tailieunhanh - Viêm bao gân ngón tay

Tham khảo tài liệu 'viêm bao gân ngón tay', y tế - sức khoẻ, y học thường thức phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Trigger Digits Diagnosis and Treatment Miguel J. Saldana MD Abstract Stenosing tenosynovitis of the thumb and fingers is a very common problem seen by the primary-care physician the orthopaedic surgeon and the hand surgeon. Primary stenosing tenosynovitis is usually idiopathic and occurs more frequently in middle-aged women than in men but can be seen even in infancy. Secondary stenosing tenosynovitis of the digits can occur in patients with rheumatoid arthritis diabetes mellitus gout and other disease entities that cause connective tissue disorders. The diagnosis of triggering digits is generally not subtle and can be made on the basis of an adequate clinical examination. Classification according to the type of tenosynovitis and the time from onset of symptoms may be prognostically significant and may also affect the treatment outcome. As many as 85 of triggering fingers and thumbs can be treated successfully with corticosteroid injections and nonsteroidal anti-inflammatory drugs. Surgical release is generally indicated when nonoperative treatment fails. Percutaneous A1 pulley release can now be performed safely as an office procedure. J Am Acad Orthop Surg 2001 9 246-252 Trigger fingers and thumbs are characterized by the inability to flex or extend the digit smoothly. All digits can be affected but the ring finger is most often involved followed by the thumb and the long index and small fingers in that 2 More than one trigger digit can be present on the same hand. Triggering of digits in both hands is also common. The sensation experienced with inability to comfortably make a fist or extend the fingers adequately is described by most patients as a painful snapping which often makes them reluctant to make a full fist. Even if only one digit is involved hand function can be seriously compromised. This is especially true if the triggering is so pronounced that it locks the finger or thumb in flexion. There are two types of pathologic involvement of the .