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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.
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 ...
Current treatments for hand deformities can be classified by non-surgical or surgical methods. Non-surgical options aim to reduce symptoms and maintain function, such as medicinal treatments like corticosteroids, physical therapy, and splinting. Surgical procedures, however, are rather reserved for extreme cases, but this depends on the ...
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 ...
Swan neck deformity has many of possible causes arising from the DIP, PIP, or even the MCP joints. In all cases, there is a stretching of the volar plate at the PIP joint to allow hyperextension, plus some damage to the attachment of the extensor tendon to the base of the distal phalanx that produces a hyperflexed mallet finger.
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 tendon is finally inserted on the base of the distal phalanx of the thumb. [ 1 ] 6.7 to 9.7 centimetres (2.6 to 3.8 in) in length, the tendon passes through a long and superficial synovial sheath which, passing obliquely from the radial border of the forearm into the thumb, extends from the proximal border of the extensor retinaculum to the ...