The tendons of the thumb and each of the fingers pass through a sheath on the palm side of the hand. Certain diseases and overuse activities can cause a thickening of this sheath. As the tendon passes through a thickened sheath, the tendon eventually becomes irritated and swells. Pain, catching and eventually locking of the finger will occur. Early treatment consists of anti-inflammatory medication or Cortisone injection. If these fail to provide relief, the sheath is opened surgically through a small incision at the base of the finger.
This is a disorder of thickened ligament in the palm, resulting in nodules on the ligament; which if severe enough can cause an inability to fully straighten the fingers. The ring and small fingers are most commonly affected.
The cause of this disorder is unknown. It is seen more commonly in men and is usually found in individuals of Northern European extraction.
De Quervain’s Tenosynovitis
Tendonitis on the thumb side of the wrist can be a very painful and disabling condition. Simple pinching and twisting activities can almost be impossible. The tendons to the thumb become inflamed as they pass under a ligament and the slightest
Treatment consists of rest, medication and occasionally the use of a steroid injection. If these treatments do not provide relief over time, the tendons can be surgically released.
Carpal Tunnel Syndrome
Carpal tunnel syndrome is a common hand problem resulting from pressure on the median nerve at the wrist. Symptoms, which often get worse at night, consist of numbness and/or pain in the wrist and fingers.
Early treatment consists of splinting and anti-inflammatory medication. If symptoms do not improve, an outpatient surgical procedure to relieve the pressure on the nerve is suggested.
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Arthroscopic Wrist Surgery
Flexor and Extensor Tendon Injuries
Tendons are the bands of fibrous connective tissue that connect muscles to bone. Tendons aid in
There are two types of tendons present in the hand- extensor tendons and flexor tendons. Extensor tendons present on top of the hand help with straightening the fingers. Whereas, flexor tendons that lie on the palm side of the hand help in bending the fingers. The flexor tendons are smooth, flexible, thick tissue strands which bend the fingers.
Nerve Compression Syndrome
Nerves transmit the impulses from
The hand is considered one of the most complex structures in the human body due to its intricate anatomy. Your hands are a complex system of various bones, joints, ligaments, tendons, muscles, nerves and blood vessels. Without the healthy functioning of the
Injuries to the fingertip can involve crushing, tearing, or amputation (cutting-off) of the tips of the fingers, which can occur at home, work or during play. Fingertip injuries can occur during every-day activities while using a knife, a lawnmower or snow blower, or when we jam our hands/fingers in the door. They are the most common injuries that occur to the hand. The tips of the longer fingers are more prone to such injuries. The skin, soft tissue, bone, nail and/or nail bed can become damaged with these types of injuries.
Fingertip injuries in children
The surgeon will clean and prepare your child’s amputated fingertip and reattach it. Even in case of injury with bone exposure, the reattached fingertip should continue to grow normally. This is especially possible in children below 2 years of age.
Exercise may be suggested for improving the strength and movement of your hands. Your doctor or physical therapist may suggest additional therapies such as electric stimulation of the nerves, heat and massage therapy, traction, splinting, and special wrappings to control swelling and promote healing.
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