Stenosing ligamentitis

Stenosing ligamentitis or “caught” fingers are caused by a long-term repetitive job. Symptoms of disease – pain in fingers, above the tendons a mobile induration occurs due to which it is impossible to bend and straighten the fingers.

At early stages of stenosing ligamentitis splints or steroid injections may be helpful, but if they do not help and it is still impossible to bend and straighten the fingers, hand surgery is necessary. During this surgery by a small incision in the hand skin, the tunnel is widened for the tendon to be able to slide.

Duration of the surgery: on average 30 min.

Anaesthesia: local or general.

Treatment: in an out-patient setting.

Convalescence: following surgery local discomfort and pain may occur, which is well controlled with analgesic tablets. Wounds heal for 2 weeks. Wound should be dressed 2 to 3 times a week. After two weeks the skin sutures are removed. During the postoperative period, ergotherapy and movement training for fingers will be necessary to regain full range of movements in the hand and fingers.

Result: if the treatment is performed in due time, the patient usually regains the full range of movements.

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