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-Hand and Wrist

Perilunate Injuries

Courtesy Dr Jefferey Yao, Dr Ashok Shyam, Ortho TV Overview Wrist ligaments function as static stabilizers, guiding and constraining motion of the carpal bones. Types of Wrist Ligaments 1. Intrinsic Ligaments Located entirely within the carpus Connect adjacent carpal bones Examples: Scapholunate ligament Lunotriquetral ligament 2. Extrinsic Ligaments Connect carpal bones to the radius or […]

Kienbock’s Disease

Courtesy Dr Greg Bain, Dr Ashok Shyam, Ortho TV   Kienböck Disease (Avascular Necrosis of the Lunate) Overview Kienböck disease is a condition characterized by avascular necrosis of the lunate, leading to: Progressive lunate collapse Carpal instability Secondary degenerative arthritis of the wrist It is a multifactorial disease involving mechanical, vascular, and structural factors Pathophysiology […]

Kanavel’s Signs, Infection of the Flexor Tendons

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA

High Pressure Injection Injury of the Hand

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   High-Pressure Injection Injury of the Hand Overview High-pressure injection injuries are serious industrial hand injuries caused by accidental injection of material under pressure. Common sources: Paint spray guns Grease guns Diesel or hydraulic devices Despite a small entry wound, these injuries cause extensive internal damage […]

Examination Of The Hand, Carpal Tunnel Syndrome

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA

Ganglion Cyst Of The Wrist

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA

Common Conditions Of The Thumb, Causes , Diagnosis and Treatment.

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   Common Conditions Affecting Thumb Function Overview The thumb plays a critical role in: Pinch Grip Fine motor function Various conditions can impair thumb function, leading to: Pain Weakness Deformity Loss of dexterity Early recognition is essential for accurate diagnosis and optimal management. 1. Trigger Thumb […]

Arthritis Of The Fingers, Causes, Symptoms, Diagnosis and Treatment

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   Arthritis of the Fingers Introduction Arthritis commonly affects finger and hand joints Diagnosis may be challenging due to overlapping clinical features Pattern of joint involvement is key to differentiation Common Types of Finger Arthritis Osteoarthritis Psoriatic arthritis Gouty arthritis Rheumatoid arthritis 1. Osteoarthritis of the […]

TrapezioMetacarpal Joint Arthroplasty

Courtesy: Mahdi Siala MD, Nice, France   Trapeziometacarpal (TMC) Dual Mobility Arthroplasty Introduction Trapeziometacarpal (TMC) arthroplasty has evolved significantly with the development of dual mobility prosthetic systems for thumb carpometacarpal (CMC) arthritis. This approach aims to improve: Stability Range of motion Recovery time Functional outcomes Modern dual mobility implants are inspired by hip arthroplasty concepts […]

ScaphoLunate Instability

Courtesy: Prof Greg Bain, FRACS, Flinders University, Adelaide, Australia   Scapholunate Instability: Concepts of Scaffolding and Stability Based on educational concepts in wrist biomechanics and ligament stability Introduction Scapholunate instability is one of the most important causes of carpal instability and wrist dysfunction. Modern understanding of wrist biomechanics has evolved significantly over the past 10–15 […]

Vaughan Jackson Syndrome and Rheumatoid Hand

Courtesy: Saurabh Aggarwal, FRCS Orth, Princess ROyal University Hospital, London, UK   Vaughan Jackson Syndrome in the Rheumatoid Hand Introduction Vaughan Jackson syndrome refers to sequential extensor tendon ruptures in the rheumatoid hand caused by attritional wear over the distal ulna and distal radioulnar joint (DRUJ). It is a classic complication of advanced rheumatoid arthritis […]

Common and painful Conditions of the Thumb

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA

Ganglion Cyst Of The Wrist

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA …

De Quervain’s Syndrome

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   De Quervain’s Syndrome (De Quervain’s Tenosynovitis) Definition De Quervain’s syndrome is a stenosing tenosynovitis involving the first dorsal compartment of the wrist. The condition affects the tendons of: Abductor Pollicis Longus (APL) Extensor Pollicis Brevis (EPB) It commonly affects the dominant hand and is frequently […]

Intrinsic Minus and Intrinsic Plus Hand

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA   Intrinsic Minus and Intrinsic Plus Hand Intrinsic Minus Hand (Claw Hand) Definition Intrinsic minus hand is characterized by: Hyperextension at the metacarpophalangeal (MCP) joints Flexion at the proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints This produces the classic claw hand deformity. Mechanism The deformity […]

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