Tendonitis and tendon tears in the hand and upper extremity can significantly affect daily activities and reduce the quality of life. Understanding the surgical options available can be crucial for effective treatment and recovery. This article explores hand and upper extremity surgery for tendonitis and tendon tears, providing insights into the procedures, recovery expectations, and overall management.

What is Tendonitis?

Tendonitis refers to the inflammation of a tendon, typically caused by repetitive movements or overuse. Commonly affected areas include the wrists and fingers, and it often results in pain, swelling, and limited motion. Common types of tendonitis in the hand include De Quervain’s tenosynovitis and trigger finger.

Understanding Tendon Tears

Tendon tears occur when the tendon fibers are partially or completely ruptured, often due to trauma or chronic overuse. These tears can lead to significant loss of function, making surgical intervention necessary in some cases. Symptoms may include intense pain, swelling, and difficulty moving the affected joint.

Indications for Surgery

Surgery may be indicated for tendonitis or tendon tears when non-surgical treatments, such as physical therapy, medications, or injections, fail to relieve symptoms. Additionally, severe cases involving complete tears or significant dysfunction may necessitate surgical repair to restore function and alleviate pain.

Surgical Procedures

Hand and upper extremity surgery for tendonitis and tendon tears may involve various techniques:

• Tendon Repair: In cases of complete tears, the surgeon may reattach the torn tendon to the bone using sutures. This procedure aims to restore the tendon’s strength and improve mobility.
• Tendon Release: For conditions like trigger finger, releasing the constricted tendon sheath can alleviate symptoms and restore normal movement.
• Tendon Reconstruction: If a tendon is severely damaged, the surgeon may reconstruct it using grafts or other methods to restore function.
• Tenolysis: In chronic tendon injuries with scarring, tenolysis involves removing scar tissue to allow the tendon to glide freely and regain movement.

Recovery After Surgery

Recovery durations can vary based on the nature of the surgery and the individual’s overall health. Patients may need to wear a splint or cast to protect the surgical site during the initial healing phase. Physical therapy is often recommended to improve strength, flexibility, and function post-surgery.

Benefits of Surgery

Surgical intervention can provide several benefits for patients suffering from tendonitis and tendon tears:

• Pain Relief: Many patients experience significant pain relief following surgery.
• Improved Functionality: Surgery can restore the ability to perform daily activities effectively.
• Long-Term Relief: Successful surgical outcomes can lead to lasting improvements, reducing the likelihood of future issues.

Conclusion

Hand and upper extremity surgery is an effective treatment option for tendonitis and tendon tears. Understanding the conditions, potential surgical solutions, and recovery expectations can empower patients to make informed decisions about their treatment. If experiencing symptoms associated with tendonitis or tendon tears, consulting a qualified orthopedic specialist can pave the way to a healthier, more functional life.