见骨关节疾病之一,通常好发于6个月到2岁左右的宝宝,这时他们正处于精细活动的发育时期,喜爱通过手指的触摸、抓握等方式的运动来探索世界。

Children thumb tenosynovitis, commonly known as \"congenital thumb trigger finger \", children\" bouncing finger \", refers to the child thumb flexor tendon in the tendon sheath sliding blocked, resulting in the thumb between the joint flexion state, and passive movement will produce a sense of resistance like the trigger and named for a disease. Trigger refers to children with one of the most common bone and joint diseases, usually occurring in their six- to two-year-olds, who are in the developmental stages of fine activity and enjoy exploring the world through finger-touching, grip-holding and other forms of movement.

  小儿扳机指的发病原因目前尚未明确,有些有家族史,目前不少学者认为可能是拇指屈肌腱腱鞘先天性狭窄,即A1滑车先天性增厚而造成肌腱在其内滑动受阻,久而久之,滑动受阻的屈肌腱近端肥大呈结节状,通过狭窄的腱鞘时产生弹响声,类似扳机而得名“扳机指”。

The cause of the child's trigger finger is not clear at present, some family history, many scholars believe that it may be the thumb flexor tendon sheath congenital stenosis, that is, A1 pulley congenital thickening caused by the tendon in its internal sliding block, over time, sliding blocked flexor tendon proximal fat knots, through the narrow tendon sheath to produce a sound, similar to the trigger and named \"trigger finger \".

  扳机指可进行康复治疗,康复治疗方法包括物理因子治疗、被动牵伸、功能锻炼、支具治疗。康复治疗无侵入性、无疼痛、费用低廉、疗效显著,但需要家长配合进行家庭康复治疗。

Trigger refers to rehabilitation treatment, rehabilitation treatment methods include physical factor therapy, passive drafting, functional exercise, support therapy. Rehabilitation treatment has no invasiveness, no pain, low cost and remarkable curative effect, but it needs the cooperation of parents to carry out family rehabilitation treatment.

  若严格保守治疗一段时期无明显改善,可进行局部腱鞘切开松解手术。常见的手术方法为切开、松解A1滑车,术后不进行任何活动限制,通常1-2周后拇指可恢复功能。

If there is no obvious improvement in strict conservative treatment for a period of time, local tenosynovotomy can be performed. The common method of operation is incision, release A1 trochlear, no movement restriction after operation, usually 1-2 weeks after the thumb can restore function.

  扳机指治愈之后,若拇指长期处于屈曲位并用力过度,还是有可能会引起扳机指的复发。因此,无论是术后还是保守治疗后,都需要适当的进行手指的功能锻炼,切勿使用过度。

After the trigger finger is cured, if the thumb is in the flexion position for a long time and the force is excessive, it may cause the recurrence of the trigger finger. Therefore, whether after surgery or conservative treatment, need appropriate finger function exercise, do not use excessive.

  需注意用手的力度控制、注意适当休息。避免长时间玩需要大拇指用力的游戏,如遥控车、乐高积木、贴纸等。若宝宝的拇指出现不能主动伸直时,不要强行扳直,而是需要家长根据家庭康复指导的方法进行相应的治疗。

Should pay attention to the strength of the hand control, pay attention to appropriate rest. avoid playing games that require thumb force for a long time, such as remote control car, lego building blocks, stickers, etc. If the baby's thumb cannot be actively straightened, do not force straight, but need to parents according to the family rehabilitation guidance for the corresponding treatment.


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