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DeQuervain's disease is an inflammation of tendons in the thumb that causes pain and swelling in the thumb and wrist. The swollen tendons can place pressure within the narrow tunnel of the thumb and cause pain. This condition may be caused by overuse, trauma, repetitive motion or other diseases, and is much more common in women than in men, as well as people that have diabetes or arthritis.
DeQuervain's disease can be diagnosed through the Finkelstein test, which involves making a fist and looking for pain or tenderness. Treatment for this condition focuses on relieving pain and minimizing swelling. Treatment may include anti-inflammatory medication, corticosteroids, splints and rest. Surgery to make more room for irritated tendons may be recommended for severe cases.
Dupuytren's contracture is a rare hand deformity in which knots of tissue form under the skin that can pull fingers into a bent position. This makes it difficult for the fingers to straighten and can interfere with normal hand function. Dupuytren's contracture is not usually painful but can lead to other conditions such as plantar fibromatosis. Although the cause of this condition is not known, it may run in families and can be influenced by tobacco and alcohol use.
Mild cases of Dupuytren's contracture that do not have much effect on hand function may not require any treatment and can simply be monitored through regular checkups. More severe cases may benefit from steroid injections, radiation therapy, needle aponeurotomy or physical therapy. Surgery is also an option for people who may become disabled from this condition and may involve removing tissue or amputating the finger.
Bursa, masses, tumors and cysts are abnormal growths of excess tissue and cells that can develop nearly anywhere on the body, including commonly on the fingers and hands. Although usually benign, these growths may increase in size to put pressure on nearby nerves and cause pain in the affected area.
Treatment for cysts, masses and other growths usually involves surgical excision of the entire lesion to ensure complete symptom relief and to eliminate the risk of cancer. Draining fluid may also be effective in treating cysts and bursa. These procedures can be performed on an outpatient basis using only a local anesthetic.
The fingers may be affected by disease or injury, and can lead to physical deformities that impair function and create a disfigured appearance. Some of the most common types of finger deformities include mallet finger, trigger finger, boutonniere deformity and Dupuytren’s contracture. Severe cases of arthritis or carpal tunnel may also lead to physical deformities within the fingers.
There are several treatment options available to correct finger deformities and restore function back to the affected area. Many of these conditions can be corrected through immobilization of the finger with a splint. Others may require corticosteroid injections or surgery when less invasive techniques are ineffective.
- (open / closed reduction) / Colles Fractures
A fracture of the hand can occur as a result of a direct blow to the hand or a fall onto outstretched hands. The most common hand fractures involve injury to the outside of the palm, the thumb, or the wrist (Colles fracture). Patients with a hand or wrist fracture may experience pain, swelling, tenderness or physical deformity, depending on which bone is broken.
Treatment for a hand fracture often involves open or closed reduction, which restores the bone back into its normal position and holds it in place with a metal screw, rod or plate. These tools can be removed once healing is complete or left in place to ensure long-term correction and reduce the risk of recurrence.
- (Ganglion Cyst Surgery)
A ganglion is a benign fluid-filled mass that typically forms in the soft tissue of the wrist, ankle or top of the foot. It feels like a firm, rubbery lump and is not usually painful unless it grows large enough to rub against the patient’s shoe. There may be a tingling sensation in the toes if the ganglion presses on a nerve in the skin or if the patient taps the lump.
Ganglion surgery is performed under a local anesthetic and involves complete removal of the cyst and any attached tissue to ensure permanent treatment. Physical therapy may be recommended after surgery in order to rehabilitate the hand or wrist.
- Carpal Tunnel Release
Carpal tunnel release is an outpatient procedure performed to relieve pressure on the median nerve and reduce the symptoms of carpal tunnel syndrome. This procedure can help restore muscle strength and dexterity, and is typically performed on patients who have had persistent symptoms that do not respond to conservative treatment methods.
Carpal tunnel release can be performed endoscopically or through an open procedure. Both types offer different advantages to the doctor and patient, and should be considered after a thorough evaluation of the patient's individual condition. Although patients may continue to experience carpal tunnel symptoms after this procedure, most report that symptoms are significantly reduced.