Do You Have Tendons in Your Fingers?

Tendons are fundamental to the intricate movements of our hands, allowing us to perform countless daily tasks with precision and strength. These essential connectors facilitate the complex interplay between muscles and bones, enabling the wide range of motion and dexterity that makes the human hand so versatile.

The Basics of Finger Tendons

Tendons are strong, cord-like bands of dense fibrous connective tissue. They are primarily composed of collagen, a robust protein that gives them their resilience and tensile strength. They also contain specialized cells called tenocytes.

Within the fingers and hand, tendons are categorized into two groups based on their location and function: flexor and extensor. Flexor tendons on the palm side bend the fingers and thumb. Extensor tendons on the back of the hand and fingers enable straightening. These tendons extend from forearm muscles into the finger bones.

How Finger Tendons Enable Movement

Finger tendons play a direct role in how our fingers move, bend, straighten, and grip. The muscles that control finger movement are primarily located in the forearm. When these forearm muscles contract, they pull on their attached tendons, which then transmit this force to the finger bones, resulting in motion. This allows for both powerful gripping and the subtle, precise movements required for delicate tasks.

For efficient movement, these tendons glide within specialized tunnels called synovial sheaths, which are lined with a lubricating fluid that minimizes friction. Fibrous bands known as pulleys act as guides, holding the tendons close to the bones. Without these pulleys, the tendons would lift away from the finger bones like a bowstring when the finger bends, significantly reducing mechanical advantage and making movement far less efficient.

Common Conditions Affecting Finger Tendons

Despite their strength, finger tendons can be susceptible to certain conditions that impair their function. Tendinitis is one such condition, characterized by inflammation of a tendon. This inflammation can lead to pain and stiffness, particularly when bending or straightening the affected finger. Tendinitis often arises from overuse or repetitive motions that place strain on the tendons.

Trigger finger is another common issue, also known as stenosing tenosynovitis. This condition occurs when a finger gets stuck in a bent position or clicks when moved. It happens because the tendon or its surrounding protective sheath becomes inflamed or thickened, making it difficult for the tendon to glide smoothly through the narrow pulley system. The inflammation can cause a small lump or nodule to form on the tendon, which then catches as it tries to pass through the pulley.