Ruptured Finger Ligament: Comprehensive Guide to Extensor Tendon and Mallet Finger Injuries
What are the symptoms of extensor tendon and mallet finger injuries. How are these conditions diagnosed and treated. What role does hand therapy play in recovery. What surgical options are available for severe cases.
Understanding Extensor Tendons and Their Function
Extensor tendons are crucial components of hand anatomy, playing a vital role in finger and wrist movement. These tough cords of tissue run along the back of the hands and wrists, just beneath the skin. Their primary function is to control the hand’s ability to straighten the fingers and extend the wrist.
But what exactly makes extensor tendons so important? Let’s delve deeper:
- They connect muscles to bones, allowing for a wide range of hand movements
- They work in conjunction with flexor tendons to provide full finger mobility
- They enable precise control of finger position, essential for tasks like typing or playing musical instruments
Mallet Finger: A Common Extensor Tendon Injury
Mallet finger is a specific type of extensor tendon injury that occurs when the tendon ruptures at the base of the finger joint. This condition typically results from a sudden impact or jamming of the finger.
What are the hallmarks of a mallet finger injury?
- Drooping of the end joint of the affected finger
- Inability to straighten the fingertip without assistance
- Pain and swelling at the site of injury
- Potential bruising or blood under the nail
Causes of Mallet Finger
Understanding the causes of mallet finger can help prevent this injury. Common scenarios include:
- Sports-related accidents, particularly in ball-handling sports
- Workplace injuries, especially in manual labor professions
- Household accidents, such as catching a finger in a drawer
- Falls or other traumatic impacts to the hand
Recognizing Symptoms of Extensor Tendon and Mallet Finger Injuries
Prompt recognition of extensor tendon and mallet finger injuries is crucial for timely treatment and optimal recovery. What are the key symptoms to watch for?
- Inability to straighten one or more fingers
- Difficulty extending the wrist
- Pain and swelling in the affected area
- Recent trauma or laceration to the hand
- Drooping of the end joint of the finger (specific to mallet finger)
It’s important to note that symptoms may vary depending on the severity and location of the injury. Some individuals might experience mild discomfort, while others may have significant pain and loss of function.
Diagnostic Procedures for Extensor Tendon and Mallet Finger Injuries
Accurate diagnosis is essential for effective treatment of extensor tendon and mallet finger injuries. How do medical professionals diagnose these conditions?
- Physical examination: A thorough assessment of hand function and appearance
- Medical history review: Discussion of symptoms and circumstances surrounding the injury
- Imaging studies: X-rays to check for associated fractures or other bone abnormalities
In some cases, additional diagnostic tools may be employed:
- Ultrasound: To visualize soft tissue structures and assess tendon integrity
- MRI: For a more detailed view of soft tissues, particularly in complex cases
- CT scan: To evaluate bone involvement in severe injuries
Conservative Treatment Options for Extensor Tendon and Mallet Finger Injuries
Many extensor tendon and mallet finger injuries can be successfully treated without surgery. What are the primary non-surgical treatment options?
- Splinting: The most common conservative treatment, immobilizing the affected finger or wrist
- Ice therapy: To reduce swelling and alleviate pain
- Over-the-counter pain medications: To manage discomfort and inflammation
- Hand exercises: Gentle movements to maintain flexibility in unaffected joints
Splinting Techniques for Mallet Finger
Proper splinting is crucial for successful mallet finger treatment. How should a mallet finger splint be applied?
- The splint should hold the fingertip straight (in extension)
- The middle joint of the finger should be able to bend
- The splint must be worn continuously, even while sleeping and bathing
- Treatment typically lasts 6-8 weeks, followed by gradual splint removal
Surgical Interventions for Severe Extensor Tendon Injuries
In cases of severe extensor tendon injury or when conservative treatments fail, surgical intervention may be necessary. What surgical options are available?
- Direct tendon repair: Suturing the damaged tendon ends together
- Tendon graft: Using a piece of tendon from another part of the body to bridge large gaps
- Tendon transfer: Rerouting a nearby healthy tendon to replace the function of the damaged one
Innovative Surgical Techniques
Advancements in surgical techniques have improved outcomes for patients with complex extensor tendon injuries. What are some cutting-edge approaches?
- Minimally invasive procedures: Smaller incisions for faster recovery
- Wide-awake hand surgery: Performed under local anesthesia, allowing for active testing during the procedure
- Bioengineered tendon scaffolds: Promoting natural tendon regeneration
- 3D-printed implants: Custom-designed to match patient anatomy
The Critical Role of Hand Therapy in Recovery
Hand therapy is an integral part of the recovery process for extensor tendon and mallet finger injuries. What does hand therapy entail?
