The indication for surgical therapy in tenosynovitis is when there is severe calcification and/or severe functional impairment.
Furthermore, in a chronic course, if treatment does not result in improvement of symptoms after 4-6 months, surgery should be considered.
Surgical measures
- In “snapping finger“, surgical splitting of the A1 annular ligament at the level of the base joint of the affected finger is performed via a small incision in the course of the distal (distal to the body) palmar crease; finally, application of a compression bandage that leaves the fingers themselves free.
- Tendovaginitis stenosans de Quervain: splitting of the first extensor tendon compartment via an incision at the thumb-side wrist or resection of the tendon sheath (therapy of choice); creation of a small plaster splint for the thumb ray, which is removed after 5 days.
The skin sutures are removed approximately 12 to 14 days after surgery.
The hand should not be started to load before the expiry of 2 to 3 weeks after surgery.
For physically working patients, the inability to work is about 3 weeks.
