Stenosis (in the area) of the anular ligament

symptoms:

  • morning stiffness of one or more fingers
  • painful movement and swelling of the extensor side
  • “Trigger Finger”

cause:

  • bending tendons have a difficile ligamentous apparatus. Sometimes this apparatus becomes too tight for the tendons leading to difficult conditions for movement.

solution:

  • division of the anular ligament

preparation:

  • renouncement of ASS, Aspirin, Plavix, Marcumar
  • reduction of tabacco consumption
  • extensive anamnesis and consultation

the surgery:

  • division of the anular ligament in local anaesthesia
  • duration approx. 10 minutes

follow-up care:

  • after the surgery you should move all fingers but not strain them
  • treat with care for a few days
  • the suture material is to be removed after twelve to fourteen days after surgery
  • depending on your career one to three weeks of incapacity to work

result:

long-term unrestricted mobility of finger

facts to know:

by massaging the scar after removal of suture materials one can achieve a less visible, soft scar.

 

Tendovaginitis de Quervain

symptoms:

  • painful Movement of thumb and swelling of the extensor side
  • Movement of thumb can leading to pain from wrist joint up to the upper arm

cause:

Extensor tendons of the thumb run through one or more tight channels. due to hormonal change or overstressing the tendons this apparatus becomes too tight for an easy movement of the tendons.

solution:

division of the tendon channels at the height of the wrist joint

preparation:

  • renouncement of ASS, Aspirin, Plavix, Marcumar
  • reduction of tabacco consumption
  • extensive anamnesis and consultation

the surgery:

  • division of the stenosis of tendon channel in local or regional anaesthesia
  • duration approx. 15 minutes

follow-up care:

  • after the surgery you should move all fingers but not strain them
  • hand is to be treated with care for a few days
  • the suture material is to be removed after twelve to fourteen days after surgery
  • depending on your career one to three weeks of incapacity to work

result:

long-term unrestricted mobility of thumb

facts to know:

by massaging the scar after removal of suture materials one can achieve a less visible, insensitive, softer scar.

 

Tennis Elbow (Epicondylitis radialis humeri)

cause:

Mostly due to excessive burderning of extensor and flexor muscles of the wrist. This type of injury often occurs when playing tennis or golf with an improper technique resulting in increasing pain.

solution:

Wilhem’s Denervation (seperation /partial seperation of muscle tendons and sensoric nerves at the outer side of the elbow)

preparation:

  • renouncement of ASS, Aspirin, Plavix, Marcumar
  • reduction of tabacco consumption
  • extensive anamnesis and consultation

the surgery:

  • preparation and desinsertion of parts of the painful muscles in regional oder anaesthesia
  • duration approx. 60 minutes

follow-up care:

  • after the surgery you should move all fingers but not strain them
  • hand is to be treated with care for a few days
  • a splint is to be worn for ten to fourteen days.
  • the suture material is to be removed after twelve to fourteen days after surgery
  • depending on your career one to three weeks of incapacity to work

result:

long-term unrestricted, painless mobility of hand and forearm

facts to know:

Even if this method of surgery can obtain good longterm results of painlessness it is advised to improve the technique when playing sports.

 

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