- Customized exercise programs to improve range of motion and strength
- Manual therapy techniques to reduce scar tissue and promote healing
- Education on proper hand use and injury prevention
- Adaptive equipment recommendations for daily activities
Stages of Hand Therapy
Hand therapy typically progresses through several stages. What are the key phases of rehabilitation?
- Protection phase: Focusing on wound healing and tendon protection
- Early motion phase: Introducing gentle, controlled movements
- Strengthening phase: Gradually increasing resistance and load on the repaired tendon
- Functional phase: Reintegrating hand use into daily activities and work tasks
Long-Term Prognosis and Potential Complications
Understanding the long-term outlook for extensor tendon and mallet finger injuries is crucial for patients. What can individuals expect in terms of recovery and potential complications?
- Most patients regain significant function with proper treatment and rehabilitation
- Full recovery may take several months, depending on injury severity
- Some patients may experience residual stiffness or slight loss of motion
- Complications can include tendon re-rupture, infection, or complex regional pain syndrome
Factors Influencing Recovery
Several factors can impact the recovery process and final outcome. What elements play a role in successful rehabilitation?
- Timely diagnosis and treatment initiation
- Adherence to prescribed therapy and home exercise programs
- Overall health and age of the patient
- Severity and location of the initial injury
- Presence of any underlying medical conditions
Prevention Strategies for Extensor Tendon and Mallet Finger Injuries
While not all injuries can be prevented, certain measures can reduce the risk of extensor tendon and mallet finger injuries. What are some effective prevention strategies?
- Proper hand protection during sports and work activities
- Ergonomic adjustments to workstations and tools
- Regular hand stretching and strengthening exercises
- Avoiding prolonged periods of repetitive hand movements
Occupational Considerations
Certain professions may have a higher risk of hand injuries. How can workers in high-risk occupations protect themselves?
- Use of appropriate personal protective equipment (PPE)
- Regular safety training and awareness programs
- Implementation of ergonomic tools and practices
- Job rotation to reduce repetitive stress on specific tendons
- Early reporting of hand discomfort or minor injuries
Emerging Research and Future Directions in Tendon Injury Treatment
The field of hand surgery and rehabilitation is constantly evolving. What are some promising areas of research in extensor tendon and mallet finger injury treatment?
- Tissue engineering approaches to enhance tendon healing
- Gene therapy to modulate the healing process
- Advanced imaging techniques for more precise diagnosis
- Novel biomaterials for tendon repair and reconstruction
Potential Future Treatments
Ongoing research may lead to groundbreaking treatments in the coming years. What innovative approaches are scientists exploring?
- Stem cell therapies to promote tendon regeneration
- Growth factor injections to accelerate healing
- Nanotechnology-based drug delivery systems
- Artificial intelligence-guided rehabilitation programs
- 3D-bioprinted tendon replacements
As our understanding of extensor tendon and mallet finger injuries continues to grow, so too does our ability to provide effective treatments and improve patient outcomes. By staying informed about the latest developments in this field, both healthcare providers and patients can work together to ensure the best possible recovery from these challenging hand injuries.
Extensor Tendon and Mallet Finger Injuries
Extensor tendons run just underneath the skin along the back of the hands and wrists. They control the hand’s ability to straighten the fingers and wrists. A mallet finger injury happens when a finger is jammed, causing an extensor tendon to rupture at the base of the finger joint. Other extensor tendon injuries commonly occur from cuts to the back of the hand.
The University of Michigan hand surgery team is fellowship trained and specializes in the treatment of extensor tendon and mallet finger injuries, from simple to complex. Our goal is to restore mobility and function of the wrist and fingers as soon as possible with minimal impact on the patient’s quality of life.
Symptoms of Extensor Tendon and Mallet Finger Injuries
Common signs and symptoms of extensor tendon and mallet finger injuries include:
- Inability to straighten the fingers or extend the wrist
- Pain and swelling in fingertip
- Recent trauma or laceration to the hand
- Drooping of the end joint of the finger
Diagnosis of Extensor Tendon and Mallet Finger Injuries
Whether it takes place in an emergency room or office visit, a thorough physical examination and discussion of the patient’s medical history and symptoms will help diagnose extensor tendon and mallet finger injuries.
