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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.
Isometric exercise avoids hyperextension and contributes to strength. Unwanted symptoms are frequently reduced by some forms of yoga; Low-impact sports Use of low impact elliptical trainer machines can replace high-impact running. Pain-free swimming may require a kickboard or extra care to avoid hyperextending elbow and other joints.
Froment sign is the flexion of the interphalangeal joint of the thumb rather than adduction of the entire thumb. Note that the flexor pollicis longus is nearly always innervated by the anterior interosseous branch of the median nerve. Simultaneous hyperextension of the thumb MCP joint is indicative of ulnar nerve compromise. This is also known ...
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 ...
A hand imitating an ulnar claw. The metacarpophalangeal joints of the 4th and 5th fingers are extended and the Interphalangeal joints of the same fingers are flexed.. An ulnar claw, also known as claw hand or Spinster’s Claw, is a deformity or an abnormal attitude of the hand that develops due to ulnar nerve damage causing paralysis of the lumbricals.
The most common complication after surgery is pain persisting in the thumb. Over long term, there is pain relief, but on short term, patients experience pain from the surgery itself. The main complaint is a burning sensation or hypersensitivity over the incision. Some patients develop a complex regional pain syndrome. This is a syndrome of ...
Finkelstein's test was described by Harry Finkelstein (1865–1939), an American surgeon, in 1930. [5]A similar test was previously described by Eichhoff, in which the thumb is placed in the palm of the hand and held with the fingers, and the hand is then ulnar deviated (see images), causing intense pain over the radial styloid which disappears if the thumb is released.
It can result from whiplash and be overlooked for years by doctors who are not looking for it, despite the chronic pain that accompanies the resultant spinal instability. Ligamentous laxity will show up on an upright magnetic resonance imaging (MRI), the only kind of MRI that will show soft tissue damage.