{"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\/ro\/llr-arp-96-trigger-finger\/","title":{"rendered":"Politica LLR pentru Trigger Finger \u00a0\u00a0\u00a0"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>Categoria<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Criterii de prag<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Degetul de declan\u0219are este o afec\u021biune care afecteaz\u0103 unul sau mai multe tendoane ale m\u00e2inii, ceea ce face dificil\u0103 \u00eendoirea degetului sau a degetului mare afectat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dac\u0103 tendonul devine umflat \u0219i inflamat, se poate \u201eprinde\u201d \u00een tunelul prin care trece (teaca tendonului). Acest lucru poate face dificil\u0103 mi\u0219carea degetului sau a degetului mare afectat \u0219i poate duce la o senza\u021bie de clic.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Degetul de declan\u0219are este cunoscut \u0219i sub denumirea de tenosinovit\u0103 stenozant\u0103 sau tenovaginoz\u0103 stenosant\u0103. De obicei afecteaz\u0103 degetul mare, degetul inelar sau degetul mic. Unul sau mai multe degete pot fi afectate, iar problema se poate dezvolta la ambele m\u00e2ini. Este mai frecvent\u0103 \u00een m\u00e2na dreapt\u0103, ceea ce poate fi pentru c\u0103 majoritatea oamenilor sunt dreptaci.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Simptomele degetului de declan\u0219are pot include durere la baza degetului sau degetului mare afectat atunci c\u00e2nd \u00eel mi\u0219ca\u021bi sau ap\u0103sa\u021bi pe el \u0219i rigiditate sau clic atunci c\u00e2nd mi\u0219ca\u021bi degetul afectat sau degetul mare, \u00een special la prima or\u0103 diminea\u021ba.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Eligibilitate<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>LLR ICB va finan\u021ba eliberarea unui deget de declan\u0219are \u00een urm\u0103toarele circumstan\u021be<\/strong><br><strong>&nbsp;<\/strong><br>-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strong>Simptome severe<\/strong><br>          Consulta\u021bi pentru evaluare chirurgical\u0103<br><br>-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<strong>&nbsp; Simptome moderate<\/strong><br>          6 luni de simptome \u2013 \u00een acest timp<br>          nici un r\u0103spuns la managementul conservator, de exemplu atele \u0219i analgezie  <br>           minim 1 injec\u021bie de steroizi<br>&nbsp;<br>-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <strong>Simptome u\u0219oare<\/strong><br>          Trata\u021bi cu analgezie simpl\u0103<br><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Defini\u021biile severit\u0103\u021bii simptomelor<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><\/td><td><strong>Bl\u00e2nd<\/strong><\/td><td><strong>Moderat<\/strong><\/td><td><strong>Sever\u0103<\/strong><\/td><\/tr><tr><td><strong>Clinic <br>Prezentare <\/strong><\/td><td>Umflare +\/- durere cu prindere intermitent\u0103 sau clic al cifrei la flexie\/extensie, dar cifra este complet mobil\u0103<\/td><td>\u00cen ceea ce prive\u0219te u\u0219oar\u0103, dar \u0219i dificultate \u00een extinderea activ\u0103 a cifrei \u0219i nevoia de extensie pasiv\u0103 a degetului<\/td><td>Este prezent\u0103 contrac\u021bia fix\u0103 a cifrei<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u00cendrumare<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Societatea Britanic\u0103 de Chirurgie a M\u00e2inii \u2013 Recomand\u0103ri pentru tratament \u0219i<br>BSSH \u2013 Evidence for Surgical Treatment (BEST): Degetul de declan\u0219are (degetul mare): Num\u0103rul optim de injec\u021bii cu steroizi (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 revizuirii: 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_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"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 v27.8 - 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\/ro\/llr-arp-96-trigger-finger\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\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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