Additional imaging may also be needed to confirm the presence and extent of the injury:
- X-ray: Images used to determine if fractures are present
Treatment of Extensor Tendon and Mallet Finger Injuries
We offer the latest treatment options available for patients with extensor tendon and mallet finger injuries. Splinting of the affected wrist and/or finger is the most common non-surgical treatment.
Surgical treatment for tendon injury is decided on a case-by-case basis. The procedure usually involves sewing the tendon back together, and sometimes a pin is placed in the finger to protect tendon repair.
After treatment, physical therapy is very important to improve motion and maximize functional recovery of the hand.
Hand Therapy and Rehabilitation for Extensor Tendon and Mallet Finger Injuries
Therapy for extensor tendon and mallet finger injuries is provided on site at the University of Michigan’s Hand Program by our team of occupational and physical therapists under the direction of a trained hand therapist. Referrals to local providers can be arranged closer to home as a more convenient option for patients.
The ultimate goal of therapy and rehabilitation is the restoration and optimization of wrist and finger function, renewed independence and improved overall quality of life. We offer treatment plans that are tailored to fit each patient’s condition, living and work requirements:
- Non-surgical option: For patients who do not require surgery but would benefit from therapy.
- Post-operative rehabilitation: To help patients as they recover from surgical procedures.
Contact Us
If you are considering treatment for extensor tendon and mallet finger injuries, the University of Michigan hand surgeons will guide you, from consultation to recovery, to the best procedures for your individual needs. Our hand surgeons have dual appointments in Orthopaedic and Plastic Surgery with a specialization in Hand. Patients may be seen in the Orthopaedic Clinic or the Plastic Surgery Clinic for treatment of hand conditions, or referred to Physical Medicine and Rehabilitation for non-surgical treatment.
Visit the Make an Appointment at the Comprehensive Hand Center page for contact information for both surgical and non-surgical treatment teams.
Hand tendon repair – NHS
If any of the tendons in your hand are damaged, surgery may be needed to repair them and help restore movement in the affected fingers or thumb.
What are tendons?
Tendons are tough cords of tissue that connect muscles to bones.
When a group of muscles contract (tighten), the attached tendons will pull on certain bones, allowing you to make a wide range of movements.
There are 2 groups of tendons in the hand:
- extensor tendons – which run from the forearm across the back of your hand to your fingers and thumb, allowing you to straighten your fingers and thumb
- flexor tendons – which run from your forearm through your wrist and across the palm of your hand, allowing you to bend your fingers
Surgery can often be used to repair damage to both these groups of tendons.
When hand tendon repair is needed
Hand tendon repair is needed when 1 or more tendons in your hand rupture (break or split) or are cut, leading to the loss of normal hand movements.
If your extensor tendons are damaged, you’ll be unable to straighten 1 or more fingers. If your flexor tendons are damaged, you’ll be unable to bend 1 or more fingers.
Tendon damage can also cause pain and swelling (inflammation) in your hand.
Sometimes, damage to the extensor tendons can be treated without the need for surgery, using a rigid support called a splint that’s worn around the hand.
Common causes of tendon injuries include:
- cuts – cuts across the back or palm of your hand can result in injury to your tendons
- sports injuries – extensor and flexor tendons can be injured when playing sports like rugby, and the pulleys holding flexor tendons can rupture if you do a lot of strenuous gripping like in rock climbing
- animal and human bites – these type of bites can cause tendon damage, and a person may damage their hand tendon after punching another person in the teeth
- crushing injuries – jamming a finger in a door or crushing a hand in a car accident can divide or rupture a tendon
- rheumatoid arthritis – rheumatoid arthritis can cause tendons to become inflamed which, if severe, can lead to them rupturing
Tendon repair surgery
Tendon repair may involve a surgeon making a cut (incision) in your wrist, hand or finger so they can locate the ends of the divided tendon and stitch them together.
Extensor tendons are easier to reach, so repairing them is relatively straightforward.
Read more about how hand tendon repair is performed.
Recovering from surgery
Both types of tendon surgery require a lengthy period of recovery (rehabilitation) because the repaired tendons will be weak until the ends heal together.
Depending on the location of the injury, it can take up to 3 months for the repaired tendon to regain its previous strength.
Rehabilitation involves protecting your tendons from overuse using a hand splint. You’ll usually need to wear a hand splint for several weeks after surgery.
You’ll also need to perform hand exercises regularly during your recovery to stop the repaired tendons sticking to nearby tissue, which can prevent you being able to fully move your hand.
When you can return to work will depend on your job. Light activities can often be resumed after 6 to 8 weeks, and heavy activities and sport after 10 to 12 weeks.
