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TENDON SNAPPING


WHAT YOU SHOULD KNOW

Tendon SnappingSome tendons in the hand and wrist are held in place to make them run in the right direction especially where they pass over joints.  Patients can tear the fibers that direct the tendons causing the tendons to slip out of place back and forth over the edge of a nearby joint.  This produces snapping. The two most common places for this are by the small bone of the wrist on the little finger side and over the knuckles on the back of the hand.

MEDICAL HISTORY

Patients report an annoying ache and pain and are disturbed by the snapping phenomenon that is an obvious sign that something is not right. The snapping or "giving way" of the tendon creates a sense of weakness or poor function of the body part. At the knuckles the finger may not lift all the way up.

EXAMINATION

Placing the finger or wrist in certain positions will demonstrate the tendon instability and recreate the snapping.

ADDITIONAL TESTS: None are needed.

TREATMENT OPTIONS

  NON-OPERATIVE SURGICAL STABILAZATION
CONSISTS OF Protective splinting Rebuilding the fibers that control the tendon's position and route
FEATURES Worn for 4-6 weeks Uses local tissues, no need to borrow from elsewhere in the body, outpatient surgery
ADVANTAGES Only good immediately after injury Restores stability of the tendon
DISADVANTAGES Cannot correct established problem Restricted use of the hand during 6 weeks of healing followed by rehabilitation program

RECOVERY

The hand or wrist will be placed in a splint to protect the surgical work. Sutures are removed in the office at 2 weeks. Once the tissues are healed between 4-6 weeks, the splints are removed and motion rehabilitation is started to overcome the stiffness that has set in. Daily exercises must be done to regain first movement and then strength in a process that takes up to 3 months after surgery.
 
 
 
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  • Dr. Henry is excellent! I would recommend him to any one! My experience was very comforting. - 07/18/13
  • I'll like to thanks all the staff,they are very outstanding emlploee very kind ,nice,very patience with me to explaining every thing that is going on and thank you all so much - 05/29/13
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  • I am very well satisfied with the outcome of this surgery. All involved here at the doctor's office and hospital were very friendly, professional and considerate. Thank You! - 06/21/13
  • Outstanding Staff - 05/14/13
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  • I look forward to healing. Thank You Doctor and Staff. - 02/20/14
  • Ya'll were awesome! I did't mind the waiting length because everyone was helpful, focused and very attentive when they arrived. I"d type more, but I"m mildly incapacitated. - 11/22/13
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  • Thanks so very much to all of you ..Venanzia Grafton - 05/29/13
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  • The Dr took my appointment last minute. I'm very appreciative of that. - 03/04/14
  • The entire staff was outstanding in assisting me before and during the appointment. I appreciate all they did helping me from out of town. - 07/19/13
  • Wonderful to find a Doctor who still strives to fulfill his Oath as a healer! Thank You - 07/02/13
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  • Very happy w/my visits and the care shown to me. I was fit in b/c of cat bite and severe swelling in my primary hand on a week of holiday...THANK YOU! - 11/27/13
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  • First experience with hand trauma and i was well taken care of and information regarding my issue was thouroughly explained! thank you. - 09/10/13
  • Dr. Henry, as in the past, engendered my confidence and gave me peace of mind as a result of his exam and explanation. - 04/22/14
  • very outstanding visit and the personal all where outstanding. Doctor is very outstanding. thank you for getting me in at the short notice. thank you again - 02/27/14
  • really glad i chose to come here, every aspect of service was great - 04/01/14
  • Under the circumtances, the staff was excellent, but Teresa was awesome throughout the unpacking and packing of the wound. Thank you Dr. Henry for saving my finger. Leanora - 05/03/13
  • Thank you so much for taking my concerns and wishes into consideration and allowing me to try the removeable splint. Your staff were all wonderful, and I really appreciate their efforts, kindness and consideration. - 09/05/13
  • Quick but well done! - 07/02/13
  • This is a great environment and I would definitely recommmed this place to others. I am very pleased of the outcome of the surgery! - 10/15/13
  • dr henry was extemely thorough luis was very helpful and exceptionally friendly with one hand only david was very friendly as well and very good at placing the splints. - 09/05/13
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  • mine was an excellent experience from appointment desk all the way through surgery and physical therapy. This is an extremely knowledgable and professional doctor and staff. - 10/29/13
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