May
2007
Trigger Finger & Ganglion Cysts
Trigger Finger & Ganglion Cysts are painful conditions of the hand so that bending the finger is difficult and extending it back up can be impossible. First, trigger finger is Flexor Tenosynovitis due to inflammation flexor tendon sheath of finger or thumb. The superficialis tendon travels through the sheath, but swelling can occur – even a nodule can form on flexor tendon. Diabetes is a risk factor. Snapping occurs with flexion. Locking with extension so it gets stuck in flexion. Improves as day goes on. Pain radiates into the palm or finger. Treatment usually involves immobilization and restriction of gripping and pinching. Antivibration gloves (Sorbothane) can be used. Steroid injection and/or Surgery is last option. Ganglion Cyst is a cystic swelling over a joint or tendon sheath due to herniation of synovial tissue from a joint capsule or tendon sheath. So myxoid degeneration fills the cyst. It is congenital in origin and might be from repetitive motion. Usually found on dorsal wrist usually dorsal. It can regress or can recur. Aspiration – 50% recur; Aspiration with steroid injection or hyaluronidase: about 82-95% cure.
 |  |  | ||
 | ||||
 |  |  |  | |
Podcast Video [3:12m]: Play Now | Play in Popup | Download | Embeddable Player | Hits (227)
drjohnhong 
Uncategorized 
1 Comment » |
(0 ratings) | 
Email it
