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Hypothenar hammer syndrome (HHS) is a vascular occlusion in humans in the region of the ulna.It is caused by repetitive trauma to the hand or wrist (such as that caused by the use of a hammer) [2] by the vulnerable portion of the ulnar artery as it passes over the hamate bone, which may result in thrombosis, irregularity or aneurysm formation.
Diagnosis is typically based on symptoms and signs after excluding other possible causes. [2] Trigger digits can resolve without treatment. Treatment options that are disease modifying include steroid injections and surgery. [3] Splinting immobilization of the finger may or may not be disease modifying.
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 specific cause of camptodactyly remains unknown, but there are a few deficiencies that lead to the condition. A deficient lumbrical muscle controlling the flexion of the fingers, and abnormalities of the flexor and extensor tendons. [7] A number of congenital syndromes may also cause camptodactyly: Jacobsen syndrome; Beals syndrome [8] Blau ...
Symptomatic alleviation (palliative treatment) is provided mainly by splinting the thumb and wrist. Pain medications such as NSAIDs can also be considered. [4] [6] Steroid injections are commonly used, but are not proved to alter the natural history of the condition. [7] Surgery to release the first dorsal component is an option. [4]
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.
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.