Diagnosis - Hand Surgery

Trigger digit (stenosis tendovaginitis)

Trigger digit is an illness that affects the tendons of the hand, most commonly at the base of the thumb or pointer finger. Tendons are fibrous bands that attach muscles to bones, thereby facilitating movement. In trigger digit, either the tendons themselves or their enclosing sheaths can become inflamed and swollen, thereby impeding the normal movement in the affected joints. This inflammation is often due to repetitive strain or pressure being placed on a part of the tendon. At the base of each finger and thumb, the tendons pass through a ring-like ligament (annular ligament), which holds the tendons in place. When the tendons become swollen in the trigger digit, they press against the annular ligaments, which can cause pain ath the base of the fingers or thumb, particularly during flexion in the affected joints. Moreover, when flexing the affected fingers or thum, the fingers may become `stuck`in the flexed position, due to the swollen tendon becoming lodged under the annular ligament. In this case, the affected person may need to use their healthy hand to straighten the fingers again. In mild cases of trigger digit, conservative treatment with medication and rest is sufficient. In more severe cases of trigger digit, operative therapy may be required. This usually involves removing the annular ligament in order to give the tendons more space.

Experts

Hospitals

  • HELIOS Hospital Berlin Zehlendorf

    HELIOS Hospital Berlin Zehlendorf

    With 554 beds, the HELIOS Hospital Zehlendorf is the largest hospital in the south west of Berlin. Its medical focus is on, orthopedics, pediatric surgery and pneumology, pneumology, plastic surgery, thoracic surgery, general and visceral surgery.

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  • HELIOS Hospital Krefeld-Duesseldorf

    HELIOS Hospital Krefeld-Duesseldorf

    Krefeld is located close to Duesseldorf and its international airport, which is one of the largest in Germany. The HELIOS Hospital Krefeld has a long history that reaches back to 1845. Since this time the hospital is known for medical care on the highest level.

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  • HELIOS Hospital Schwerin

    HELIOS Hospital Schwerin

    The HELIOS Hospital Schwerin has 23 medical departments, a well known psychiatric clinic and possesses of 1,406 beds in total.

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