Read more about recovering from hand tendon repair.
Results
After an extensor tendon repair you should have a working finger or thumb, but you may not regain full movement.
The outcome is often better when the injury is a clean cut to the tendon, rather than one that involves crushing or damage to the bones and joints.
A flexor tendon injury is generally more serious because they’re often put under more strain than extensor tendons.
After a flexor tendon repair, it’s quite common for some fingers to not regain full movement. But the tendon repair will still give a better result than not having surgery.
Complications can sometimes develop after surgery, such as infection or the repaired tendon snapping or sticking to nearby tissue. In these circumstances, further treatment may be required.
Page last reviewed: 06 September 2021
Next review due: 06 September 2024
First Aid and Treatment
Content
- 1 Finger Tendon Rupture: First Aid and Recovery
- 1.1 Finger Tendon Rupture: First Aid and Treatment
- 1.1.1 First Aid
9 0005 1.1.2 Treatment
- 1.1 Finger Tendon Rupture: First Aid and Treatment
- 1.2 What is a tendon rupture?
- 1.3 Symptoms of a tendon rupture
- 1.4 First aid for a tendon rupture in the finger
- 1.4.1 Stop the bleeding
- 1.4.2 Fix the finger
- 1.4.3 Apply ice to the damaged area
- 1.4.4 Perform repair procedures
- 1.5 How and where to treat a tendon rupture on the finger?
- 1.5.1 First aid
- 1. 5.2 Treatment
- 1.6 Rehabilitation after tendon rupture treatment
- 1.6.1 Individual approach
- 1.6.2 Physiotherapy
- 1.6.3 Exercise
- 1.6.4 Restriction of work
- 1.6.5 Diet
- 1.7 Exercise regimens after tendon rupture treatment
- 1.7.1 Restorative physiotherapy techniques
- 1.7.2 Stretching and strengthening exercises
- 1.7.3 Important tips
- 1.8 How to prevent tendon rupture ?
- 1.9 Factors affecting recovery after tendon rupture treatment
- 1.10 How long does it take for a tendon rupture to heal?
- 1.11 Alternative Treatments for Tendon Rupture
- 1.12 Necessity of surgery for tendon rupture in the finger
- 1.13 Related video:
- 1.14 Q&A:
- 1.14.0.1 What is a tendon rupture in the finger and how does it happen happening?
- 1.14.0.2 What are the symptoms associated with a tendon rupture in the finger?
- 1. 14.0.3 How to give first aid in case of tendon rupture in the finger?
- 1.14.0.4 What are the treatments for a tendon rupture in the finger?
- 1.14.0.5 How long does it take to recover after surgery for a tendon rupture in a finger?
- 1.14.0.6 What complications can arise from a tendon rupture in the finger?
Find out how to act correctly in case of a tendon rupture on the finger, what the consequences can be and how to speed up the healing process. Tips and recommendations from experienced professionals in the article on our website.
An accident in which a tendon rupture occurs in the finger, often occurs in professional athletes, people engaged in physical labor, and also when falling on the hand. It is characterized by acute pain, swelling and impaired motor functions of the finger.
In such a situation, it is necessary to quickly and competently provide first aid, and then contact a specialist who will determine the extent of the injury and prescribe treatment.
There are several methods of treatment: conservative, in which measures are taken to strengthen the tissues and restore function of the finger, and surgical, which includes cutting the wound and connecting the torn sections of the tendon.
It is important to remember that self-medication can lead to complications and aggravate the condition. Contact the professionals!
Finger tendon rupture: first aid and treatment
First aid
If there is a tendon rupture in the finger, the first thing to do is to stop the bleeding, if any. To do this, it is necessary to bandage the injured finger or apply a pressure bandage. No ointment, other than an antiseptic, should be applied so as not to disrupt the body’s natural healing response.
Ice or any other cold object can then be used to reduce swelling and pain. Note that cooling should be carried out for 20 minutes every 2-3 hours during the first day. Also, with a rupture of the tendon on the finger, you can use pain medications in the form of analgesics, of course, on the recommendation of a doctor.
Treatment
After giving first aid, the patient should consult a doctor. Sometimes a doctor can do without surgery if the injury is not too serious. For this, kinesio taping, laser treatment, massage, physiotherapy are used. If the rupture of the tendon is too serious, surgical intervention is required, during which the affected area of the tendon will be stitched.
