Escolar Documentos
Profissional Documentos
Cultura Documentos
ANATOMIC CONSIDERATION
FUNCTION:
A1 At MCP Joint
A2 Proximal phalanx
A3 Proximal IP joint
A4 Middle phalanx
A5 Distal IP joint
A1 – At MCP joint
A2 – At IP joint
Oblique – Middle of proximal
phalanx
DEFINATION:
Most common in
1. Ring finger
2. Thumb
3. long
4. index
5. small finger
•Congenital
•Repetitive trauma
•Swelling
•Tenderness
•Palpable nodule
passively correctable
Soaking in water. Placing the affected hand in warm water for five
to 10 minutes, especially in the morning, may reduce the severity of
the catching sensation during the day. If this helps, it can be
repeated throughout the day.
27% - recurred
PERCUTANEOUS RELEASE:
PROBE BLADE
Metacarpophalangeal joint
hyperextended and 19-gauge needle
inserted just distal to the flexor crease.
Bevel of needle oriented longitudinally
with tendon.
SITE OF
INCISION
Postoperative Care
3. The patient should be encouraged to use the hand for light activities
within 1–2 days after surgery.
4. Remove the dressing the day after surgery, and clean with gentle
soap and water daily.
5. Apply antibiotic ointment to the suture line daily for the first few
days. Cover with dry gauze as needed.
•Bothersome scars
•Recurrent symptoms
•Stiffness
•Sympathetic dystrophy
IN RHEUMATOID PATIENTS.
•If left untreated older child may develop fixed flexion deformity
and joint contractures
•So older child if comes like this trigger finger as well as secondary
joint contractures must be treated.