Conditions and diseases

Spring finger

What is it?

What is it?

A jumping finger, also known as trigger finger, is a condition in which the tendon sheath (the tendon sheath) of the finger becomes inflamed and thickens, making it harder for the finger to move. The medical term for this condition is stenosing tenosynovitis.

Symptoms

Symptoms

The symptoms of a jumping finger vary.

  • You experience sensitivity or pain on the affected thumb or finger.
  • The finger or thumb may get stuck in a bent position. This is characteristic of a jumping finger, with the finger appearing to 'jump up' when straightened.
  • An audible clicking or snapping sound may occur when moving the finger.
  • In some cases, swelling may occur around the affected area.

Symptoms may begin gradually and increase in severity. More than one finger may be affected at a time and both hands may be involved.

A jumping finger is usually more pronounced in the morning, when grasping an object firmly or when stretching your finger.

Causes

Causes

The causes of a jumping finger are often associated with tendon problems and surrounding tissue in the hand. Patients whose work or hobby requires repetitive grasping actions are at greater risk of developing a jumping finger. The condition is also more common in women, those with diabetes or rheumatoid arthritis.

Treatment

Treatment

Treatment for a spring finger can vary, depending on the severity of symptoms. Possible treatments include rest, physiotherapy, wearing splints, anti-inflammatories and, in some cases, surgery (see below) to open the tendon sheath.

Much depends on the grade, type of jumping finger and the presence of any other conditions. A comprehensive clinical examination allows the correct diagnosis to arrive at an appropriate treatment.

A spring finger release, or trigger finger release, is a surgical procedure performed to relieve tendon entrapment in a finger.

This involves making a small incision along the skin lines, at the level of the first tension band. The skin line is opened and any adhesions between the tendons are loosened. Afterwards, the skin is closed with a few sutures.

During keyhole surgery, the surgeon opens the tendon sheath through a small incision, eliminating friction and blockage with the flexor tendon. The tendon can then be decongested. Sutures are not necessary. The small wound heals completely by itself.

This technique can only be performed on spring fingers with obvious blockage, without contracture (forced position).

In patients with severe tendon swelling and contracture (forced position), it is sometimes insufficient just to open the first tension band of the tendon sheath and loosen the tendons. Then it may be useful to remove half of the superficial tendon (ulnar slip resection). For this, the surgeon makes two small incisions and which he closes with a few stitches.

The procedure does not affect your muscle strength. Afterwards, you can perform any movement again.

Preparing for your shoot

Preparing for your shoot

To get to know your state of health before the operation, you will need to fill in a questionnaire. Your attending physician will decide with you whether to do this at the pre-operation desk in the hospital or via the digital patient platform MijnZiekenhuis.

Two working days before your operation, a hospital staff member will call you to tell you when you are expected at the hospital.

In consultation with your doctor, take extra vitamin C in preparation for the operation and recovery.

Day of recording

Day of recording

The procedure requires a day admission. This means you can return home the same day and do not have to stay overnight in hospital.

On the day of your admission, come to the hospital at the appointed hour sober and sign in with your identity card via one of the e-kiosks in the atrium (entrance hall).

Via the e-kiosk, you will receive a ticket with a tracking number on it that will be projected on the digital screens in the waiting area. A staff member completes your file and you are given a care band with your name, first name and date of birth on it. After that, your admission proceeds through the operating theatre lounge.

In the operating theatre, you will be prepared for surgery. The operation is usually performed under local anaesthetic. The anaesthetist will visit you for this. If you have any questions about the anaesthesia or the procedure, please do not hesitate to ask.

After the operation, you will enter our pleasant recovery lounge. The nurse checks your vital parameters while you rest from the operation. This procedure promotes a quick and pleasant discharge procedure, allowing you to leave the hospital smoothly.

Aftercare

Aftercare

After the procedure, you will be given a hand bandage. You can remove the bandage the day after surgery. You then cover the wound with a simple plaster.

  • Open spring finger release: the stitches should be removed 12 to 14 days after the procedure.
  • Ultrasound spring finger release: the wound will heal spontaneously after a few days. In open release, the sutures should be removed after 12-14 days.
  • Ulnar slip resection:

Soon after treatment, try to make full movements with your finger. While doing so, close your finger and stretch it completely. You can resume all activities immediately. Keep in mind that local discomfort or swelling after surgery is normal.

You will be given a first check-up appointment after X days.

Possible complications

Possible complications

For the first few days after the procedure, keep your hand elevated to counteract finger swelling. Moving the fingers also has a decongestant effect. You can also put ice on your fingers in 20-minute periods. Anti-inflammatories have a decongestant effect, but should only be taken on the advice of your attending physician.

A scar on the hand becomes softer after about four months. Be patient. After wound healing, you can massage the scar to loosen it. Moisturising creams or a silicone covering (Mepitac tape) can also be useful. Always protect the scar from the sun.

If there is too much swelling, a pinch-off bandage or cast may occur. If the above advice does not help, you can relax the windel or take off the hand bandage. The windel in an open cast can also be relaxed.

Postoperative hand dressing catches any subsequent bleeding. High-strength hand and ice can also help. Anti-inflammatory medication is possible, but is always done in consultation with your doctor

This complication occurs very rarely, yet more frequently in smokers and diabetics. Contact your doctor or the emergency department in case of sharply increasing pain, fever (> 38.5 °C), a festering wound or increasing and spreading redness.

Very rarely, temporary loss of sensation occurs in the fingers due to tension of the bandage or swelling. Put the hand higher, relax the windel of the bandage, put ice on it. Contact our service if you have any concerns.

Brochure postoperative guidelines

Brochure postoperative guidelines

Treatment centres and specialisations

Treatment centres and specialisations

Latest publication date: 02/05/2025

Something wrong or unclear on this page? Report it.