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Flexor tenosynovitis is a common finding in the patients with Linburg–Comstock syndrome. Another hypothesis is that anatomical variations, which in this case is an additional tendon slip, may act as space-occupying lesions and potentially contribute to carpal tunnel syndrome. [5]
Surgery generally does not improve outcomes. [2] It may be required if the finger cannot be straightened by pushing on it or the break has pulled off more than 30% of the joint surface. [2] Surgery may be preferred over the use of a splint if a child is non-compliant. [5] If the problem has been present a long time surgery may also be required. [6]
The patient should be awake in order to confirm adequate release. On occasion, triggering does not resolve until a slip of the FDS (flexor digitorum superficialis) tendon is resected. [10] One study suggests that the most cost-effective treatment is up to two corticosteroid injections followed by open release of the first annular pulley. [13]
The surgery was more complicated than expected, with the need for screws complicating matters. The timetable is roughly 6 weeks, though Wilson will no doubt be determined to beat it. https://t.co ...
Pooled literature suggests that the initial treatment of jammed fingers should be conservative, without open reduction. [9] Damron and colleagues suggest an approach that only requires open surgery for the cause listed above, and cases where after six months observation conservative treatment has failed. [9]
A graft of the extensor retinaculum was shown to be useful in treating boxer's knuckle when direct repair of the damaged capsule is not possible. [6] Because of their similarities in histological structure, studies also show the extensor retinaculum to be a reasonable biological replacement for reconstruction of a deficient annular pulley.
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Surgery may be needed for an unstable fracture (one that won't stay in the right place once reduced), [3] a finger broken in multiple places, [6] a fracture that extends into the joint between the broken bone and another bone, and a fracture with damaged tendon function [3] or damaged nerves.