Fast finger on the middle finger | Quick finger

Fast finger on the middle finger

A quick finger typically occurs on the thumb. (see: quickening thumb) But the middle finger can also be affected. However, the therapy does not differ significantly from that of the thumb: conservative treatment involves warm water baths in the initial stages.

If these do not bring success, a cortisone application can be undertaken. Surgery can also be performed directly, there is no specific scheme. However, one always tries to use surgery only as a last resort.

The surgical intervention on the middle finger is performed – as with the thumb – from palmar, as from the palm of the hand. Since the affected muscle tendon runs on the inside of the hand, this is the easiest way of access. The rest of the procedure is similar to the procedure for the thumb.

The success rate after surgical treatment is also almost 100%. After the thumb, the middle finger is the second most frequently affected “fast” finger. Incidentally, women are more frequently affected by a “quickening” finger than men.

However, the reason for this is not known. Medical: Digitus saltans jumping finger, tendovaginitis, tendovaginitis stenosans de Quervain, tendon rubbing, tendon thickening, rheumatoid arthritis, jumping fingerA jumping finger is usually a wear-related disease. In the course of wear and tear, the flexor tendon of the hand thickens.

The tendons of the hand are connected to the bone by so-called ring ligaments. Their task is to hold tendons to the bone when bending. During bending and stretching of the finger, the tendon passes under the ring band.

If the tendon thickens in front of the ring band, the ring band can be overcome first with increased force, but then quickly, which is perceived as jumping (jumping finger)In early stages of the disease (jumping finger), swelling of the tendon can be reduced by injecting a small amount of cortisone with local anesthetic to the thickened tendon. This will cause the symptoms to disappear (see above). In most cases, however, the therapeutic success of the cortisone injection is only temporary.

With renewed swelling of the tendon tissue, the problem reoccurs. Furthermore, when placing the syringe, care must be taken not to inject the cortisone directly into the tendon, as this will promote a tear in the tendon. Every cortisone injection carries an increased risk of infection, so the indication for injection should be made with particular care in diabetics (diabetes mellitus).

In addition, a decongestant substance from the group of NSAIDs (non-steroidal anti-inflammatory drugs) such as Diclofenac (Voltaren) or Ibuprofen should be taken temporarily to support the decongestant effect. In some cases, movement exercises (physiotherapy – physiotherapy) can help to achieve freedom from symptoms. Exercises in a water bath can also help to reduce the symptoms.

The surgical splitting of the ring band promises a lasting success (jumping finger). This small outpatient operation can be performed under local anesthesia. The surgeon can split the ring band through a small skin incision, which is usually made in the area of the palm above the base joint.

This removes the obstruction to passage and eliminates the problem. During the surgical procedure, care must be taken to ensure that neither nerves nor vessels are injured, so that no circulatory problems or numbness of the affected finger remain. In rare cases the ring band can heal again.As a result, the bouncing finger may return.

In these cases one speaks of a recurrence (renewed occurrence of the disease). Here, the desired surgical result can only be achieved by a new operation.