Tenosynovitis stenosans (trigger finger)

PROCEDURE DESCRIPTION: This disease usually causes pain and disability of fingers and hands where the tendon sheaths of the finger flexors are affected. It is more common in women. The thumb is often affected by this diseasee, while the middle and pinky fingers are the most affected. Conservative treatment of this disease is less common while surgical treatment is the most common form of dealing with this disease. The decision on how to treat this condition is made by a plastic surgery specialist during an examination with the patient, when the surgeon provides all the necessary information and advice, and what would be the best solution for the patient. If conservative (non-operative) treatment is applied, the recurrence of this disease is very likely.

CANDIDATES: Treatment of this condition is required to restore the function of finges and patient's ability to fully use the hand. As this disease affects the young and adult population, this problem needs to be addressed seriously in order to enable people to return to work and their normal every day lives as soon as possible.

PATIENT PREPARATION: You will receive all the necessary information during the examination at our polyclinic. Avoid blood thinners (Andol, etc.) 2 to 3 days before and after surgery. Depending on patient's medical results and preferences, the most optimal treatment option is chosen. The diagnosis is usually made on the basis of a clinical picture and no further tests are required. No special preoperative preparation is required either.

PROCEDURE PROCESS: The procedure is performed under local anesthesia and without blood flow. At the painful area, the skin on the palm of the hand is cut open toward the finger and it intersects the membrane that grips the tendon of the flexor. The procedure usually takes up to 1 hour, and in exceptional cases may take less. After that, the skin is sutured and bandages are applied, and the operated hand is put in an elevated position. It is advisable to start moving the operated finger immediately after surgery.

RECOVERY: After the symptoms disappear, early mobilization of the fingers is recommended and the results of surgery are immediately apparent. The stitches are removed about 10 to 12 days after surgery. Recovery can take up to a month.

PRECAUTIONS: Complications are rare, although possible. Despite taking all precautions, in order to minimize possible risks, the surgeon will inform you about all possible complications and precautions during your examination as well as during and after surgery.

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