After the operation, the patient is given a course of rehabilitation, which may include antibiotics, a cast or splint, therapeutic exercises, massage, and physiotherapy. Everything is individual, based on the severity of the injury and the patient’s condition. It is important to follow all the doctor’s prescriptions and not to exercise without his permission.
What is a tendon rupture?
Tendon rupture is a tendon injury that occurs as a result of sudden physical exertion or injury. Such injury can occur during jumps, falls, bumps, and other accidents.
Tendon is an elastic connective tissue that connects muscles to bones. It is responsible for the transfer of force from the muscles to the bones when performing movements. When a tendon ruptures in the area of the finger, movements become difficult and painful, as the muscles cannot transfer force to the bones.
Symptoms of a tendon rupture in the finger may include, but are not limited to, a sharp pain, swelling, bruising, difficulty moving the finger, and crackling sounds when moving.
Symptoms of a tendon rupture
A tendon rupture in the finger is a serious injury and presents with several characteristic symptoms.
- Pain syndrome: pain at the site of tendon rupture can be very severe, especially when moving a finger. The pain worsens during exercise on the arm and can lead to painful muscle spasms.
- Edema: tendon rupture is accompanied by swelling of the tissue at the site of injury, which can lead to limited movement of the finger.
- Bruising: Bruising may occur at the site of tendon rupture. It indicates the presence of internal hemorrhage and requires immediate medical attention.
- Mobility restriction: a tendon rupture in the finger can lead to limited finger movement and difficulty performing daily tasks.
If you notice these symptoms, you should contact a specialist for a thorough examination and determine further treatment.
First aid for tendon rupture in the finger
Stop the bleeding
If there is bleeding, apply pressure to the wound. To avoid squeezing the arteries and blood vessels, the dressing should be applied above the level of the wound. If the bleeding is severe, you should immediately call an ambulance.
Lock the finger
Lock the finger in order for the tendon to heal. For the first time, you can use an impromptu splint made of matches and a bandage. In the presence of special clamps, the finger must be fixed by them.
Apply cold to the injured area
Cold can be applied to the injured area to reduce tissue swelling and pain. Cold can be used as a compress or ice massage. Do not apply cold for more than 15-20 minutes at a time.
Perform recovery procedures
After first aid, a series of procedures should be performed to restore motor functions. These include various exercises for the hand and finger, physiotherapy.
It is important to remember that tendon rupture is a serious injury that requires comprehensive treatment. It is necessary to contact specialists and follow their recommendations for treatment and rehabilitation after injury.
How and where to treat a tendon rupture in the finger?
First Aid
If a tendon ruptures in the finger, contact a surgeon immediately. Prior to the arrival of medical help, first aid should be given:
- Stop bleeding, if any;
- Applying cold to the injured area will help reduce swelling and pain;
- Fix the finger with a special bandage.
Treatment
Treatment of tendon rupture in the finger begins with diagnosis and examination. After this procedure, a decision is made on further treatment, which may include:
- Immobilization of the injured finger with a cast or special support;
- Intensive care of the state of the patient’s body;
- Surgery to repair the tendon.
In most cases, the treatment of a tendon rupture in the finger is successful and restores the function of the finger.
Method of treatment Advantages Disadvantages
Immobilization | Rapid recovery of the finger after repair of damage; | May cause discomfort in everyday life and also does not provide full finger mobility. |
Surgery | Provides full recovery of the finger and its functions; | May be unsafe for the patient, does not guarantee full recovery in some cases. |
Rehabilitation after tendon rupture treatment
Individual approach
Recovery after tendon rupture requires an individual approach to each patient. The rehabilitation doctor develops a program of rehabilitation classes that takes into account the type of gap, age and general condition of the patient.
Physical Therapy
A key component of the rehabilitation program is physical therapy to help restore function to the torn tendon and speed up the healing process. This may be laser therapy, electrical stimulation and other methods prescribed by a doctor.
Exercises
Exercises to strengthen the muscles around the tendon become part of the rehabilitation program. They help restore range of motion and restore strength to a torn tendon.
- Exercises for the development of fingers at least from the palmar part.
- Stretching the muscles of the finger with a bandage, expander and other devices containing means for developing the muscles of the fingers.
- Squeezing various objects such as a ball or kettlebell to strengthen the muscles.
Restriction of work
It is possible that for some time after treatment, patients will have to reduce the load on the hand with a torn tendon. It can be certain movements, as well as work with super-heavy objects. The purpose of this limitation is to prevent re-rupture and speed up the recovery process.
Diet
Some foods help accelerate tissue healing, including tendons. It is important to learn how to eat right so that you can get the necessary nutrients for quick healing. For example, you need to consume enough protein, vitamin C and zinc.
