Name of the Procedure:

Tenolysis, Flexor Tendon; Palm or Finger, Each Tendon

Summary

Tenolysis of the flexor tendon is a surgical procedure aimed at freeing a tendon in the palm or finger that has become stuck due to scar tissue. This procedure helps restore smooth and unimpeded movement to the affected fingers.

Purpose

This procedure addresses conditions where scar tissue has formed around a flexor tendon, restricting movement and causing pain or functional impairment. The goal is to improve range of motion, relieve pain, and enhance overall hand function.

Indications

• Limited range of motion in the fingers or palm
• Pain when moving the fingers or palm
• Previous tendon surgery or injury leading to scar tissue
• Failure of non-surgical treatments like physical therapy

Preparation

• The patient may need to fast for several hours before the procedure.
• Medication adjustments may be required, particularly for blood thinners.
• Diagnostic tests such as X-rays or MRI may be needed to assess the affected tendon.

Procedure Description

1. The patient is administered local or general anesthesia.
2. A small incision is made over the affected area.
3. The surgeon carefully dissects tissue to free the tendon from the surrounding scar tissue.
4. Once the tendon is freed, the incision is closed with sutures.
5. The hand is typically bandaged, and a splint might be applied to support healing.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the extent of the scar tissue.

Setting

This procedure is performed in a hospital or surgical center, usually on an outpatient basis.

Personnel

• Orthopedic or hand surgeon
• Surgical nurse
• Anesthesiologist (if general anesthesia is used)
• Surgical technician

Risks and Complications

• Infection at the incision site
• Bleeding and bruising
• Nerve or blood vessel damage
• Stiffness or continued limited movement
• Scarring

Benefits

• Restored range of motion in the fingers or palm
• Reduced pain and discomfort
• Improved hand functionality
• Benefits can often be noticed within weeks following surgery

Recovery

• Keep the hand elevated and apply ice packs to reduce swelling.
• Follow a prescribed physical therapy regimen to regain motion.
• Avoid strenuous activities with the hand for several weeks.
• Follow-up appointments are necessary to monitor healing.

Alternatives

• Physical therapy
• Anti-inflammatory medications
• Corticosteroid injections
• Non-surgical management may be less invasive but might not resolve severe symptoms.

Patient Experience

During the procedure, the patient will be under anesthesia and should not feel pain. Post-procedure, there might be some discomfort, swelling, and mild pain, which can be managed with prescribed medications and ice packs. Physical therapy is crucial for a successful recovery and to maximize the benefits of the surgery.