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Joint replacement of the hand is a procedure that was invented by the Scottish scientist, Mitchell McGuire. The procedure was considered a major breakthrough in the medical field at the time. However, it is now considered an almost standard operation. The first successful surgery of this kind was conducted on 21 December 1992, in New York City, US.
The surgical procedure can be performed arthroscopically [1] or by opening the joint to remove the synovial tissue surrounding the joint that has become inflamed and swollen. Chemical Synovectomy involves an intraarticular osmic acid injection with the objective to debulk or reduce the inflammatory synovial mass.
A recent advance is the progression to 'wide awake hand surgery.' [8] In a few countries such as Sweden, Finland and Singapore, hand surgery is recognized as a clinical specialty in its own right, [9] with a formal four to six years hand surgery resident training program. Hand surgeons going through these programs are trained in all aspects of ...
Dislocations can be categorized based on the direction that the fingertip moves in relation to the knuckle. [6] If in the direction of the palm, it is a volar dislocation. If in the direction of the back of the hand, it is a dorsal dislocation. [6] If in the direction to either side, it is a lateral dislocation. [2]
Garrod's pads, also known as violinist's pads, [1] are a cutaneous condition characterized by calluses on the dorsal aspect of the interphalangeal joints, [2] i.e. the back side of the finger joints.
Thyroidectomy is the removal of all or part of the thyroid gland. Tonsillectomy is the removal of the tonsils. Trabeculectomy is the removal of part of the eye's trabecular meshwork as a treatment for glaucoma. Tumorectomy is the surgical removal of a tumor. Turbinectomy is the removal of the turbinate bones in the nasal passage.
The joints in the hand are joints found at the distal end of the upper limb. The joints are: In the wrist there is the radiocarpal joint between the radius and carpus. Between the carpal bones are the intercarpal articulations and the midcarpal joint.
Fractures in the joints are often caused by jammed finger injuries, the hand equivalent of a stubbed toe. If a tendon pulls away the bit of bone to which it is attached (an avulsion fracture, shown in the image at the top of the page, and in the Busch fracture images below), that will also lead to a fracture in a joint. [1]