Finger Control Issues: Bone Spurs and Tendon Damage

Difficulty in controlling the fingers?

Hello Doctor, I recently noticed that I have difficulty controlling my middle finger, ring finger, and pinky finger.
A relative who is a doctor examined me and mentioned that if there are bone spurs, they could potentially be rubbing against the tendons, suggesting that I should see a doctor.
If it’s severe, surgery might be necessary.
Therefore, I would like to ask you: 1.
How likely is it that bone spurs can damage the tendons? 2.
If surgery is indeed required, what is the safety of this procedure? 3.
Will the scars from the surgery be very noticeable? I personally have a hard time accepting scars...
Thank you, and I wish you a Happy New Year in advance!

Ra, 10~19 year old female. Ask Date: 2024/01/25

Dr. Chen Bochen reply Orthopedics

Hello, I recommend that you consult a hand surgeon for an evaluation.
The written description may not accurately reflect your actual condition, so it is advisable to see an orthopedic hand surgeon for an in-person assessment.

Reply Date: 2024/01/25

More Info

When it comes to finger control issues, particularly concerning bone spurs and tendon damage, there are several important factors to consider. Your concerns about the possibility of bone spurs damaging tendons, the safety of surgical intervention, and the visibility of scars post-surgery are all valid and deserve thorough exploration.

1. Possibility of Bone Spurs Damaging Tendons: Bone spurs, or osteophytes, are bony projections that develop along the edges of bones, often in response to joint damage or degeneration. They can indeed cause issues with surrounding soft tissues, including tendons. If a bone spur is located near a tendon, it can lead to friction or irritation, potentially resulting in tendonitis or even tendon tears over time. However, the likelihood of a bone spur completely severing a tendon is relatively low. More commonly, bone spurs can lead to chronic pain and limited mobility due to inflammation and irritation rather than outright rupture. If you are experiencing significant control issues with your fingers, it is crucial to have a comprehensive evaluation, including imaging studies like X-rays or MRIs, to assess the presence and impact of any bone spurs.

2. Safety of Surgical Intervention: If conservative treatments such as physical therapy, anti-inflammatory medications, or corticosteroid injections do not alleviate your symptoms, surgery may be considered. Surgical procedures to remove bone spurs or repair damaged tendons are generally safe and effective, with a high success rate. However, as with any surgery, there are risks involved, including infection, nerve damage, and complications related to anesthesia. It is essential to discuss these risks with your surgeon, who can provide a detailed overview based on your specific condition and overall health.

3. Scarring Post-Surgery: Concerns about scarring are common among patients considering surgery. The visibility of scars can vary based on several factors, including the surgical technique used, your skin type, and how well you heal. Minimally invasive techniques may result in smaller scars compared to traditional open surgery. Additionally, following post-operative care instructions, such as keeping the incision clean and moisturized, can help improve the appearance of scars. If scarring is a significant concern for you, discuss this with your surgeon, who may offer options for scar management or recommend techniques that minimize scarring.

In summary, while bone spurs can potentially lead to tendon issues, the extent of damage varies. Surgical intervention is generally safe and effective, but it is essential to weigh the benefits against the risks. Scarring is a concern for many, but with proper care and surgical technique, it can often be minimized. It is crucial to have an open dialogue with your healthcare provider to address all your concerns and to develop a treatment plan tailored to your needs. Wishing you the best in your journey toward recovery and health!

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