Exercise charts after tendon rupture treatment
Rehabilitation physiotherapy techniques
After tendon rupture treatment on the finger, it is necessary to start rehabilitative physical therapy. The main objective of this procedure is to restore and strengthen the functionality of the damaged tendon.
There are several types of rehabilitation physiotherapy. One of them is the Felder technique, which includes a set of stretching and strengthening exercises. Another popular method is the Cox technique, which is based on a variety of stretching exercises and the slow development of an injured tendon.
Stretching and strengthening exercises
Each technique includes stretching and strengthening exercises for the injured tendon. One such exercise is hand massage. This massage helps to strengthen the muscles, improve blood circulation in the injured limb and return the tendon to its normal state.
Another effective exercise is hand gymnastics. Simple movements, such as squeezing and expanding the hand, help restore hand mobility and strengthen the injured tendon.
Important Tips
- Start with light exercises. Although stretching and strengthening exercises can help repair a damaged tendon, you should start with light exercises. Do not try to immediately move on to more complex ones.
- Don’t overdo it. Active physical therapy will help speed up recovery, but don’t overdo it – it can be harmful. Don’t forget the measure.
How to prevent tendon rupture?
A tendon rupture in the finger is an unpleasant and painful phenomenon, so it is best to prevent its occurrence in advance.
Be careful. Wear gloves while doing manual labor. This can protect your hands from injuries and bruises that can lead to tendon rupture in your fingers.
Watch your health. Alcohol abuse and smoking impair blood circulation in the body, which can reduce the strength of the tendons and make them less elastic.
Be attentive to your body. If you have any pain or discomfort in your hand, then consult a doctor and undergo a preventive examination. Tendon problems detected early can be successfully treated and a possible rupture can be avoided.
Factors affecting recovery after tendon rupture treatment of the finger
Proper treatment and first aid for a torn tendon is only the first step on the road to recovery. The results of treatment and the speed of recovery may depend on several factors:
- Location and nature of the rupture – it is important to determine how serious the tendon rupture was, as this determines the possibility of functional load on the arm after its treatment;
- Depth and length of the tear – this can affect the difficulties during the rehabilitation process;
- Age of victim – for older patients, recovery from treatment may be slower and more difficult;
- General health – Associated health problems such as diabetes, heart disease, or obesity can slow down the healing process;
- Time elapsed before treatment – the longer you stay inactive, the more difficult it will be to repair the tendon and return the hand to normal.
Most often, after going through all the stages of treatment and rehabilitation, recovery after a rupture of the tendon of the finger occurs completely, subjected to normal functional load.
How long does it take for a tendon rupture to heal?
The time it takes for a torn tendon to heal depends on many factors, such as the location of the injury, the age and general health of the patient, and the treatment chosen.
Once healing begins, regular exercise and manipulation is important to maintain tissue flexibility and strength. In some cases, a rehabilitation course may be required, which can last several months.
If the pain worsens, seek immediate medical attention. Prolonged lack of treatment or the wrong treatment method can lead to loss of mobility and a decrease in the patient’s quality of life.
Alternative Treatments for Tendon Rupture
In addition to traditional medicine, there are alternative treatments for tendon rupture that can help speed healing and reduce pain.
- Acupuncture – injection of needles into certain points can improve blood circulation and stimulate the process of tissue regeneration.
- Massage – Special massage techniques can improve blood flow and reduce swelling, which will reduce pain and speed healing.
- Homeopathy – Some homeopathic remedies can help relieve pain, speed up healing, and improve mobility of the affected finger.
- Phytotherapy – Herbal treatment can help promote healing and reduce tissue inflammation.
In any case, before using any alternative treatment for tendon rupture, it is imperative to consult a specialist and clarify possible contraindications.
Need for surgery for a torn tendon in the finger
A torn tendon in the finger is a serious injury that can lead to partial or complete immobility of the finger. In some cases, surgery may be required to restore the functionality of the finger.
If the damage to the tendon is not too serious and the treatment was carried out in time, then surgery may not be required. In this case, the restoration of the functionality of the finger can be achieved with the help of a period of rehabilitation and the use of special painkillers.
In any case, the decision on the need for surgery is made by the surgeon, who examines and diagnoses the injury. The causes and features of the injury may be different, so each case requires an individual approach to treatment and a decision on the need for surgery.
Related videos:
Q&A:
What is a finger tendon rupture and how does it happen?
