Table 1.

Suggested management algorithm for paediatric trigger finger. Specific workup and referrals should be guided by suspected underlying condition (i.e. mucopolysaccharidosis, arthritis).

Child presenting with trigger finger
Single, unilateral digit	Multiple or bilateral involved digits
1. History of trauma: consider imaging to rule out structural cause, treat any underlying structural abnormality or trial conservative management	1. Have a high suspicion for an underlying condition
2. No history of trauma: trial conservative management	2. Initiate workup and referrals
3. If no resolution with conservative management, proceed with surgical treatment	3. Surgical treatment