De Quervain's Tenosynovitis, finger surgery

De Quervain's tenosynovitis is a condition that affects the tendons on the thumb side of your wrist. It results from inflammation of the sheath that surrounds two specific tendons that extend to the thumb.

The symptoms include pain and swelling near the base of the thumb, which can extend up the forearm, particularly when forming a fist, grasping objects, or turning the wrist. Treatment often involves rest, splinting the thumb and wrist, anti-inflammatory medications, corticosteroid injections, and in more persistent cases, surgery might be considered to relieve the pressure on the tendons.

Repetitive Hand Movements: Activities that involve repetitive grasping, pinching, or wringing motions can lead to inflammation.
Chronic Overuse: Frequent use of the thumb and wrist, especially in awkward positions.
Inflammatory Conditions: Diseases like rheumatoid arthritis can predispose individuals to tenosynovitis.
Hormonal Changes: It often occurs in postpartum women, potentially linked to hormonal fluctuations or increased demands from caring for a newborn.
Trauma: Direct injury to the wrist or base of the thumb can trigger inflammation.

Rest: Avoiding activities that cause thumb and wrist pain.
Splinting: Wearing a splint to reduce movement and allow the wrist and thumb to rest.
Ice: Applying ice to the affected area to reduce swelling.
Anti-inflammatory Medications: Using nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling.
Corticosteroid Injections: Injecting steroids into the tendon sheath to decrease inflammation and pain.
Physical Therapy: Engaging in exercises to strengthen the wrist and improve range of motion.
Surgery: If conservative treatments don't relieve symptoms, a surgical procedure to release the sheath may be necessary.

Minimally invasive surgery with local anesthesia is often chosen for finger surgeries due to several key benefits:

Reduced Pain and Discomfort: Local anesthesia limits pain during and immediately after the procedure without the side effects of general anesthesia.
Faster Recovery: Smaller incisions and localized anesthesia contribute to quicker healing and shorter hospital stays.
Lower Risk of Complications: With smaller incisions and local anesthesia, the risks associated with surgery, such as infections and bleeding, are minimized.
Increased Precision: Minimally invasive techniques can provide surgeons with better precision, especially in delicate areas like the fingers.
Convenience: Patients usually remain awake and can avoid the grogginess and recovery often required after general anesthesia, allowing them to return home the same day.

The surgical procedure for De Quervain's tenosynovitis typically involves a small incision at the wrist near the base of the thumb. The surgeon then opens the compartment (sheath) that houses the inflamed tendons, allowing more room for the tendons to move freely. This relieves pressure and reduces inflammation.

The procedure can be performed under local anesthesia and usually does not require an overnight hospital stay. Recovery may involve wearing a splint and participating in physical therapy to regain strength and mobility.

Expertise: Led by Dr. Jang Ki-joon, an experienced orthopedic surgeon who has performed over 3,000 finger surgeries.
Advanced Techniques: Utilization of minimally invasive and state-of-the-art surgical methods, including Wide-Awake Hand Surgery.
Comprehensive Care: Personalized treatment plans tailored to each patient's needs.
Affordability: Competitive pricing compared to international standards.
Convenient Recovery: Short-stay surgeries allowing same-day discharge without the need for fasting.

These advantages make Yonsei Standa a preferred choice for finger surgery.