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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]
The causes of some deformities, such as Dupuytren's contracture, are difficult to determine exactly, however chances of developing the deformity may be increased by certain chronic behaviours or disease. [3] Consequences can be similar to trauma related ones, in that joint use may be disrupted. [20]
The ring finger and thumb are most commonly affected. [1] The problem is generally idiopathic (no known cause). People with diabetes might be relatively prone to trigger finger. [3] The pathophysiology is enlargement of the flexor tendon and the A1 pulley of the tendon sheath.
The pain frequently occurs at night and can even radiate to the shoulder. Even though the diagnosis is straightforward, the treatment is surgical decompression of the median nerve after deroofing of the carpal tunnel. [3] Dupuytren's contracture is another disorder of the fingers that is due to thickening of the underlying skin tissues of the ...
Infectious tenosynovitis in 2.5% to 9.4% of all hand infections. Kanavel's cardinal signs are used to diagnose infectious tenosynovitis. They are: tenderness to touch along the flexor aspect of the finger, fusiform enlargement of the affected finger, the finger being held in slight flexion at rest, and severe pain with passive extension.
Dupuytren's contracture of the right little finger. Arrow marks the area of scarring. Typically, Dupuytren's contracture first presents as a thickening or nodule in the palm, which initially can be with or without pain. [11] Later in the disease process, which can be years later, [12] there is increasing loss of range of motion of the affected ...
If patients do have median nerve palsy, occupational therapy or wearing a splint can help reduce the pain and further damage. Wearing a dynamic splint, which pulls the thumb into opposition, will help prevent an excess in deformity. This splint can also assist in function and help the fingers flex towards the thumb.
The misdiagnosis of pain is the most important issue taken up by Travell and Simons. Referred pain from trigger points mimics the symptoms of a very long list of common maladies, but physicians, in weighing all the possible causes for a given condition, rarely consider a myofascial source.