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Did you just injure your Finger? Unable to straighten your Finger?

Consult our Doctors @ Singapore Sports and Orthopaedic Clinic!

What type of Finger pain are you experiencing?

Mallet Finger

Your finger may be painful, swollen and bruised. A mallet finger is an obvious injury, if you know what you’re looking for: the last joint of the finger will be bent down, and while the joint can be straightened with assistance, you will be unable to fully straighten the tip of the finger on your own.

Commonly an athletic injury where basketball and baseball players routinely experience jammed fingers, but the injury can occur because of a crushing accident on the job or even because of a cut finger while working in the kitchen. A mallet finger is an injury to the extensor tendon on the back of the finger. The extensor tendon is the tendon used to straighten the finger. The tendon has several attachments on the back of the finger, including one just beyond the last knuckle that allows this last finger joint to extend (straighten). When the tendon is injured, there is nothing to pull that last knuckle straight, and therefore, the joint stays bent. Mallet finger results from hyperflexion of the extensor digitorum tendon, and usually occurs when a ball (such as a softball, basketball, or volleyball), while being caught, hits an outstretched finger and jams it (by rupturing or stretching the extensor digitorum tendon).

Trigger Finger

The name trigger finger is from the symptom of triggering or snapping. This occurs when relaxing a fist, the affected trigger finger remains flexed. When enough force has been gathered, the trigger finger will suddenly extend, like pulling a trigger. 

The exact cause of trigger finger or thumb is not readily evident. In many cases, the condition may be the result of repetitive strain of the area due to work or hobby activities. Tasks that require monotonous grasping or prolonged use of tools for example scissors, screwdrivers, etc. which press firmly on the tendon sheath at the base of the finger or thumb may irritate the tendons and result in thickening of the tendons themselves or the tendon sheath. Trigger finger may also be associated with conditions such as rheumatoid arthritis, gout or metabolic disorders such as diabetes that produce changes in the connective tissues and synovium.

How Doctors know your medical condition?

Visual Examination

Your doctor will ask about your symptoms and examine you. He or she may also ask you about your medical history. When your doctor examines your hand, he or she will feel the affected finger to see if there is tenderness or a nodule in your palm at the base of your affected finger. Your doctor may ask you to bend and straighten your fingers while he or she feels the palm of your hand, as this is where the catching of the tendon happens.

Ultrasound

If your doctor is unable to diagnose trigger finger by examining you, he or she may refer you to have an ultrasound scan. If your doctor suspects that you have trigger finger, he or she may refer you to a specialist hand surgeon to confirm your diagnosis.

Singapore Sports and Orthopaedic Clinic

We treat and teach you about lifestyle changes to help you manage your pain effectively.

What Doctors do to relieve your Finger Pain?

Mallet Finger

If the finger is not broken or cut, or if only a small fracture is present, the doctor applies a splint to the end of the finger so it remains extended. With a splint, the outermost joint on the injured finger is not bendable, but the rest of the finger is bendable. This splint needs to be worn for at least 6-8 weeks to ensure that the tendon is given the best chance of healing. Surgery is necessary if the tendon requires suturing to repair it.

Trigger Finger

Conservative non-surgical treatment involves avoiding or modifying the activities that have caused the inflammation. Oral anti-inflammatory medications are used to reduce the inflammation or discomfort. An Injection may be administered directly into the tendon sheath to reduce the soft tissue swelling. In the event when it does not respond to conservative treatment, surgery may be recommended. Surgery is performed where a horizontal incision is made in the palm at the base of the affected finger or thumb. The surgeon will release the first annular band, relieving the constriction of the tendon as it passes through the sheath.

Why Choose Singapore Sports and Orthopaedic Clinic for Finger Pain?

ambrose

Dr. Ambrose Yung

Orthopaedic Surgeon

MBBS (HK), MRCS (EDIN), MMed (ORTHO), FRCS (ORTHO) 

Special interest in Sports Medicines, Osteoarthritis, Fracture, Partial & Total Joint Replacement, Minimal Invasive Trauma Surgery, Arthroscopy, Common Orthopaedic Problems for Adult & Children

Dr. Ambrose Yung is a specialist orthopaedic consultant with experience in hip fracture surgery, partial knee replacement, complex primary total knee replacement, revision knee replacement, minimal invasive knee and shoulder sports surgery, foot and ankle pain, elbow pain / bursitis, fractures, common orthopaedic problems for Adult and Children.

Dr Mathew

Dr. Mathew Tung

Orthopaedic Surgeon

MBBS (SG), FRCS (GLASG), FRCS (NEUROL), FAMS

Special interest in treating Back Pain, Neck Pain, Nerve Disorder, Headache, Brain, Tumour, Osteoporosis, Stroke, Sweaty Palm

Dr. Mathew Tung is a spinal specialist neurosurgeon who specialises in treating disorders of the brain and spine with special interest in in back pain and neck pain, nerve pain and headache. He believes that neurosurgery should always consider the non-invasive options before open surgery to attain minimum morbidity and a fast return to optimum function.

Dr Chee

Dr. Chee Khin Ghee

Orthopaedic Surgeon

MBBS (SG), MRCS (EDIN), MMED (SX), FAMS

Special interest in Microsurgery of Hand and Wrist – for Adult and Children

Dr. Chee Khin Ghee is a Specialist Hand Surgeon specialising in hand & wrist injuries, arthritis, tumours, wrist arthroscopy, hand joint replacement and soft tissue reconstruction microsurgery. In addition to common bony, soft tissue and nerve conditions of the upper limb, Dr. Chee’s sub-specialty and interest are in Hand and Wrist arthroplasty and arthroscopy which include joint replacement and reconstruction.

kelvin

Dr. Kevin Yip

Orthopaedic Surgeon

MBBS (UK), FRCS (EDIN), FAM (SG), FHKCOS (ORTHO)

Special interest in Knee and Shoulder Pain, Injuries, Fracture, Common Orthopaedic Problems, Arthroscopy Surgery for Adult & Children

Dr. Kevin Yip is a senior orthopaedic surgeon and a professor who specialises in orthopaedic trauma surgery. He has published close to 100 research articles. When Dr. Kevin Yip sees you, he will take a detail history and will then examine you. He uses various methods to diagnose your condition. He will then take you through the results by showing you pictures, on screen, of your tendon, ligaments,nerve or bone and will discuss your treatment options.

FAQs

Most frequent questions and answers

If the problem does not resolve, a surgery to release the tendon may be necessary. This procedure is a same day surgery that can be done under local anesthetic or regional nerve block. A small (less than 2 cm) incision is made in the skin, and the tight portion of the flexor tendon sheath is released.

Following the procedure, a sterile bandage is applied to the site of surgery. This bandage is removed after a few days, and full use of the finger may then begin. Activity of the finger is encouraged as this will help prevent new adhesions (scar) from forming where the surgery was performed. Full recovery is expected for surgery.

Trigger finger surgery is very safe, but there are possible complications. The most common problem is that the trigger finger can come back if the tendon sheath is not adequately released. Other possible problems include infection, stiffness of the finger, and damage to the nerves of the finger. The likelihood of these problems is very small, and trigger finger surgery has a very high success rate.

To prevent such injuries, take care when participating in activities, including athletic events. To prevent injuries from happening again to the same finger, leave the splint on for the entire time the doctor has recommended.

Make an Appointment to relieve your pain!

We treat and teach you about lifestyle changes to help you manage your pain effectively.

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