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Tendon sheath inflammation (de Kelvan disease, spring finger)
LemonDKel
2022. 8. 1. 13:00
Overview
The tissue connecting the bones and muscles is called a tendon, but tendon sheath, a tunnel through which the tendon passes, is inflamed for some reason and becomes thick and narrow, preventing the tendon from passing smoothly through the tendon sheath.The most common type of tendon sheath inflammation is ′de Kelvan′s tendon sheath inflammation,′ which is caused by narrowing the extensor tendon that extends the thumb, and ′spring fingers,′ which cause inflammation of the flexor tendon that flexes the finger.It is characterized by the fact that women who are pregnant, in childbirth, or in menopause often develop the disease due to hormonal changes, and that people who use their hands and fingers frequently in sports and work can also see it.Recently, more and more people have developed the disease after using smartphones for a long time.cause
De Kelvan tendon sheath inflammation is caused by friction between two tendons (short flexor tendons and long adductor tendons) and tendon sheaths on the back of the wrist when the thumb is wide spread.Inflammation is caused by excessive use of the thumb, thickening of the tendon sheath and damaging the surface of the tendon.Keep in mind that if the load continues, it will become more stimulating and you will fall into a vicious circle. Also, part of the wrist has a bulkhead for separating the two tendons, but the number of tendons and bulkheads varies from person to person.In addition, environmental factors include playing tennis and musical instruments, and overuse of hands by household chores.Because of changes in hormones during pregnancy, childbirth, and menopause, the overwhelming majority of patients are women between the ages of 20 and 30 and around 50.Many middle-aged and middle-aged people who have used their fingers too much have springy fingers.symptom
De Kelvan′s tendon sheath inflammation causes swelling on the thumb side of the wrist, and it hurts more and more when you hold or hold something.Tumors such as ganglion can cause symptoms.Because of inflammation and the inability of the tendon to move smoothly, joints close to the tendon where the tendon is inflamed may become difficult to move, swell, or feel pain when moved.When tendon sheath inflammation progresses, it becomes a spring finger that is difficult to bend and stretch, and when you try to stretch your finger, it gets stuck and then suddenly stretches out with a noise.Thumbs are the most common, sometimes on three or four fingers.If you go further, your fingers won′t move.examination and diagnosis
It depends on interviews and visual examinations.While listening to the conditions and medical history of using your fingers in everyday life, you make a comprehensive decision by checking the pain and the movement of your joints.In the case of de Kelvan tendon sheath inflammation, it is diagnosed by a test called the ′Eichhoff test,′ which checks for swelling in the area where the tenderness is felt and if the pain becomes stronger when the thumb is bent toward the little finger.If you judge for yourself, try pulling your thumb down with your wrist bent 90 degrees to the little finger. The diagnosis of the spring finger is whether there is swelling or pressure pain at the base of the finger or if there is a spring phenomenon.It is common in patients with rheumatism, diabetes and dialysis, so be careful.treatment
In order to alleviate the symptoms, the most important thing is to refrain from doing any activities, exercising, or using a smartphone as much as possible, and to rest the affected area.There are also times when you wear a device to secure your wrist or fingers.In addition, conservative treatments such as poultice, medication, and steroid injections in the tendon sheath are performed.Injection is usually performed multiple times.If it is a benign disease, it is usually relieved, and if it is not effective or if it recurs repeatedly, a tendon sheath incision is performed to open the inflammatory tendon.At that time, the tendon sheath is released after local anesthesia, and the tendon is released by removing the partition wall.Usually, hospitalization is not necessary.Women before and after childbirth often improve after breastfeeding, so it is also considered to be weaned early after follow-up.After the surgery, rehabilitation is performed to ensure that the tendon passes smoothly through the tendon sheath, and efforts are made to recover.precautions after prevention/treatment
For prevention, it is important to be careful not to overuse your hands, fingers, and especially your thumb.Be careful of overuse of your computer or smartphone, overuse of your fingers by household chores, wrist-use sports, playing musical instruments, and stretching after using your hands or fingers.
