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Anatomy of the Hand
Your hands are complex and versatile. They're strong and nimble, and can do very delicate movements. Let's look at the main structures of your hands so we can see how they do all the things they do.
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Animal Bites
A bite from an animal can be very dangerous. Besides obvious injuries like tissue punctures and tears, bites can also introduce germs. Whether from a wild animal or from a pet, an animal bite - even one that seems minor - can cause a serious infection.
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Basal Joint Osteoarthritis
This condition is a degeneration of cartilage in the joints at the base of the thumb, collectively called the basal joint. The main component of the basal joint is the thumb carpometacarpal (CMC), joint. This joint, which allows the thumb to pivot and swivel, can wear out even early in life.
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Boutonniere Deformity
This condition is a characteristic deformity of the finger in which the finger's middle joint, called the PIP joint, bends downward and the finger's end joint, called the DIP joint, hyperextends.
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Boxer's Fracture
A boxer's fracture is a break of the metacarpal of the little finger. The metacarpals are the long bones in the hand that connect the fingers to the wrist. A boxer's fracture refers to a break at the end of the bone nearest the knuckle, which is called the metacarpal neck.
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Carpal Tunnel Syndrome
Pain, numbness and tingling in your hand may be from carpal tunnel syndrome. It happens when the area around the main nerve to your hand is too tight. The nerve is called the median nerve. And the small space in your wrist where it passes is called the carpal tunnel.
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Colles Fractures
Colles fracture is a break of one or both of the forearm bones (called the radius and ulna) that occurs just above the wrist. Although this type of injury can be caused by any strong force, Colles is most often associated with trying to break a forward fall.
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Complex Regional Pain Syndrome (CRPS)
This is a type of chronic, long-lasting, pain. In most cases, it develops in an arm or a leg that you have previously injured. With CRPS, you may have unexplained pain that won't go away. It may be severe, and it may spread.
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De Quervain's Tenosynovitis
This condition, also called stenosing tenosynovitis of the first dorsal compartment of the wrist, is an inflammation of the sheath that wraps around the tendons at the thumb side of the wrist.
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Digital Mucous Cysts
A mucous cyst is a small, fluid-filled sac that forms on the back of the finger near the base of the fingernail. It is a form of ganglion cyst that erupts from the capsule of the joint at the end of the finger, called the DIP joint. The cyst is attached to the joint capsule by a "stalk" that allows fluid to move into the cyst from the joint. Mucous cysts most commonly affect the index finger of the dominant hand.
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Distal Radius Fracture (Broken Wrist)
This condition is a break of the radius bone at the wrist. The radius is the larger of the two bones that connect the wrist to the elbow. The other bone is called the ulna. The radius supports the majority of forces at the wrist joint with its large joint surface. A fracture of the distal end of the radius - the end nearest the wrist -is one of the most common types of fractures. It may be part of a complex injury that involves other tissues, nerves and bones of the wrist.
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Dupuytren's Disease
This condition is a thickening of the fascia on the palm of the hand. The fascia is a connective tissue located just beneath the skin of the palm and fingers. This thickened fascia can form lumps or nodules under the skin, or long thick cords of tissue that extend from the palm to the fingers. Often, this thickened tissue contracts. This causes one or more fingers to curl toward the palm. This is called a flexion contracture.
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Finger Dislocation
If your finger is dislocated, that means a bone has been forced out of its normal position. It's a common, painful injury, and one that needs proper treatment.
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Finger Felon
This condition is an abscess that forms within the pad of the fingertip. A felon can swell dramatically, leading to significant pain and sensitivity.
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Finger Fracture
If you've fractured a finger, you've broken one or more of the finger bones we call "phalanges." Each individual bone is called a "phalanx." You've got three in each finger, and two in each thumb. They are supported by a network of soft tissues that can also be damaged during a fracture.
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Fingertip Injuries
Our fingers are often in harm's way, and our fingertips are prone to injury. A fingertip injury can involve skin, soft tissue, nerves and bone. It can involve the nail and the nailbed. These injuries can be serious, painful, and slow to heal. If you've injured your fingertip, you can take a few simple steps to minimize problems.
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Fractures of the Hand (Metacarpal Fractures)
This condition is a fracture, or break, of one or more of the metacarpal bones of the hand. The fracture may be nondisplaced, in which the bones remain aligned, or displaced, in which the fractured ends shift out of alignment. Without proper treatment, the bones may not heal correctly. This can result in improper alignment of the fingers, leading to poor hand function.
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Ganglion Cysts of the Hand
A ganglion cyst is a fluid-filled sac that forms as a herniation from a joint capsule or tendon sheath. The sac is attached to the joint or tendon sheath by a "stalk" that allows fluid to move into the pouch from the joint or sheath. The stalk functions as a valve and often limits fluid drainage out of the cyst, allowing the cyst to increase - but not decrease - in size. In some cases the stalk functions as a two-way valve, allowing fluid to travel in both directions. This can enable the cyst to increase and decrease in size based on activities.
