Knott's disease (constrictive ligament) - one of the most common diseases of the hand, is an occasion to visit a podiatrist.
The essence of the disease is difficult, straightening the fingers, which is a consequence of a pathological condition ligament brush apparatus.
You will need
- the results of ultrasound or ultrasound
If you attempt to straighten one or more fingersBrush does not lead to the desired result, you need to see a doctor for a thorough orthopedic diagnosis of this pathology. During the testing of special need on their own, without the help of a second hand to straighten the finger. If the attempt fails, and in extension with help there is pain in the finger, accompanied by snaps, diagnosed Knott's disease (snapping finger). Furthermore, when this illness occurs from the base fingers dense rounded formation.
The disease is caused by an infringement of the tendonsextensor and flexor digitorum due to narrowing of the inflammatory nature of the annular ligament. In advanced stages of the disease extension becomes impossible.
When selecting the optimal method of treatment of the diseaseKnott's very important to determine at what stage of the pathological process of the patient turned to a specialist. In the first stage disease limited finger mobility and there is a click in extension, the second - extension performed with some effort. When third-degree finger receives a fixed position and is not unbent. The fourth stage, usually develops in the absence of treatment. There is a secondary joint deformity that makes limited mobility irreversible.
When choosing conservative treatment the doctor mustensure that the extension pin is difficult, but still possible. This method is applied to the affected area of special packs and application of physiotherapy. The course of the treatment usually lasts for several months, and surgery is performed with no effect.
In order to prevent possible complications withsurgical treatment the patient should undergo a thorough medical examination. In most cases, surgery is performed under local anesthesia. The postoperative period usually lasts about two weeks, after which the doctor is required to appoint a medical gymnastics and physiotherapy, aimed at full restoration of hand function.