When immigrants first came over to North America they brought the game of hockey with them. The first hockey game is believed to be played in Canada near Ontario around 1870 or so. It would be a long while until the NHL as we know it was to be born.
In a younger child, the surgery should be considered if congenital trigger thumb is not resolved by 12 months of age. Most surgical procedures for congenital trigger thumb can be postponed until the age of 2 yrs, but should be operated before 3 yrs because of possible flexion contractures.
The predisposition to trigger finger in females aged 50-59 years is often rheumatic, but probably not solely so. Among 200 women with trigger finger, 40 showed signs of rheumatoid arthritis. Their age distribution did not differ significantly from that of the initial ma- terial. On the other hand, trigger finger was more common on the 4 ulnar digits in the 40 rheumatoid patients than in the entire series.