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Kienbock's Disease
Kienbock's disease is the death and deterioration of the lunate, one of the small bones in the wrist. It usually occurs in young adults and causes wrist pain, weakness, and loss of motion.Â
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Mallet Finger
This condition is an injury to the end of the extensor tendon that straightens the finger's end joint, called the DIP joint. It results in drooping of the fingertip, and prevents the finger from being straightened.
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Nerve Injuries of the Hand
Complex networks of nerves travel through your hands and fingers. If you injure a hand or a finger, you can damage these delicate nerves. Without proper care, a nerve injury can cause permanent problems.
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Osteoarthritis of the Hand
Osteoarthritis is the most common form of arthritis. It develops over time, often because of the wear and tear of daily activities.
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Osteomyelitis
If you have an infection in a bone, you have osteomyelitis. It's a serious condition that can cause part of your bone to die. And, the infection can spread to other parts of your body.
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Paronychia
This condition is an infection of the skin around the fingernail, usually at the side of the nail. Infections are usually mild, but may quickly increase in severity if not properly treated. Some infections may be chronic, and difficult to treat.
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Polydactyly of the Hand
This condition is a common congenital anomaly that results in extra fingers or thumbs. Polydactyly can affect one or both hands, and can result in one or more extra digits. Polydactyly can also affect the feet, resulting in extra toes.
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Raynaud's Phenomenon and Disease
Raynaud's phenomenon is an exaggerated form of vasoconstriction - the body's natural response to cold and stress. It results from a spasm of the small arteries that supply blood to the fingers. This spasm temporarily decreases blood flow, resulting in cold, painful, and discolored fingers.
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Rheumatoid Arthritis (RA) of the Hand
Rheumatoid arthritis, a condition that can attack joints throughout the body, commonly affects the joints and surrounding tendons of the wrist and fingers. It can cause the joints to become swollen, painful and possibly deformed. This can interfere with normal hand function. It can significantly impact a person's quality of life.
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Rheumatoid Arthritis (RA) of the Hand (Arthritis Foundation Approved)
Rheumatoid arthritis, a condition that can attack joints throughout the body, commonly affects the joints and surrounding tendons of the wrist and fingers. It can cause the joints to become swollen, painful and possibly deformed, interfering with normal hand function and significantly impacting a persons quality of life.
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Scaphoid Fractures
A scaphoid fracture, one of the most common types of wrist fractures, is a break in the scaphoid bone. The scaphoid, one of the most important bones in the wrist, has a limited blood supply. An improperly treated scaphoid fracture can result in significant wrist pain, arthritis, and loss of motion.
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Swan Neck Deformity
This condition is a result of tendon imbalance in the finger or thumb. In the finger, it causes a characteristic deformity in which the middle finger joint (called the PIP joint) hyperextends, and the fingertip joint (called the DIP joint) bends downward. When viewed from the side, the finger looks like the outstretched neck of a swan.
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Syndactyly of the Hand
This condition is a common congenital anomaly of the hand. It occurs when two or more fingers are connected together by skin or tissue. The bones of the fingers may also be fused.
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Thumb Ulnar Collateral Ligament (UCL) Injury
This condition, also called skier's thumb, is an acute sprain or tear of the ulnar collateral ligament (UCL) on the ulnar side of the metacarpal-phalangeal (MCP) joint of the thumb. A related condition, called gamekeeper's thumb, is a chronic injury that develops over time from repeated stretching of the UCL.
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Triangular Fibrocartilage Complex (TFCC) Tears
This condition is a degenerative or traumatic tear of one or more parts of the triangular fibrocartilage complex (TFCC), which stabilizes the ulna. The TFCC is composed of a group of ligaments that form connections between the radius, ulna and the carpal bones of the hand. At the center of these ligaments lies the most commonly injured structure, the triangular fibrocartilage disc, which is connected between the radius and the base of the ulnar styloid.
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Trigger Digit
This common condition, also known as stenosing tenosynovitis, is a narrowing of a portion of the tendon sheath in the finger or thumb that interferes with normal finger movement. This condition most commonly affects the ring finger, but can affect any digit. It is more common in middle-aged women, but anyone can be affected, even newborns.
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Volar Plate Injuries
This condition is a stretching or tearing of the volar plate, which can allow the finger to hyperextend and can interfere with normal hand function. The volar plate is a strong ligamentous structure on the underside of the finger at the point where the proximal and middle phalanx bones meet, called the proximal interphalangeal joint (or PIP joint). The volar plate keeps the finger from bending backwards at the PIP joint, and, together with the collateral ligaments, stabilizes the PIP joint from displacement.
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Wrist Sprain
When your wrist is bent too far, this can injure bands of tissue called "ligaments." Ligaments connect the bones of your hand to each other. They also connect the bones of your hand to the bones of your forearm.