The aim of the study was to evaluate the results of surgical treatment and rehabilitation of patients with trigger thumb and finger. In 40 patients, comprising 30 women and 10 men aged 26 to 64, a total of 42 cases of trigger thumb and finger. In the preoperative period, the severity of changes were studied according to the classification developed by Newport et al. Five patients were classified in the first stage, 28 in the second, 6 in the third, and 1 in the fourth. The mean duration of symptoms was five months. The indication for surgery was a lack of improvement following conservative treatment. All of the patients were treated surgically using the open method by cutting the flexor tendon sheath in part A1. The rehabilitation treatment included exercises to improve the range of mobility of the thumb and fingers and to stretch, grelax, and strengthen muscles. Neuromobilisation and automobilisation exercises were conducted. After 5 months, swelling, pain and restricted mobility of the thumb and fingers subsided in all patients. There were no 'jumping' symptoms. Apart from a slight transitory inflammatory reaction in 2 patients there were no complications. In patients with trigger finger, open surgery and competent rehabilitation therapy enables the achievement of very good results, with a low complication rate.

The aim of this study was to evaluate the results of surgical treatment and rehabilitation of cubital tunnel syndrome patients. We treated 21 patients with cubital tunnel syndrome, comprising 12 women and 9 men aged 45 to 58. The syndrome affected 13 left and 8 right upper limbs. According to the modified McGowan classification patients experienced varying levels of change: 17 (81%) patients, grade 3; 3patients (14%),-2B; 1patient (5%),-2A. The following patients qualified for surgical treatment: those with pain in the medial side of the elbow joint, those with advanced dysaesthesia and weakness in the motor activity of the hand, and those with changes causing subluxation of the ulnar nerve. All patients were treated surgically through anterior transposition if necessary epineurotomy.The rehabilitation process included exercises involving stretching, relaxing and strengthening of muscle and improvement of the mobility of the elbow. Neuromobilisation and automobilisation exercises were conducted. Patients were taught the correct positioning of the upper limb during work and physical activity. After 12 months, the research results were rated according to the modified criteria of Wilson and Krout. In 16 (76.2%) patients the results were excellent; in 16 (19%) good and in 1 (4.8%) fair. It was found that the vast majority of patients with advanced changes caused by cubital tunnel syndrome and subluxation of the ulnar nerve can achieve excellent and good results from decompression and transposition of the ulnar nerve and competent rehabilitation treatment.

The aim of this study was to evaluate the results of early and delayed surgical treatment and the rehabilitation of patients with traumatic injury in zone I of the extensor tendon of the fingers II-V. 47 patients after traumatic, closed damage of the extensor tendons of the fingers II-V of the hand were treated and examined. 17 women (36.2%) and 30 men (63.8%) aged 14-80 years were included in the study. Patients with a delayed first degree damage of the extensors tendon, as well as fourth degree damage, according to the Doleyle scale qualified for surgical treatment. Surgical treatment consisted of suturing the tendon band or restoring its attachment to the phalanx bone, as well as the arthrodesis of the distal interphalangeal (DIP) joint with Kirschner wire in extension. The wire was removed after 6 weeks. Rehabilitation treatment was carried out in order to restore a full range of motion of the fingers. Patients were under constant supervision of the medical team. The examination of the patients took place before and 3 months after the surgery. The presence of the pain was assessed by means of a 10-point VAS scale (Visual Analog Scale). A goniometer was used to measure the range of motion of patient's fingers. Crawford's scale was used to assess the results of treatment of injuries to the extensor tendons of the fingers. The early stages of treatment to these yielded excellent results in 84.2% of patients, 14.3% good results, 17.8% of satisfactory results and 3.6% of patients had poor results. The differences in the results were not statistically significant. Further operative intervention should be considered for patients with extensive damage to the tendon of the extensor finger with a greater detachment of a fragment of phalanx bone shortly after the injury. In patients with extensive damage to the tendon of the extensor finger with greater detachment of bone fragment of phalanx further surgery in the early period after injury should be considered.

ABSTRAKT Wstęp: Celem pracy była ocena stosowanych metod i osiągnię- tych wyników odtworzenia czynności rąk u chorych po nieodwracalnym uszkodzeniu nerwu promieniowego.Materiały i metody: Badano rodzaj i liczbę zastosowanych metod odtwarzania czynności ruchowej rąk przez przeniesienie ścięgien mięśni czynnych na porażone oraz wdrożone leczenie rehabilitacyjne u chorych z nieodwracalnym uszkodzenie nerwu promieniowego, które zostały przedstawione w 6 doniesieniach naukowych opublikowanych w latach 1996-2016. W dostępnych pracach przedstawiono wyniki leczenia 129 chorych po nieodwracalnym uszkodzeniu nerwu promieniowego.Wyniki: Czynność rąk przywracano najczęściej przez przeniesienie ścięgna: mięśnia nawrotnego obłego na mięsień prostownik nadgarstka promieniowego długiego u100 (72,5%) chorych, mię- śnia dłoniowego długiego na mięsień prostownik kciuka długiego u 88 (68,2%) osób oraz mięśnia zginacza nadgarstka łokciowego na mięsień prostownik palców wspólny u 99 (76,7%)  badanych. W okresie przed- i pooperacyjnym w odtworzeniu czynności rąk dużą rolę odegrało leczenie rehabilitacyjne.Wnioski: U wszystkich chorych osiągnięto prawie pełny lub pełny wyprost nadgarstka i palców. Siła rąk była ogólnie zadowalająca. Sprawność rąk u większości osób była bardzo dobra lub dobra.