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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".
Symptoms are pain and tenderness at the radial side of the wrist, fullness or thickening over the thumb side of the wrist, painful radial abduction of the thumb, and difficulty gripping with the affected side of the hand. [2] Pain is made worse by movement of the thumb and wrist, and may radiate to the thumb or the forearm. [2]
For many decades, the physical mechanism that causes the cracking sound as a result of bending, twisting, or compressing joints was uncertain. Suggested causes included: Cavitation within the joint—small cavities of partial vacuum form in the synovial fluid and then rapidly collapse, producing a sharp sound. [7] [8] Rapid stretching of ...
The ability to touch the thumb to the forearm is also common. Referred pain is created by ligamentous laxity around a joint, but is felt at some distance from the injury. (Pain will not only occur at the site of the injury and loose ligaments, but may also be referred to other parts of the body.)
The anterior interosseous nerve is a branch of the median nerve, with a large sensory branch to the wrist bones, which arises just below the elbow. It passes distally, anteriorly along the interosseous membrane and innervates flexor pollicis longus, flexor digitorum profundus to index and middle finger as well as pronator quadratus, and supplies sensory feedback from the wrist bones, i.e. the ...
Gamekeeper's thumb, also known as skier's thumb, is characterised by a diminished ability to grasp or pinch with the thumb due to damage to the ulnar collateral ligament (UCL). [4] Gamekeeper's thumb can be caused by acute injury or chronic overuse, often arousing from a fall where the hand is extended that leads to forceful separation of the ...
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 ...
The physical exam may show tenderness by palpation over the scapholunate ligament on the back of the wrist, immediately below the radius. [1] [4] Swelling and deformities are the two clinical signs associated with arthritis. The wrist is clinically tested by slight flexion while the physician feels the back of the wrist with the thumb. [4]