Patient: My daughter’s right thumb is curved and cannot be straightened on her own. 2 years and 2 months old, and I have never felt anything different before. Is this condition always congenital? Or is it possible that it is due to acquired trauma? Temporarily massaged and felt the fingers would become soft after massage. I got the same confirmed diagnosis in two hospitals in Shenzhen. But the suggested treatments were different. One hospital suggested minimally invasive surgery and one hospital suggested traditional open surgery. Now the parents are conflicted and don’t know which is the more appropriate choice. If traditional surgery, they are worried about the pain and scars after surgery; if minimally invasive, they are worried about damaging the nerves. Doctor: It is generally believed that minimally invasive treatment is not appropriate for pediatric tendonitis because the risk of accidentally injuring the finger nerves is much higher than that of adults. Although the scar is a little larger in open surgery, the scar can be hidden in the transverse line of the metacarpal finger and is mostly less visible. Patients: 1. Is it possible to cure tenosynovitis in young children with a few months to a year of massage as well? Or is surgery the only way to cure it? 2. Is this disease definitely congenital? Is it possible that it is due to an acquired injury? Because the baby’s hand was also caught in a drawer once, just a few days before we noticed the symptoms. Doctor: Some of these diseases can be cured by conservative treatment. It just takes longer to treat and the efficacy is not very certain, so most clinicians recommend surgery.