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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]
Boutonniere deformity is a deformed position of the fingers or toes, in which the joint nearest the knuckle (the proximal interphalangeal joint, or PIP) is permanently bent toward the palm while the farthest joint (the distal interphalangeal joint, or DIP) is bent back away (PIP flexion with DIP hyperextension).
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]
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 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 ...
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.