The tissue connecting the bones and muscles is called a tendon, but tendon sheath, a tunnel through which the tendon passes, is inflamed for some reason and becomes thick and narrow, preventing the tendon from passing smoothly through the tendon sheath.The most common type of tendon sheath inflammation is ′de Kelvan′s tendon sheath inflammation,′ which is caused by narrowing the extensor tendon that extends the thumb, and ′spring fingers,′ which cause inflammation of the flexor tendon that flexes the finger.It is characterized by the fact that women who are pregnant, in childbirth, or in menopause often develop the disease due to hormonal changes, and that people who use their hands and fingers frequently in sports and work can also see it.Recently, more and more people have developed the disease after using smartphones for a long time.cause
De Kelvan tendon sheath inflammation is caused by friction between two tendons (short flexor tendons and long adductor tendons) and tendon sheaths on the back of the wrist when the thumb is wide spread.Inflammation is caused by excessive use of the thumb, thickening of the tendon sheath and damaging the surface of the tendon.Keep in mind that if the load continues, it will become more stimulating and you will fall into a vicious circle. Also, part of the wrist has a bulkhead for separating the two tendons, but the number of tendons and bulkheads varies from person to person.In addition, environmental factors include playing tennis and musical instruments, and overuse of hands by household chores.Because of changes in hormones during pregnancy, childbirth, and menopause, the overwhelming majority of patients are women between the ages of 20 and 30 and around 50.Many middle-aged and middle-aged people who have used their fingers too much have springy fingers.symptom
De Kelvan′s tendon sheath inflammation causes swelling on the thumb side of the wrist, and it hurts more and more when you hold or hold something.Tumors such as ganglion can cause symptoms.Because of inflammation and the inability of the tendon to move smoothly, joints close to the tendon where the tendon is inflamed may become difficult to move, swell, or feel pain when moved.When tendon sheath inflammation progresses, it becomes a spring finger that is difficult to bend and stretch, and when you try to stretch your finger, it gets stuck and then suddenly stretches out with a noise.Thumbs are the most common, sometimes on three or four fingers.If you go further, your fingers won′t move.examination and diagnosis
It depends on interviews and visual examinations.While listening to the conditions and medical history of using your fingers in everyday life, you make a comprehensive decision by checking the pain and the movement of your joints.In the case of de Kelvan tendon sheath inflammation, it is diagnosed by a test called the ′Eichhoff test,′ which checks for swelling in the area where the tenderness is felt and if the pain becomes stronger when the thumb is bent toward the little finger.If you judge for yourself, try pulling your thumb down with your wrist bent 90 degrees to the little finger. The diagnosis of the spring finger is whether there is swelling or pressure pain at the base of the finger or if there is a spring phenomenon.It is common in patients with rheumatism, diabetes and dialysis, so be careful.treatment
In order to alleviate the symptoms, the most important thing is to refrain from doing any activities, exercising, or using a smartphone as much as possible, and to rest the affected area.There are also times when you wear a device to secure your wrist or fingers.In addition, conservative treatments such as poultice, medication, and steroid injections in the tendon sheath are performed.Injection is usually performed multiple times.If it is a benign disease, it is usually relieved, and if it is not effective or if it recurs repeatedly, a tendon sheath incision is performed to open the inflammatory tendon.At that time, the tendon sheath is released after local anesthesia, and the tendon is released by removing the partition wall.Usually, hospitalization is not necessary.Women before and after childbirth often improve after breastfeeding, so it is also considered to be weaned early after follow-up.After the surgery, rehabilitation is performed to ensure that the tendon passes smoothly through the tendon sheath, and efforts are made to recover.precautions after prevention/treatment
For prevention, it is important to be careful not to overuse your hands, fingers, and especially your thumb.Be careful of overuse of your computer or smartphone, overuse of your fingers by household chores, wrist-use sports, playing musical instruments, and stretching after using your hands or fingers.