Can Surgery Fix My Pinky and Ring Finger Coordination Issue?

Q: Can Surgery Fix My Pinky and Ring Finger Coordination Issue?

Hello： The movement of the distal joints of the fingers involves the deep tendons, which create a linkage effect. <br>Most people do not have a completely independent extensor tendon for the ring finger, which is why it cannot be straightened on its own. <br>As for the control of

Regarding the interconnection issue between the little finger and the ring finger?

Hello, I was born with a condition that prevents me from fully extending my pinky finger.
Whenever I bend my pinky, my ring finger also bends along with it.
I would like to know if this condition can be resolved through surgery.
As a classical music student, it is essential for me to have independent movement of each finger while practicing.
I have been troubled by this issue for many years, and as the pieces I play become more challenging, it highlights the limitations of my fingers even more.
I hope there is a surgical solution to this problem.
Thank you.

Fanren de xiao zhi, 10~19 year old female. Ask Date: 2020/07/10

Dr. Jiang Junyi reply Neurology

Hello: The movement of the distal joints of the fingers involves the deep tendons, which create a linkage effect.
Most people do not have a completely independent extensor tendon for the ring finger, which is why it cannot be straightened on its own.
As for the control of the flexion of the ring finger, it mainly involves the interaction of the flexor tendons.
These conditions typically cannot be improved through practice.
Regarding whether surgery is necessary to resolve this issue, it is important to consider that most surgeries can lead to tissue adhesions.
It is recommended to consult with a physician from the Taiwan Society of Hand Surgery, particularly an expert in finger joints, for further discussion.
http://handsurgery.com.tw/site/membersFind Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.

Reply Date: 2020/07/10

More Info

The coordination issue you are experiencing with your pinky and ring finger, where bending one finger causes the other to bend as well, is a condition that can be quite challenging, especially for someone like you who is studying classical music and requires precise finger independence for playing instruments. This phenomenon is often referred to as "finger synergy," where the movement of one finger involuntarily affects the movement of another.
In terms of surgical intervention, the possibility of correcting this issue largely depends on the underlying cause of your condition. If the problem is due to anatomical factors, such as the structure of the tendons, ligaments, or bones in your hand, surgery may be an option. However, if the issue is more functional or neurological, surgical solutions may not be as effective.

Before considering surgery, it is essential to undergo a thorough evaluation by a hand specialist or orthopedic surgeon. They will assess your hand's anatomy, the range of motion of each finger, and how the tendons and muscles are functioning. Imaging studies, such as X-rays or MRIs, may be necessary to visualize the structures in your hand and identify any abnormalities.

If surgery is deemed appropriate, the procedure could involve releasing or reconstructing tendons or ligaments to allow for more independent movement of the fingers. However, it is crucial to understand that surgical outcomes can vary, and there are no guarantees that surgery will completely resolve the issue. Rehabilitation and physical therapy post-surgery will also play a significant role in your recovery and ability to regain finger independence.

In addition to surgical options, there are non-surgical approaches that you might consider. Occupational therapy can provide you with exercises and techniques to improve finger dexterity and coordination. A skilled therapist can work with you to develop a personalized rehabilitation program that focuses on strengthening the muscles and improving the range of motion in your fingers.

Moreover, practicing specific finger exercises at home can also be beneficial. For instance, you can try finger isolation exercises where you focus on moving one finger at a time while keeping the others still. This can help train your brain and muscles to develop better control over each finger.

In conclusion, while surgery may be a potential solution for your finger coordination issue, it is essential to consult with a qualified hand specialist to explore all available options. They can provide you with a comprehensive evaluation and help you determine the best course of action based on your specific condition. Additionally, incorporating therapy and exercises into your routine can significantly enhance your finger independence, which is crucial for your musical endeavors. Remember, early intervention and a proactive approach are key to achieving the best possible outcome for your hand function.

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