A torn tendon in the finger is an injury to the connective tissue that connects muscles to bones. Usually, a tendon rupture in the finger occurs when the hand moves sharply or falls on the fingers.
What are the symptoms of a tendon rupture in the finger?
The main symptoms of a tendon rupture in the finger are: pain when moving the finger, swelling, bruising, feeling of weakness in the finger, limited movement.
How to give first aid in case of tendon rupture on the finger?
In case of a tendon rupture on the finger, it is necessary to: stop the bleeding (if any), apply a fixing bandage to the finger on which the tendon is damaged, apply cold compression, call an ambulance.
What are the treatments for a tendon rupture in the finger?
Treatment of a tendon rupture in the finger may include: conservative therapy (treatment without surgery), surgical therapy (surgery), rehabilitation measures, physiotherapy, massage, therapeutic exercises.
How long does it take to recover after surgery for a tendon rupture in a finger?
The duration of rehabilitation after surgery for tendon rupture on the finger depends on the complexity of the operation, the general physical condition of the patient, the timing of the start of treatment and other factors. On average, rehabilitation can last from several weeks to several months.
What complications can arise from a tendon rupture in the finger?
Complications of a tendon rupture in the finger can be different: impaired finger movement, reduced hand function, impaired sensation in the finger, infections, arthritis, and others.
Sprain of the tendon of the fingers – What we treat “Doctor OST”
#Causes of pathology #Symptoms of finger tendon sprain #Who treats finger tendon sprain #Diagnostics #Pathogenesis and degrees of tendon sprains #Treatment #How much treatment costs #Patient reviews
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Injury to the tendon of the fingers is common in the practice of orthopedic traumatologists and surgeons. Pathology requires a visit to a doctor and full treatment, otherwise complications may develop in the form of a curvature of the finger and disability, disability. Patients lose their independence, cannot perform their usual work, are forced to be on sick leave.
The medical center “Doctor OST” has everything you need to detect and treat sprains of the tendons of the hand. Specialists are attentive to each patient, develop individual hand therapy programs to restore hand function.
CAUSES OF PATHOLOGY
More than 80% of cases occur during household injuries, as well as with monotonous hand movements. Why does the tendon of the arm stretch – the main reasons:
- overexertion during sports;
- hand drop;
- hitting the fingers with a heavy object;
- abrupt lifting of a fallen person by the hand;
- lifting heavy objects;
- playing musical instruments – piano, drums, violin.
In older people, degeneration of the joints and surrounding tissues is a predisposing factor for tendon sprains.
SYMPTOMS OF STRETCH TENDON OF THE FINGERS
Pain during exercise in the fingers may indicate a sprain, especially when combined with a recent injury or load. Pathology can also be suspected by other symptoms:
- local swelling of the finger;
- hyperemia in the area of injury;
- restriction of movements in the finger;
- curvature of the finger.
If you experience these symptoms, it is important to immediately see a doctor!
Remember! With sprains of the hand, the patient may be considered disabled. Acute pain is a serious reason for seeking medical help and registration sick leave .
WHO TREATS A STRETCHED TENDON OF THE FINGERS?
With sprains of the tendons of the fingers, you should immediately contact an orthopedic traumatologist. In difficult cases, which are accompanied by the appearance of blocks in the joints of the fingers and the accumulation of fluid, hand surgeons will help. These specialists, rare in their kind, are accepting patients in the Perm branch of Doctor OST. Make an appointment with the right doctor right now to reduce the risk of complications and begin to restore the motor function of the hand as soon as possible.
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Finger tendon sprain diagnostics
On examination, attention is paid to the restriction of movements in the joints of the finger, swelling, redness of the skin. Of the instrumental examination methods, in addition to arthroscopy, which is accompanied by the introduction of a diagnostic probe with a video camera into the joint for the purpose of examination, the following are prescribed:
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Radiography
X-ray is a common examination of bones and joints, which allows you to instantly obtain information about the state of hard tissues. More
Tendon ultrasound
Gives an idea of the state of the extensors and surrounding tissues, as well as swelling and hematoma.
Magnetic resonance imaging
MRI can assess soft tissue damage, including ligaments, menisci, joint capsules, and adjacent tissues.
Computed tomography
CT makes it possible to form a three-dimensional model of the area under study and identify various changes: inflammation, trauma, developmental anomalies, etc.
