Hand & Wrist

Normal Hand Anatomy

The human hand is an intricate instrument that is both tough and delicate. Its functions of sensation and motion allow us to experience and control the world around us.

For more information about Hand Anatomy, click on below tab.

Conditions

Trigger Finger

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.

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Dupuytren’s Contracture

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.

If deformity is mild and there is no functional loss, no surgery is needed. If, however, there is significant contracture that interferes with full use of the hand, surgical removal of a portion of the ligament is the treatment of choice to improve function and to prevent further deformity.

For more information about Dupuytren’s Contracture, click on below tab.

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 motion of the wrist can cause pain.

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.

For more information about De Quervain’s Tenosynovitis, click on below tab.

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. Eventually there is loss of strength, fine motor control and sensation.

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.

For more information about Carpal Tunnel Syndrome, click on below tabs.

Arthritis Hand and Wrist

Arthritis is an inflammatory condition of joints. There are several types of arthritis and the most common type is osteoarthritis or wear-and-tear arthritis. Arthritis affects various joints in the body, the arthritis in the wrists and hands are the common types of arthritis. The arthritis in hand affects the joint at the base of the thumb.

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Ganglion Cyst

Ganglion cysts are swellings that most commonly develop along the tendons or joints of wrists or hands. They can be found either at the top of the wrist, palm side of the wrist, end joint of a finger, or at the base of a finger. Ganglion cyst is not cancerous and will not spread to the other parts of the body. It looks like a water balloon on a stalk and contains a clear fluid or jelly material. Ganglion cysts can be found in people of all ages.

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Wrist Sprains and Strains

Sprains and strains are common sports injuries. Sprains are injuries caused to the ligaments (connect bone to bone) whereas strains are injuries caused to the muscles or tendons (connect muscle to bone).

For more information about Wrist Sprains and Strains, click on below tab.

Fractures of the Hand and Fingers

The hand is one of the most flexible and useful parts of our body. In the wrist, many small bones are connected to each other and help you perform various activities. Because of overuse of hand in various activities hands are more prone to injuries and you may suffer from sprains and strains; fractures when lifting and carrying heavy objects, hand injury while operating machinery, bracing against a fall, or sports-related injuries. Any injury to bones or the attached ligaments may cause pain and strain, thereby limiting the activities of hands and wrists. A broken wrist is among the most common broken injuries. Fracture is a break in the bone and sprain is the tear of the ligament, the connective tissue. Fracture or sprain limits the activities of hand and may be corrected.

For more information about Fractures of the hand and fingers, click on below tabs.

Scaphoid Fracture

The scaphoid bone is a small, boat-shaped bone in the wrist, which, along with 7 other bones, forms the wrist joint. It is present on the thumb side of the wrist causing it to be at a high risk for fractures. A scaphoid fracture is usually seen in young men aged 20 to 30 years. They can occur at two places: near the thumb or near the forearm.

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Gout

Gout is a very common, painful form of arthritis which causes swelling, redness and stiffness of the joints. Gout is caused by increased levels of uric acid in the tissues and blood from abnormal metabolism. Eating certain foods rich in purines such as liver and dried beans can elevate the body’s level of uric acid. These Increased levels of uric acid can also cause kidney stones. Gout usually affects the big toe and can later attack ankles, heels, knees, wrists, fingers, and elbows. If untreated, gout can result in permanent joint and kidney damage.

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Procedures

Arthroscopic Wrist Surgery

Wrist is also called as carpus, a complex joint comprised of bones and joints, ligaments and tendons, nerves, blood vessels, and muscles that hold the bones together.

For more information about Arthroscopic Wrist Surgery, click on below tab.

Hand Fracture Repairs

The word “Fracture” implies to broken bone. A bone may get fractured completely or partially and it is caused commonly from trauma due to fall, motor vehicle accident or sports. Thinning of the bone due to osteoporosis in the elderly can cause the bone to break easily. Overuse injuries are common cause of stress fractures in athletes. Our body reacts to a fracture by protecting the injured area with a blood clot and callus or fibrous tissue. Bone cells begin forming on the either side of the fracture line. These cells grow towards each other and thus close the fracture.

For more information about Hand Fracture Repairs, click on below tab.

Hand Dislocation Surgery

Coming soon

Carpal Tunnel Release

Carpal Tunnel Syndrome is a common, painful, progressive condition that is caused by compression of the median nerve at the wrist area. Common symptoms of carpal tunnel syndrome include numbness and tingling sensation in all the fingers except little finger; pain and burning sensation in hand and wrist that may radiate up the arm and elbow; and weakness in hand with diminished grip strength Exact causes of the condition are not known. However certain factors increase the risk of developing carpal tunnel syndrome and they include congenital abnormalities, repetitive motion of hand and wrists, fractures and sprains, hormonal imbalance, and other medical conditions such as hypothyroidism, rheumatoid arthritis, diabetes, obesity, gout, overactive pituitary gland, or the presence of a cyst or tumour in the canal.

For more information about Carpal Tunnel Release, click on below tab.

Carpal Tunnel Release Surgery

Carpal tunnel syndrome can be treated with carpal tunnel release surgery. Traditional surgery involves up to a 2- inch incision in the palm and wrist area, whereas endoscopic surgery involves one or two half-an-inch incisions and the use of an endoscope. During the surgery, the transverse carpal ligament will be dissected to release the pressure on the median nerve and enlarge the carpal tunnel. Your surgeon will decide which options are best for you based on your general and medical conditions.

For more information about Carpal Tunnel Release Surgery, click on below tabs.

Wrist Fracture Surgery

Coming soon

For more information about Wrist Fracture Surgery, click on below tab.

Wrist Dislocation Surgery

Coming soon

De Quervain’s Release

Coming soon

Trigger Finger Release

Coming soon

Gout Surgery

Coming soon

Dupuytren’s Contracture Treatment

Coming soon

Click on the topics below to find out more from the Orthopaedic connection website ofAmerican Academy of Orthopaedic Surgeons.

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Dr. Newcomer is currently the
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© Dr. Joseph K. Newcomer, MD Normal Il 61761 United States

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