Fields of treatment / Orthopedy / Flaking finger
Flaking finger
Stenosing tendovaginitis of the tendons of the hand or – flaking finger. Painful popping or skipping in the area of the finger when bending it, or vice versa when stretching it. This is due to insufficient size of the tendon loop.
Symptoms
Each finger is in motion thanks to tendons. One finger has two tendons on the side facing the palm, which run from the forearm to the tip of the finger, where they are clamped, another tendon on the same finger is on the side of the back of the palm. When the finger is bent, the tendons are stretched.The individual tendons are attached to the bone using the so-called system of tendon loops, which are a kind of "tunnels" through which the tendon is guided on its way from the forearm to the tip of the finger.
In the case of inflammation or injury, the tendon can become thick, causing it to have trouble fitting into its tendon loops, or the tendon loop itself narrows and a problem occurs, which manifests itself in skipping, painful peeling, entrapment, etc.
Treatment
This finger disease can be treated relatively easily surgically, and we can get rid of the problem forever in 99% of cases.
If the patient visits a doctor within three months, treatment with steroid injections directly to the affected tendon is also possible. In the case of a very frequent failure of conservative treatment, an ambulatory approximately 15-minute procedure under local anesthesia is indicated. A short incision is made in the palm and the tendon loop is cut, which will stop preventing the free movement of the strengthened tendon. The patient can therefore move the finger freely immediately after the operation.
Postoperative recovery
After the operation itself, it is necessary to move the affected finger as soon as possible in order to prevent possible fusion of the affected tendon with the surrounding area. In order for the patient to prevent swelling, it is advisable to keep the arm in an elevated position, which at the same time enables faster healing. The incapacity for work itself is around two weeks before the stitches are removed from the operated site.