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The Pathogenesis and Treatment of the Stiff Finger
Eric D Wang1, Paymon Rahgozar1
1Division of Plastic and Reconstructive Surgery, Department of Surgery, UC San Francisco Medical Center, 505 Parnassus Avenue, Suite M593, San Francisco, CA 94143, USA.
Abstract:
"Stiff finger," defined as a finger with decreased range of motion in one or more joints, is commonly found after hand injury and is classified into flexion or extension deformities. Pathogenesis is due to dysfunction in one or more of the following anatomic components: (1) osseous and articular; (2) capsuloligamentous; (3) musculotendinous units; (4) soft tissue and fascia. Evaluation and treatment are based on accurate identification and correction of pathologic structures. The mainstay of treatment is directed hand therapy with exercises and splinting to mobilize stiff joints. Operative interventions are offered after gains from therapy have been exhausted.
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