TRIGGERFINGER

The flexor tendon to one or more fingers can become swollen locally. The tendon does not slide as smoothly when in its sheath and can give rise to painful snags. This locking can be remedied by splitting the transverse ligament and the tendon sheath so that the tendon can slide freely again.

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Most patients complain that the finger(s) bend upwards when the finger is first bent and then straightened out. Sometimes the help of the other hand is required to straighten out the finger passively. Neither massaging the palm of the hand nor extracorporeal shockwave treatment have any positive effect on the problem.

The aim of an operation is to provide the tendon with space so that it can slide freely. It is performed under local anaesthesia. A small incision is opened in the distal crease in the palm just above the tendon that is involved. If the tendon sheath is cut in a small area, the tendon is felt to move freely without snagging. Sick leave for 3-4 weeks depending on your job.

You can expect the final result to yield instantaneous improvement without snags. Usually very good results, and the involvement of an of occupational therapist after surgery is rarely needed.

  1. The finger bends upwards and pain is felt in the palm of the hand.