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HAND AND WRIST TENDONITIS

Features

Tendonitis is an acute or chronic inflammation of the tendons, often involving their bone anchors (apophysitis), synovial sheaths (tenosynovitis) or bursae (bursitis). Tendonitis is often caused by trauma:

  • They can result from micro-traumas, caused by repetitive movements made during professional activities, in daily life or during the practice of certain sports.
  • They can also result from conflicts between tendons and bone asperities caused by osteoarthritis or previous trauma.

Symptoms vary depending on which tendons are affected. There are almost a dozen different types of tendonitis in the hand and wrist. Typically, tendonitis causes pain when the tendons are tightened, tenderness when the tendon area is touched, sometimes painful local swelling and pain where the tendon attaches to the bone. At an advanced stage, spontaneous rupture of the tendon may occur. The decision to undergo surgery is taken only if medical treatments (anti-inflammatory drugs, immobilization, rehabilitation) have failed. Surgery is generally performed under local or locoregional anesthesia. The skin incision is centred on the affected tendon. In some cases, tendons have a thick sheath which may require an opening to gain access to the diseased tendon area. Surgical procedures may vary according to the situation:

  • Release of adhesions around the tendon caused by chronic inflammation,
  • Removal of the tendon sheath (tenosynovectomy),
  • Tendon combing,
  • Elimination of areas of tendon degeneration (necrosis),
  • Excision of bony asperities,
  • Reconstruction of the tendon sheath.

After surgery, a period of temporary immobilization followed by rehabilitation may sometimes be necessary. The risks associated with surgery vary in frequency according to the type and location of tendonitis:

  • Recurrence: More frequent when traumatic causes, such as repetitive movements, are not eliminated after surgery.
  • Tendon adhesions: linked to the way the tendon heals, they can restrict tendon movement. This may require prolonged rehabilitation.
  • Tendon ruptures: Result from tendon fragility. In some cases, secondary repair by grafting or transfer from another tendon may be necessary.
  • Tendon dislocation: Indicates ineffective tendon sliding. Generally well tolerated.
  • Irritation of cutaneous nerve branches: responsible for pain and sensitivity disorders around the scar. They may be due to inflammatory processes, local scarring or the maneuvers required to access the tendon. These symptoms often subside after several months.
  • Algodystrophy: A rare but worrying condition characterized by swelling, pain, excessive sweating and stiffness of the hand. Progression can be prolonged over several months or even years, with possible sequelae.
  • Infection: Although possible, not specifically related to tendonitis surgery. Generally manageable.
  • Scars: Hand scars take several months to fade and become less sensitive.

Tendonitis Hand Wrist

Tendonitis is an acute or chronic inflammation of the tendons, often involving their anchoring points on the bones (apophysitis), their synovial sheaths (tenosynovitis) or their bursae (tenosynovitis)….

Osteoarthritis of the wrist

Osteoarthritis of the wrist is a condition in which the wrist joints are affected by progressive deterioration of the cartilage covering the joint surfaces. This deterioration can lead to pain, stiffness, reduced mobility, …

Joint cysts

It’s an abnormal mass that can develop in different places on your hand. The most common position is on the back of the wrist. However, it can also appear at the front of the wrist, or more rarely at the base of a finger.

Osteoarthritis of the fingers

Osteoarthritis of the fingers, also known as digital osteoarthritis, is a degenerative condition affecting the finger joints. It is characterized by the progressive degradation of the cartilage that covers the ends of the joint bones.

Finger locks

Finger locking, also known as finger springs or spring fingers, is a medical condition where a finger or thumb becomes difficult to bend or unfold due to a sudden, uncontrollable contraction of the flexor tendons.

Carpal tunnel - Median nerve compression

What is the median nerve? The median nerve is one of the major nerves of the hand and arm. It originates in the spinal column and runs the length of the arm to reach the hand.

Ulnar wrist pain

Ulnar wrist pain, also known as ulnar pain, refers to a sensation of discomfort or pain felt on the ulnar or medial side of the wrist, i.e. on the side of the little finger.

Dupuytren's disease

Dupuytren’s disease is characterized by the formation of fibrous tissue (also known as fibromatosis) under the skin of the hand, leading to gradual contraction of one or more fingers towards the palm. The origins of this condition are many and varied, including familial predisposition.

Osteoarthritis of the thumb

Osteoarthritis of the thumb, also known as rhizarthrosis, is a degenerative joint condition that involves the progressive degradation of cartilage at the base of the thumb, where the wrist bone called the trapezium meets the first bone of the hand, the metacarpal. This cartilage degradation can lead to pain, stiffness and reduced joint function in this area.

Dupuytren's disease

Dupuytren’s disease is characterized by the formation of fibrous tissue (also known as fibromatosis) under the skin of the hand, causing gradual contraction of one or more fingers towards the palm. The origins of this condition are many and varied, including familial predisposition. However, despite its first description by Baron Guillaume Dupuytren in 1832, the precise origin of the disease remains unknown.

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