Can Surgery Correct Crooked Finger Joints for Musicians?

Finger joint deformity

Hello, doctor.
I have been playing the piano for many years, which requires the use of my fingers.
However, I was born with misaligned fingers.
Do you think surgery could correct this? The main issue is that the joints of my fourth and fifth fingers are crooked, causing improper contact with the instrument, which has led to finger pain.
Also, after surgery, will I be able to move my fingers flexibly again?

Mu Mu, 20~29 year old female. Ask Date: 2022/11/27

Dr. Chen Yongxue reply Orthopedics

Hello, the distal interphalangeal joint of the fifth finger is angled inward, which is a very common condition.
It usually occurs bilaterally.
Please avoid surgery, as it can lead to joint stiffness and worsen your condition.
Thank you.

Reply Date: 2022/11/27

More Info

When it comes to correcting crooked finger joints, particularly for musicians, surgery can indeed be a viable option, especially if the misalignment is causing pain or functional limitations. In your case, where the fourth and fifth fingers are misaligned, this can significantly affect your ability to play an instrument comfortably and effectively.
Crooked fingers, often referred to as "clinodactyly," can be congenital (present at birth) or acquired due to injury or repetitive stress. In musicians, the demands placed on the fingers can exacerbate any existing misalignment, leading to discomfort and potential long-term issues if not addressed. The surgical correction typically involves realigning the bones and soft tissues of the fingers to restore proper function and aesthetics.

Before considering surgery, a thorough evaluation by a hand specialist is essential. This evaluation may include physical examinations, imaging studies like X-rays, and possibly MRIs to assess the extent of the deformity and any associated soft tissue issues. The surgeon will discuss the specific surgical techniques available, which may include osteotomy (cutting and realigning bones), tendon repair, or other procedures tailored to your specific condition.

Regarding your concerns about post-operative functionality, most patients can regain significant mobility and dexterity after surgery, especially when the procedure is performed by an experienced hand surgeon. The recovery process typically involves a period of immobilization followed by physical therapy to strengthen the fingers and improve range of motion. The timeline for recovery can vary, but many patients start to see improvements within a few months. Full recovery may take longer, depending on the complexity of the surgery and the individual's healing process.

It's also important to manage expectations; while surgery can greatly improve alignment and function, the outcome can depend on various factors, including the severity of the deformity, the specific surgical technique used, and your commitment to rehabilitation.
In summary, if your crooked finger joints are causing pain and hindering your ability to play an instrument, surgical correction is a possibility worth exploring. Consult with a hand specialist to discuss your specific situation, the potential risks and benefits of surgery, and what the rehabilitation process would entail. With the right approach, you can look forward to improved finger function and a more enjoyable experience playing music.

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