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Hypermobility, also known as double-jointedness, describes joints that stretch farther than normal. [2] For example, some hypermobile people can bend their thumbs backwards to their wrists and bend their knee joints backwards, put their leg behind the head or perform other contortionist "tricks".
Hitchhiker's thumb, also known as distal hyperextensibility of the thumb, is the condition of having a thumb that has a distal phalange that bends backwards in an angle of 90°. This condition is benign (when isolated) and does not cause pain or affect the thumb with the trait negatively.
Joint cracking is the manipulation of joints to produce a sound and related "popping" sensation. It is sometimes performed by physical therapists, chiropractors, and osteopaths [1] pursuing a variety of outcomes. The cracking of joints, especially knuckles, was long believed to lead to arthritis and other joint problems.
Joint manipulation is characteristically associated with the production of an audible 'clicking' or 'popping' sound. This sound is believed to be the result of a phenomenon known as cavitation occurring within the synovial fluid of the joint. When a manipulation is performed, the applied force separates the articular surfaces of a fully ...
Most gamekeeper's thumb injuries are treated by simply immobilizing the joint in a thumb spica splint or a modified wrist splint and allowing the ligament to heal. However, near total or total tears of the UCL may require surgery to achieve a satisfactory repair, especially if accompanied by a Stener lesion.
Almost every joint in the body can be 'cracked' in this way, but the joints which require the least amount of force to produce this effect include the hallux (big toes), the knuckles and the neck joints. This phenomenon is caused when the movement of the joint lowers the pressure of its synovial fluid, causing the bubbles to form and burst.
Most small joint manipulation is done on the hands or feet to hyperextend joints as part of a pain compliance strategy. The basic techniques of small-joint manipulation involve grabbing and bending back one or more fingers/toes and by applying pressure to the wrist/ankle joints that disrupt the interconnectivity of the system of smaller joints within.
Besides the clicking, snapping or triggering, a characteristic Notta nodule is commonly found on the palmar side at the metacarpophalangeal (MCP) joint. [1] This nodule can be found by palpation. Children can also present a thumb which they cannot extend actively due to entrapment of the nodule to the A1 pulley. Some may even present with a ...