Degetul în resort
What is the finger in the resort?
The spring finger or stenotic tenosynovitis is a pathology that affects the flexor tendons of the hand and causes the fingers to block when performing the flexion-extension movement. The affected fingers can be completely blocked when performing the flexion movement, being necessary to "pull" the finger.
This is due to an inflammatory process in the sheath of the flexor tendons, thus blocking the sliding of the tendon back and forth.
What are the causes of the occurrence?
The exact causes of this pathology are not known, the incidence of the disease being higher in women over the age of 40. Risk factors for this condition are: diabetes, gout, rheumatoid arthritis and certain occupations (those that involve performing repetitive activities by hand).
The patient may experience the following symptoms:
-pain in the palm
-stiffness in the affected finger
-the node present in the palm, which may or may not be painful
After the consultation, the hand will be examined to determine exactly whether the patient is experiencing this pathology, the indications, contraindications and all the details related to the surgery will be explained. In some cases, an ultrasound of the soft parts may be necessary to be able to make a differential diagnosis with other pathologies
Depending on the case and the evolution of the disease, one can opt for surgical or non-surgical treatment.
-non-surgical or conservative treatment- is recommended in cases with mild symptoms and consists of functional rest of the affected finger, splint immobilization and administration of anti-inflammatory medication
-surgical treatment- is recommended in cases with severe symptoms or when conservative treatment does not work.
What is surgery?
The operation is performed under local anesthesia with xylin, lasts about 45-60 minutes and consists of a small incision in the palm followed by the release of the affected pulley (sectioning) so that the tendon can slide smoothly and suture the wound.
It is forbidden to take anticoagulant or antiplatelet drugs about 10 days before surgery. At the time of the consultation, the patient will inform his doctor about any possible treatments or chronic diseases that he has.
-mainting the hand in elevation to help reduce postoperative edema
-suppression of sutures will be done in about 10-14 days
- analgesics will be prescribed in case of pain or discomfort
-avoiding the use of the hand for 5-7 days postoperatively
-force exercises can be resumed gradually after about two weeks
In the absence of proper treatment, irreversible damage to the pulleys and tendons can occur, including changes in the joints, making postoperative recovery much more difficult.