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Metacarpal Fractures

Metacarpal Fractures

The metacarpals are the bones that make up the hand itself. Most metacarpal fractures can be treated without surgery. The most common metacarpal fracture is the ‘Boxer’s Fracture’, which is a fracture of the 5th (small finger) metacarpal close to the knuckle, usually from punching a hard object. The vast majority of Boxer’s Fractures can be treated in a splint,

Humerus Fractures

The humerus is the arm bone between the shoulder and the elbow. Humeral fractures are very painful. While some humeral fractures can be treated non-operatively, many humerus fractures require surgery in order for them to heal in an appropriate position with good function.

Fractures of the humerus that extend into the elbow are very serious injuries,

Swan-Neck Deformity of the Thumb

Swan-Neck deformity of the thumb occurs when the thumb’s metacarpophalangeal (MP) joint (the joint where the thumb attaches to the hand) hyperextends too much. The ligament that usually prevents this is called the ‘volar plate’. Some people are born with loose (‘double’) joints; these joints are usually loose because of lax volar plates. Other people tear the volar plate during an injury.

Luno-Triquetral Ligament Injuries

Now that Kobe Bryant suffered a luno-triquetral ligament injury in his wrist, many people are interested in this problem. The luno-triquetral ligament keeps two of the wrist’s small bones, the lunate and the triquetrum, aligned and connected to each other so that they move together in a normal, synchronous fashion during wrist motion. Luno-triquetral ligament injuries can cause significant pain and can lead to arthritis,

Retinacular Cysts

Tender masses that appear in the base of a finger near the palm are usually retinacular cysts. Retinacular cysts are simply ganglion cysts that come from the flexor tendon sheath of the finger. Retinacular cysts may appear rather quickly and can lead to pain when gripping objects. Fortunately, they are benign and easily treated.

The first treatment is by aspiration with a needle.

Snapping Elbow (Plica)

One of the most common causes of a snapping elbow is a plica. A plica is an inflamed part of the joint lining that catches in between the bones of the elbow with motion. A plica can be caused by anything that inflames the elbow, typically either an injury or overuse.

Although symptoms may vary,

Flexor Carpi Ulnaris (FCU) Tendinosis

The flexor carpi ulnaris (FCU) tendon is on the palmar side of your wrist, above the small finger. It is one of the major tendons that flexes your wrist. Occasionally, overuse can cause damage to the FCU tendon. As opposed to the flexor carpi radialis (FCR) tendon, which runs in a sheath and can get ‘pinched’

Metacarpophlangeal (MP) Joint Replacement

The metacarpophalangeal (MP) joint is the large joint where the finger attaches to the hand. Arthritis of the MP joint can lead to pain, swelling and stiffness. Nonoperative management includes a steroid injection or two, activity limitation and buddy taping the finger to its neighbor. In patients with rheumatoid arthritis, all of the MP joints can be involved,

Scapho-Lunate Ligament Injuries

Scapho-lunate (SL) ligament injuries are serious injuries to the wrist. The scapho-lunate ligament connects two of the most important bones of the wrist together: the scaphoid and the lunate. The scapho-lunate ligament keeps those small bones of the wrist moving together in a normal, synchronous fashion. Tears of the scapho-lunate ligament can cause significant pain and usually lead to arthritis after 10-15 years,

Finger Nail Injuries

Injuries to the finger nail are fairly common. While these often lead to some degree of nail deformity or change in the nail’s appearance, good treatment can often minimize the degree of damage.

If the finger nail gets crushed, bleeding may occur underneath it. If this bleeding doesn’t hurt, it doesn’t need to be drained.

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