PATHOGENESIS AND GRADES OF TENDON STRAIN
Ligaments are represented by elastic connective tissue that holds the fingers in the correct position. Each joint has its own allowable range of motion, if it is exceeded, its damage occurs. One of the types of disruption of the ligamentous apparatus is sprains, in most cases they are accompanied by a rupture of the tendon fibers. There are three degrees of severity of tendon sprains:
FIRST
A small number of fibers are stretched and torn, the symptoms are mild.
SECOND
Damage is moderately expressed, range of motion is limited, there is a strong edema.
THIRD
There is a rupture of a large number of fibers, at risk of damage to the joint.
HAND STRETCH TREATMENT
At the time of therapy, it is necessary to ensure the immobility of the finger, which is achieved by plastering or orthotics.
Drug treatment of finger tendon sprain
In order to relieve edema and pain, NSAIDs are prescribed, and for severe sprains, the following are used:
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Medical blockades
A method of rapid relief from pain in neurological diseases and pain syndromes. More
Regenerative treatment of calf tendon sprain
The course of tendon sprain treatment includes the use of ozonated platelet-rich plasma and other regenerative methods. Such treatment activates regeneration processes, promotes speedy healing and recovery.
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Plasmogel Injection
For the first time and only in “Doctor OST”! The latest technology for the treatment of acute pain caused by damage to the musculoskeletal and joint-ligamentous systems. Effect for tomorrow! More
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PRP therapy
PRP Therapy is the latest treatment technique designed to repair damaged tissues with platelet-rich plasma. More
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Plasmolifting
As a medicine, platelet mass is used to help start the recovery mechanisms. More
Physiotherapy treatment of finger tendon sprain
This referral to “Doctor OST” is a priority. The following physiotherapy procedures are actively used in the treatment:
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HILT laser
Instantly relieves acute pain, stimulates the renewal of healthy cells and is able to replace prosthetic surgery. More
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Magnetotherapy BTL
Allows you to quickly and without drugs relieve acute pain, restore blood circulation, improve lymph flow and accelerate healing after injuries and operations. More
The duration of conservative treatment ranges from 10 days for mild sprains to 21 for severe ones. Sprains accompanied by trauma (dislocation, subluxation) require 2-3 months for full recovery.
Surgical treatment of finger tendon sprain
In case of a severe sprain with torn ligaments, an operation is performed to stitch the tendons. The prognosis is good if treated early, but the more time has passed since the injury, the more difficult it is to fully restore finger function.
Rehabilitation activities
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Orthotics
A modern alternative to plaster and traditional rigid orthoses. It is used for dislocations, fractures, scoliosis, after joint surgery and after a stroke. More
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Taping
Tapes are adhesive tapes. They are fixed on the body, reducing the load on the diseased joint, injured muscle or ligament. Facilitate blood flow, lymph flow and speed up recovery. More
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Exarta Kinesitherapy Unit
A safe technique that allows you to accelerate the restoration of proper motor functions and get rid of pain. More
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exercise therapy (therapeutic exercise)
Exercise therapy has a beneficial effect not only on muscles, ligaments and joints, but also on the nervous system, forms a positive attitude. More
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Massage
Massage calms the nervous system, enhances blood microcirculation and improves metabolism.
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Patient feedback on hand treatment
Thank you for the speedy recovery!
Dupuytren’s contracture was a consequence of a stroke. They already wanted to send me for an operation, but I was able to avoid it and restore the mobility of my fingers thanks to “Doctor OST”!
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Elbow brace
I threw out the cast and put an orthosis on the elbow joint after a serious dislocation. So I saved my right hand and my summer!
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Thank you for the speedy recovery!
Doctor OST dealt with my crooked fingers once! Now the hand functions well.
Orthosis for the elbow joint
The elbow is intact, the garden is in order! Thank you Doctor OST.
How much does it cost?
A traumatologist-orthopedist deals with the treatment of sprained tendon of the fingers in “Doctor OST”. Severe cases require the involvement of hand surgeons who conduct appointments at the Perm branch of “Doctor OST”. The cost of consulting a specialist is indicated in the “Consultative Reception” section of our price list. Follow the promotions, do not miss the best price.
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Treatment of hand sprains can be obtained at Doctor OST branches:
Almaty
Chelyabinsk
Yekaterinburg
Kazan
Krasnodar
Krasnoyarsk
Nizhny Novgorod
Novosibirsk
Perm
Samara
Tyumen
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Q&A
You asked
After a stroke, my mother’s fingers on her hand are twisted and do not work, can this be cured in “Doctor OST”?
The doctor answers:
An examination, or at least an online consultation, is needed to make an accurate diagnosis and prescribe the necessary treatment. I recommend not to delay, so that it does not come to disability.