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10.1016/j.cps.2014.03.011

http://scihub22266oqcxt.onion/10.1016/j.cps.2014.03.011
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C4124823!4124823!24996467
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suck abstract from ncbi


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pmid24996467      Clin+Plast+Surg 2014 ; 41 (3): 501-12
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  • Management of the Stiff Finger: Evidence and Outcomes #MMPMID24996467
  • Yang G; McGlinn EP; Chung KC
  • Clin Plast Surg 2014[Jul]; 41 (3): 501-12 PMID24996467show ga
  • The term ?stiff finger? refers to a reduction in the range of motion in the finger, and it is a condition that has many different causes and involves a number of different structures. Almost all injuries of the fingers and some diseases can cause finger stiffness. Hand surgeons often face difficulty treating stiff fingers that are affected by irreversible soft tissues fibrosis. Stiff fingers can be divided into flexion and extension deformities. They can also be sub-classified into four categories according to the involved tissues extending from the skin to the joint capsule. Prevention of stiff fingers by judicious mobilization of the joints is prudent to avoid more complicated treatment after established stiffness occurs. Static progressive and dynamic splints have been considered as effective non-operative interventions to treat stiff fingers. Most authors believe force of joint distraction and time duration of stretching are two important factors to consider while applying a splint or cast. We also introduce the concepts of capsulotomy and collateral ligament release and other soft tissue release of the MCP and PIP joint in this article. Future outcomes research is vital to assessing the effectiveness of these surgical procedures and guiding postoperative treatment recommendations.
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