Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2013 Nov;132(5):841e-853e.
doi: 10.1097/PRS.0b013e3182a48ccf.

Practical management of tendon disorders in the hand

Simon Farnebo  1 , James Chang
Affiliations
Review

Practical management of tendon disorders in the hand

Simon Farnebo et al. Plast Reconstr Surg. 2013 Nov.

Abstract

Learning objectives: After reviewing this article, the participant should be able to: 1. Recognize and treat common tendinopathies such as trigger finger and de Quervain tenosynovitis. 2. Recognize and treat flexor tendon and extensor tendon injuries. 3. Define the different zones where flexor tendon and extensor tendon injuries occur and identify the surgical challenges related to each zone.

Summary: Common tendon disorders in the hand range from simple trigger fingers to more complex zone II flexor tendon injuries. The goal of treatment in all cases is to aim for optimal early strength and to create conditions favorable for early rehabilitation to decrease the risk of tendon scarring and subsequent poor range of motion. This CME article reviews the presentation, evaluation, state-of-the-art treatment, and outcomes of the treatment of trigger finger, de Quervain tenosynovitis, and flexor tendon and extensor tendon injuries. New developments in the different areas are highlighted to inform the reader of emerging techniques in the treatment of tendon disorders of the hand.

PubMed Disclaimer

References

    1. Jianmongkol S, Kosuwon W, Thammaroj T. Intra-tendon sheath injection for trigger finger: The randomized controlled trial. Hand Surg. 2007;12:79–82
    1. Kazuki K, Egi T, Okada M, Takaoka K. Clinical outcome of extrasynovial steroid injection for trigger finger. Hand Surg. 2006;11:1–4
    1. Pataradool K, Buranapuntaruk T. Proximal phalanx injection for trigger finger: Randomized controlled trial. Hand Surg. 2011;16:313–317
    1. Salim N, Abdullah S, Sapuan J, Haflah NH. Outcome of corticosteroid injection versus physiotherapy in the treatment of mild trigger fingers. J Hand Surg Eur Vol. 2012;37:27–34
    1. Kerrigan CL, Stanwix MG. Using evidence to minimize the cost of trigger finger care. J Hand Surg Am. 2009;34:997–1005