Hand & Wrist
Conditions & Treatments
The hand is composed of numerous small bones called carpals, metacarpals and phalanges.
The two bones of the lower arm — the radius and the ulna — meet at the hand to form the wrist.
Arthritis of the Hand, Wrist & Thumb
The hand, thumb, and wrist are comprised of dozens of bones and the ends of these bones are covered with a thin layer of cartilage that helps the bones glide smoothly when using the hands or wrist. Arthritis causes inflammation within the joints as well as deterioration of the cartilage within the joints. As the cartilage deteriorates, the bones of the hand, thumb or wrist may begin to rub together. Hand, Thumb or Wrist Arthritis can be the result of the aging process, repeated injuries to the hand or wrist as well as genetic factors.
Carpal Tunnel Syndrome
Carpal Tunnel Syndrome is a common condition that is caused by a compressed nerve that begins in the forearm and runs through the wrist and hand. Known as the median nerve, this nerve travels under the transverse carpal ligament of the wrist on its way through the thumb, index, middle, and part of the ring finger.
The bones of the forearm extend into the wrist and comprise the wrist joint. The larger of these two bones is known as the distal radius and this is the bone that is most often affected by a wrist fracture. This injury is most often caused by a high impact or a fall onto an outstretched hand.
The wrist is held in place by several small bones and connected by several small ligaments. A sprain occurs when one or more of these ligaments is overstretched and usually occurs due to an impact or fall onto the outstretched hand.
A cyst is a fluid-filled sac that can appear within the joints of the wrist or in the palm of the hand. The cysts tend to appear around the ligaments and tendons as well as the back of the wrist. The cause of cysts is typically unknown but appear to affect women more than men. In many cases, the cysts do not require treatment unless they are causing pain as they are otherwise harmless.
Trigger Finger Syndrome
Trigger Finger is a condition caused by inflammation and enlargement of the tendons that pull the fingers towards the palm of the hand. A locking, catching, or popping of the finger when trying to straighten it are key signs of Trigger Finger Syndrome. It is also common to have the finger appear in the locked or curled position throughout the day.
Dupuytren’s disease is characterized by the thickening of tissue in the hand. As the fascia found beneath the skin thickens and tightens, hard, visible knots form in the palm of the hand. These are known as Dupuytren’s contractures. While there is no known cause for the condition, it is most prevalent in men over 40-years-old and it is thought to be hereditary.
De Quervain's Tendinosis
Within the thumb, there are two major tendons that begin in the wrist and allow for motion and flexibility in the thumb. When these tendons, or the sheaths around them, become irritated or inflamed it is known as De Quervain’s Tendinosis. This condition seems to affect women more than men and is common during pregnancy and among those with rheumatoid arthritis.
Wrist Arthroscopy is a procedure that uses a small surgical camera and surgical tools to treat chronic pain or loss of function in the wrist due to damaged cartilage, ligaments or bone spurs. Damage to the cartilage, ligaments or bone spurs can be the result of previous injuries (such as repetitive sprains or a fracture) or arthritis and can limit day to day mobility.
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