Children with bent knuckles in both hands that cannot be straightened are considered to have pediatric stenosing tenosynovitis, which is mainly treated with surgery. Pediatric stenosing tenosynovitis, also known as trigger finger or pediatric “ringing finger”, is a common congenital deformity in children, the cause of which is unknown at present. Generally, there are no symptoms at birth, and the symptoms of inability to straighten the fingers in flexion appear around 6 months to 2 years old, and a ringing sensation occurs when the fingers are moved and stretched. In a small percentage of children, the disease resolves spontaneously within 6 months. If pediatric stenosing tenosynovitis does not resolve spontaneously, physical therapy, such as massage of the lesion, may be an option, but the effect varies from person to person. Nowadays, we mainly advocate early minimally invasive surgical treatment under general anesthesia to cut through the narrow tendon sheath and loosen the stuck tendon, with good results and insignificant scars after surgery. Children with bent knuckles in both hands can not be straightened may also be related to other causes, it is recommended to consult a doctor in order to clarify the cause of the disease, standardized treatment.
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