Chronic Stenosing Tenosynovitis Causes and Risk factors
and Trigger Finger Release Repetitive strain and Microtrauma - activities that involve
gripping or need significant hand strength = repeated friction
Surgery: A over view Ex. Manual laborers, childcare task, typing, sewing, knitting,
• Tenosynovitis is characterized by inflammation etc.
involving synovial sheath of a tendon Medical condition
• Most common in women • Rheumatoid arthritis- chronic inflammation of joint
• Diabetes - due to changes in blood flow or biochemical
Anatomy and Physiology environment. (accumulation of advanced glycation end
• the ability to bend the fingers is governed by products (AGEs) in the tendons.)
supportive tendons connects musckes yo the bones of Diabetic neuropathy affects your nerves -> diminished
the fingers. sensation and altered muscle control -> Reduced joint mobility
Sheath
-> from chronic inflammation and stiffness from high blood
sugar levels = tendons more susceptible to injury
• Gout - build up of uric acid crystals = inflammation
Age-related Degeneration - due to loss of elasticity
Decrase Estrogen - decrease estrogen = decrease elasticity and
function of tendon and tendon sheaths. (ex. menopause).
Pregnancy - hormonal changes -> increase blood flow and
water retention = swelling in the body.
Pulley Signs and Symptoms
Tendon 1. Pain and tenderness
2. Popping or clicking sounds when bending the fingers
Tendon - fibrous connective tissue 3. Locking of the fingers
- connects muscle to bones 4. Stiffness
- transfer muscle generated force to the bony
Diagnostics Test
skeleton, facilitating movement around a joint.
Tendon Flexor - responsible for bending the fingers 1. Physical Exam
allowing to grasp object. 2. Imaging - X-ray or ultrasound
Fibrous Sheath - structural support Treatment
Synovial Sheath - produce synovial fluid for lubrication. 1. Treat underlying conditions
Pulleys - anchor the tendons close to the bone. 2. Rest - give your tendons time to heal.
3. Splinting - stretch back to its position.
4. Stretching - to regain flexibility
5. Occupational therapy (massage, heat, ice, exercise) - to
Improve range of motion.
6. Medications:
NSAIDS - relieve pain and reduce swelling
Corticosteroid - for inflammation
-
• if treatment options failed
• Symptoms persist for 6 months and above
• Quality of life is adversely affected
= surgery might be reccomended
Surgical Management
Trigger finger surgery
1. local anesthesia
. Tiny incision in the affected tendon
. carefully cut into the top of the tendon sheath to make it
wider giving tendons more space to move in the sheath
. Closed with stitches and light bandage
By : Cia
and Trigger Finger Release Repetitive strain and Microtrauma - activities that involve
gripping or need significant hand strength = repeated friction
Surgery: A over view Ex. Manual laborers, childcare task, typing, sewing, knitting,
• Tenosynovitis is characterized by inflammation etc.
involving synovial sheath of a tendon Medical condition
• Most common in women • Rheumatoid arthritis- chronic inflammation of joint
• Diabetes - due to changes in blood flow or biochemical
Anatomy and Physiology environment. (accumulation of advanced glycation end
• the ability to bend the fingers is governed by products (AGEs) in the tendons.)
supportive tendons connects musckes yo the bones of Diabetic neuropathy affects your nerves -> diminished
the fingers. sensation and altered muscle control -> Reduced joint mobility
Sheath
-> from chronic inflammation and stiffness from high blood
sugar levels = tendons more susceptible to injury
• Gout - build up of uric acid crystals = inflammation
Age-related Degeneration - due to loss of elasticity
Decrase Estrogen - decrease estrogen = decrease elasticity and
function of tendon and tendon sheaths. (ex. menopause).
Pregnancy - hormonal changes -> increase blood flow and
water retention = swelling in the body.
Pulley Signs and Symptoms
Tendon 1. Pain and tenderness
2. Popping or clicking sounds when bending the fingers
Tendon - fibrous connective tissue 3. Locking of the fingers
- connects muscle to bones 4. Stiffness
- transfer muscle generated force to the bony
Diagnostics Test
skeleton, facilitating movement around a joint.
Tendon Flexor - responsible for bending the fingers 1. Physical Exam
allowing to grasp object. 2. Imaging - X-ray or ultrasound
Fibrous Sheath - structural support Treatment
Synovial Sheath - produce synovial fluid for lubrication. 1. Treat underlying conditions
Pulleys - anchor the tendons close to the bone. 2. Rest - give your tendons time to heal.
3. Splinting - stretch back to its position.
4. Stretching - to regain flexibility
5. Occupational therapy (massage, heat, ice, exercise) - to
Improve range of motion.
6. Medications:
NSAIDS - relieve pain and reduce swelling
Corticosteroid - for inflammation
-
• if treatment options failed
• Symptoms persist for 6 months and above
• Quality of life is adversely affected
= surgery might be reccomended
Surgical Management
Trigger finger surgery
1. local anesthesia
. Tiny incision in the affected tendon
. carefully cut into the top of the tendon sheath to make it
wider giving tendons more space to move in the sheath
. Closed with stitches and light bandage
By : Cia
