Hand & Wrist

Normal Hand Anatomy

The hand in the human body is made up of the wrist, palm, and fingers. The most flexible part of the human skeleton, the hand enables us to perform many of our daily activities.

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Conditions

Trigger Finger

Trigger Finger, also known as stenosing tenosynovitis or flexor tendonitis, is a condition where one of the fingers or thumb of the hand is caught in a bent position.

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Thumb Arthritis

Arthritis is an inflammatory condition of joints. There are several types of arthritis; the most common type is osteoarthritis or wear-and-tear arthritis that affects the joint at the base of the thumb.

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Arthritis (Hand &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.

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Dupuytren’s Contracture

Dupuytren’s contracture is thickening of the fibrous tissue layer under the skin of palms, fingers, and hands which leads to curving of the finger. It is caused due to the excessive production of collagen which gets deposited under the skin. Hereditary factors, excessive alcohol consumption, diabetes, seizures, and increased age may increase the risk of developing the condition. It commonly occurs in the ring finger and little finger. Occasionally the middle finger is affected but the thumb and index finger are rarely affected. Dupuytren’s contracture is a condition that usually progresses slowly over many years and is not painful. However, some cases progress rapidly and may be painful to the patient.

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De Quervain’s Tenosynovitis

De Quervain’s Tenosynovitis is a hand condition affecting a patients’ ability to move their thumb. It used to be referred to as washerwoman’s sprain or mother’s wrist but with the advent of technology, is now commonly referred to as “Blackberry thumb” from typing and texting on small handheld devices.

De Quervain’s Tenosynovitis is named after the Swiss surgeon who first identified the condition, Dr. Fritz de Quervain. Patients with this condition have difficulty gripping objects and performing their daily activities.

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Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is a compression neuropathy (disease of the nervous system) caused by an increase in pressure on the median nerve. The carpal tunnel is a space in the wrist bound on three sides by bone and covered with a ligament through which nine tendons and one nerve (the median nerve) travel to the fingers. This nerve supplies sensation to the thumb, index, middle, and half of the ring finger (excluding the pinky), while providing innervation of muscles that control thumb motion.

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Hand & Wrist Fracture & Dislocation

The hand is one of the most flexible and useful parts of our body. Because of overuse in various activities, the hands are more prone to injuries, such as sprains and strains, fractures and dislocations, lacerations and amputations while operating machinery, bracing against a fall and sports-related injuries.

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Brachial Plexus

Brachial plexus is a network of nerves that originates at the spinal cord in the neck and passes down your upper arm from under your collar bone.

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Distal Radius Fractures

The forearm consists of two bones, the radius and ulna. The radius is the larger of the two forearm bones, and the region towards the wrist is called the distal end. Fractures in this end are most common.

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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.

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Hand Surgery

Hand surgery is performed to restore the structure and functionality of the fingers, wrist and hand secondary to a traumatic injury, medical condition, severe infection, or birth defect causing pain and/or deformity of the hand. It is performed by trained and certified plastic surgeons.

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Tendon Transfers

Tendon transfer surgery is a surgery to restore the lost functions of the hand by shifting functioning tendon from its initial attachment to the new one.

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Congenital Differences of the Upper Limb

The hand and wrist are formed during the 8th week of gestation. This process consists of various steps and failure in any one or more of these steps may cause congenital or birth defects.

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Cerebral Palsy

Cerebral palsy (CP) is a group of neurological disorders that affect movement, muscle tone, and coordination. CP is usually caused by brain damage that occurs before or during the child’s birth, or during the first 2-3 years of life.

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Burn Injuries in Children’s Hands

Burn injuries in children’s hands are relatively common as they use their hands to explore their environment, making them more susceptible to injury. While burns can occur with exposure to electricity, chemicals or heat, thermal burns are most common in children.

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Hereditary Multiple Exostoses

Hereditary multiple exostoses is a rare genetic condition characterized by abnormal bony growths (exostoses) at the ends of long bones in the ribs, vertebrae, arms, legs and hip bones, and flat bones such as the shoulder blade.

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

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