Patient: My child is two and a half years old and cannot straighten his right thumb joint, but he was examined by your hospital for tenosynovitis, and after being soaked with medicine at the Chinese hospital, the result was not obvious. When is the right time to do the surgery and is it minimally invasive? The hospital is far away from where I live, and I heard that I have to wait for the surgery. Hand surgery at Peking University Shenzhen Hospital, Zhou Hammer: Pediatric stenotic bullying on the lack of J “plague. The conservative treatment is not effective, you need to consider hand wood treatment. If the continuous flexion state without passive straightening may require early surgery. Prolonged flexion may affect the neurovascular development of the flexor side. According to your medical history, surgery may be considered now. We perform routine surgery. The incision is approximately 1 to 2 cm. Minimally invasive procedures such as arthroscopic procedures are less commonly performed in China and are more risky in children and thumbs due to anatomical features. It is not recommended. The incisions and scars are small. Surgery requires an inpatient appointment. The surgery can be done on an outpatient basis (3-7 days appointment period, no online appointment for surgery is available) Dr. Zhou Hammer, Hand and Microsurgery Department, Peking University Shenzhen Hospital: Dr. Zhou: I heard that the surgery requires general anesthesia, will it affect the child’s future development? After all, he is only two and a half years old, is there any other way. Thank you. Hand Surgery Department, Peking University Shenzhen Hospital, Zhou Hammer: There is no other way. General anesthesia is generally necessary for children under three years old, and it is still relatively safe at present (general anesthesia is recommended for surgery abroad), but the impact on the future because I am not an anesthesiologist, I can not provide accurate advice, it is recommended to consult a professional anesthesiologist Patient: Thank you, Dr. Zhou. Additional information: pediatric tenosynovitis is mostly developmental, congenital and acquired, but mostly congenital. In the early stages of the disease, when the fingers are flexed and extended, the enlarged tendons produce trigger-like movements and popping sounds when they pass through the sheath, and in severe cases, the fingers are fixed in extension or flexion. 1-2 years old or younger children have a higher percentage of self-recovery, and observation is recommended, as many children can heal spontaneously within 6 months of the onset of the disease. 3 years old children can still be observed if the fingers can be passively straightened or flexed, but parents need to help perform the exercises after the child falls asleep. Passive joint flexion and extension exercises are needed to maintain joint mobility and normal tension of the palmar neurovascular bundle. If conservative treatment is ineffective or if the finger is in extension or flexion for a long time and cannot be moved passively, surgery is recommended. The procedure is performed without tracheal intubation and the amount of general anesthesia is minimal. This article is published by (周锤找缴谌ê么蠓谙撸), please do not reproduce without authorization