Knife treatment of stenosing tenosynovitis of flexor tendon.docVIP

 PAGE \* MERGEFORMAT 4 Knife treatment of stenosing tenosynovitis of flexor tendon [Keywords:] needle-knife stenosing tenosynovitis of flexor tendon Also known as flexor tendon tenosynovitis that trigger finger snapping, showing the metacarpophalangeal joints snapping and pain in May -2009 .2007 In May, the author treated the disease with a knife 38 patients achieved good effect, these are as follows . 1 Materials and Methods 1.1 General Information The group of 38 patients, 9 males and 29 females, aged 28 to 60 years, mean 36.5 years, duration of up to 4 years and the shortest 1 month. 1.2 Treatment Limb placed on the table, palm up, palm in the limb side of the metacarpophalangeal joint tenderness at the most obvious, palpable nodules the size of a grain of rice, using gentian violet as a marker, local disinfection, sterile hole shop towel, with the 5ml syringe with naphthalene de triamcinolone 5mg, a total of lidocaine 4ml 5ml, subcutaneous injection of drugs in the mark about 1ml, then the needle piercing the tendon sheath injection 1ml, then press the affected area at this time the patient feels no pain, right hand holding a disposable needle knife, knife-edge line and the longitudinal axis of the same tendon, the vertical needle, quick access to the skin, when touched nodules, 2 to 3 longitudinal cutting blade, longitudinal dredge, a length of about 1cm, rampant little swing, put the knife to the skin, such as patients with flexion and extension without resistance, snapping disappeared, then the needle. If there is still snapping and resistance, a clear longitudinal position again, snapping the needle after the disappearance. eye of a needle sterilized topical Band-Aid, the limb passive flexion and extension .3 days 3 to 5 times to keep dry and do not scrub the pinhole, 3 days after the event. 2 Treatment outcome 2.1 Clinical Standards Cure: local pain, nodules disappeared, so easily, without snapping. Effective: local pain w