{"id":12461,"date":"2023-09-11T10:28:38","date_gmt":"2023-09-11T10:28:38","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=12461"},"modified":"2023-09-21T09:42:49","modified_gmt":"2023-09-21T09:42:49","slug":"llr-arp-96-trigger-finger","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-arp-96-trigger-finger\/","title":{"rendered":"Polityka LLR dotycz\u0105ca palca spustowego \u00a0\u00a0\u00a0"},"content":{"rendered":"<p><strong>Kategoria<\/strong><\/p>\n\n\n\n<p>Kryteria progowe<\/p>\n\n\n\n<p>Palec spustowy to schorzenie, kt\u00f3re wp\u0142ywa na jedno lub wi\u0119cej \u015bci\u0119gien d\u0142oni, utrudniaj\u0105c zgi\u0119cie dotkni\u0119tego palca lub kciuka.<\/p>\n\n\n\n<p>Je\u015bli \u015bci\u0119gno ulegnie obrz\u0119kowi i zapaleniu, mo\u017ce \u201euchwyci\u0107 si\u0119\u201d tunelu, przez kt\u00f3ry przechodzi (pochewki \u015bci\u0119gna). Mo\u017ce to utrudnia\u0107 poruszanie dotkni\u0119tym palcem lub kciukiem i powodowa\u0107 uczucie klikni\u0119cia.<\/p>\n\n\n\n<p>Palec spustowy jest r\u00f3wnie\u017c znany jako zw\u0119\u017caj\u0105ce si\u0119 zapalenie pochewki \u015bci\u0119gnistej lub zw\u0119\u017caj\u0105ca tenowaginoza. Zwykle dotyczy kciuka, palca serdecznego lub ma\u0142ego palca. Mo\u017ce to dotyczy\u0107 jednego lub wi\u0119kszej liczby palc\u00f3w, a problem mo\u017ce rozwin\u0105\u0107 si\u0119 w obu r\u0119kach. Cz\u0119\u015bciej wyst\u0119puje w prawej r\u0119ce, co mo\u017ce wynika\u0107 z faktu, \u017ce wi\u0119kszo\u015b\u0107 ludzi jest prawor\u0119czna.<\/p>\n\n\n\n<p>Objawy palca spustowego mog\u0105 obejmowa\u0107 b\u00f3l u podstawy dotkni\u0119tego palca lub kciuka, gdy nim poruszasz lub naciskasz, oraz sztywno\u015b\u0107 lub klikanie, gdy poruszasz dotkni\u0119tym palcem lub kciukiem, szczeg\u00f3lnie z samego rana.<\/p>\n\n\n\n<p><strong>Uprawnienia<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB sfinansuje zwolnienie palca spustowego w nast\u0119puj\u0105cych okoliczno\u015bciach<\/strong><br><strong>&nbsp;<\/strong><br>-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strong>Ci\u0119\u017ckie objawy<\/strong><br>          Skierowa\u0107 na ocen\u0119 chirurgiczn\u0105<br><br>-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<strong>&nbsp; Umiarkowane objawy<\/strong><br>          6 miesi\u0119cy objaw\u00f3w \u2013 w tym czasie<br>          brak reakcji na leczenie zachowawcze, np. szynowanie i analgezj\u0119  <br>           minimum 1 zastrzyk sterydowy<br>&nbsp;<br>-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strong>\u0141agodne objawy<\/strong><br>          Leczenie za pomoc\u0105 prostego znieczulenia<br><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Definicje nasilenia objaw\u00f3w<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><\/td><td><strong>\u0141agodny<\/strong><\/td><td><strong>Umiarkowany<\/strong><\/td><td><strong>Ci\u0119\u017cki : silny<\/strong><\/td><\/tr><tr><td><strong>Kliniczny <br>Prezentacja <\/strong><\/td><td>Obrz\u0119k +\/- b\u00f3l z sporadycznym chwytaniem lub klikaniem palca przy zgi\u0119ciu\/wypro\u015bcie, ale palec jest w pe\u0142ni ruchomy<\/td><td>Je\u015bli chodzi o \u0142agodne, ale tak\u017ce trudno\u015bci w aktywnym wyprostowaniu palca i potrzeb\u0119 pasywnego wyprostu palca<\/td><td>Wyst\u0119puje sta\u0142e skurczenie palca<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Przewodnictwo<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Brytyjskie Towarzystwo Chirurgii R\u0119ki \u2013 Zalecenia dotycz\u0105ce leczenia i<br>BSSH \u2013 Dowody na leczenie chirurgiczne (BEST): Palec spustowy (kciuk): Optymalna liczba zastrzyk\u00f3w steroidowych (2011)<br>&nbsp;<br><a href=\"http:\/\/www.bssh.ac.uk\/patients\/commonhandconditions\/triggerdigits\">http:\/\/www.bssh.ac.uk\/patients\/commonhandconditions\/triggerdigits<\/a>&nbsp;<br>&nbsp;<br><a href=\"http:\/\/www.nhs.uk\/conditions\/Trigger-finger\/Pages\/Introduction.aspx\">http:\/\/www.nhs.uk\/conditions\/Trigger-finger\/Pages\/Introduction.aspx<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>ARP 96. Data przegl\u0105du: 2026 <\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"<p>Category Threshold Criteria Trigger finger is a condition that affects one or more of the hand&#8217;s tendons, making it difficult to bend the affected finger or thumb. If the tendon [&hellip;]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57],"tags":[69,83],"class_list":["post-12461","post","type-post","status-publish","format-standard","hentry","category-policies","tag-orthopaedics","tag-threshold"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>LLR Policy for Trigger Finger \u00a0\u00a0\u00a0 - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-arp-96-trigger-finger\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LLR Policy for Trigger Finger \u00a0\u00a0\u00a0 - LLR ICB\" \/>\n<meta property=\"og:description\" content=\"Category Threshold Criteria Trigger finger is a condition that affects one or more of the hand&#8217;s tendons, making it difficult to bend the affected finger or thumb. 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