The flexor tendons are stuck down in the tunnel system causing restriction in range of movement.
Cause
Adhesions have formed between the tendon and surrounding pulley system. This usually occurs after tendon lacerations have been repaired for significant injury to the fingers.
Diagnosis
There is a lack of active flexion, re the patients arm muscle power.
The fingers can usually be passively flexed, by the other arm, or by the hand therapist.
Treatment
Hand therapy – work at trying to maximize gains of active flexion in keeping the finger joints supple.
If no progress is made after three to six months, surgery is recommended.
Surgery – GA – day surgery
Opening of the finger via a volar approach
Division of adhesions by surgical dissection
Early hand therapy post operatively to maximize surgical gains.
Potential Complications
Infection, haematoma, neurovascular injury, further stiffening and adhesions.
Post Op Care
Light dressings and then to hand therapy to push active and passive range of motion for up to three months.
