A jumping or fast finger (Latin digitus saltans) is a sliding disorder of the tendons of the hand. The terms tendovaginosis or tendovaginitis stenosans are used synonymously. It is named after the symptomatic jumping of the finger when trying to stretch it out. In this case, the finger first gets stuck in the bending position … Jumping Finger
Cause The jumping finger is in most cases due to wear and tear and occurs more often in advanced age. The wear and tear leads to a thickening of the flexor tendons of the hand. This makes it more difficult for the tendons to slide through the ring ligaments of the finger when it is … Cause | Jumping Finger
Prognosis Many patients can already be helped by conservative treatment, which is very low-risk and uncomplicated. If the conservative treatment is not sufficient, the chances of recovery from the surgical procedure are still very good, so that almost all patients are relieved of their complaints and can move their finger freely again immediately after the … Prognosis | Jumping Finger
Symptoms A distinction must be made between conservative and surgical therapy of the rapid thumb. Conservative therapy: Conservative therapy is based primarily on sparing the affected tendon and taking anti-inflammatory medication. Injecting cortisone into the tendon sheath of the affected tendon can also help to treat the disease and improve the symptoms. Especially in early … Symptoms | Fast thumb
Diagnosis At the beginning of the diagnosis of a quick-acting thumb there is a detailed doctor-patient conversation. Due to the typical symptoms, the suspected diagnosis of a quickening thumb can usually be made very quickly. In addition, there is the examination of the thumb, where the problem can often be felt. Before the therapy of … Diagnosis | Fast thumb
Introduction The disease of a rapid thumb (medical: Tendovaginosis stenosans) describes a pathological, inflammatory change of a certain tendon of the hand. It falls under the clinical picture of a tendosynovitis and is usually caused by overloading the flexor tendon of the thumb. Overloading causes the tendon to thicken and so-called tendon nodules to form. … Fast thumb
General information about the therapy of the fast finger After the patient has used all conservative options (especially the cortisone injection) with a finger that is moving quickly, but no permanent healing has occurred, a hand surgeon should be consulted to surgically treat the moving finger. The aim of the operation is to remove the … Operation of the fast finger
Complications of surgical therapy As with all operations, complications can occur when treating a quick finger. However, these are extremely rare. If germs are spread from the skin to the tendon sheath, an infection can occur with attacks on the tendon, cartilage or bone. If the first signs of an infection (pain, redness, fever) appear … Complications of surgical therapy | Operation of the fast finger
Sick leave – how long sick? A fast moving finger is usually treated surgically. In many cases, however, patients are not immediately fully able to return to their jobs after the operation. Therefore, for many people the question arises for how long after the operation a sick leave is taken. Unfortunately, this question cannot be … Sick leave – how long sick? | Operation of the fast finger
Pain As a rule, pain does not occur during the operation of the quick finger. During the operation, a local anaesthetic is injected into the finger, which anaesthetizes the sensitive nerve tracts and eliminates any sensation of pain. After the operation, the pain may flare up as the painkiller subsides. Since the swollen tissue in … Pain | Operation of the fast finger
In order to understand the different therapeutic options for a finger that is moving quickly, it is necessary to first understand the cause of the finger moving quickly. A quickening finger (also known as digitus saltans) is caused by a thickening of the flexor tendon of a finger. There are several reasons for this. The … Therapy of a fast finger
Therapy – operative possibilities If the symptoms of the fasting finger reoccur within a few months after several injections of cortisone, surgical treatment should be considered. This is a minor procedure, which is usually performed on an outpatient basis (without hospitalization) under local anesthesia (only the surgical area is anesthetized). The duration of such an … Therapy – operative possibilities | Therapy of a fast finger
