Hand & Wrist Conditions
The hand and wrist are complex and delicate structures, making them vulnerable to a variety of injuries. Resurgens Orthopaedics specializes in a number of surgical and non-surgical procedures for the hand and wrist. Many and hand and wrist injuries can be successfully treated with simple measures like bracing and rehabilitation exercises. Other injuries may require an injection or surgery to correct.
A critical first step for treatment is identifying your specific hand or wrist condition based on the injury you experienced or the type of pain you're feeling. Follow the links below to view educational videos about common hand and wrist conditions and injuries that can be treated by the expert Physicians at Resurgens Orthopaedics.
Types of Hand Conditions
There are many common hand disorders and diseases that may affect tissue, tendons, bones, or muscles of the hand and can interfere with the activities of daily living. These disorders and diseases may be caused by overuse, trauma, or they may be congenital. Some hand conditions we treat at Resurgens include:
Animal Bites to The Hand
Animal bites to the hand are the most common types of animal bites. Millions of people in the US are bitten by animals each year. Risk of rabies from a cat or dog bite is rare. However, the risk of developing another infection is still present - even if the animal has been vaccinated - due to the presence of bacteria in the animal's saliva.
Dupuytren Disease is a sometimes painful condition that occurs when your fascia thickens. Fascia is the connective tissue beneath the skin of the palm and fingers. This can cause lumps or nodules under the skin or long thick cords of tissue from palm to fingers.
Fractures of the Hand (Metacarpal Fractures)
Fractures of the hand, also called metacarpal fractures, describe a condition where your phalanges (finger bones) and/or metacarpals (hand bones in the palm) are broken. It is often the result of severe trauma, such as hard falls or accidents.
Ganglion Cysts of The Hand
Ganglion cysts of the hand are benign cysts and the most common lump that can form in the hand. They form as a result of herniation from a joint or tendon sheath. In most cases they are harmless.
Nerve Injuries of The Hand
Nerve injuries of the hand can happen when your finger, hand, or wrist are cut, injured, overextended, or otherwise compromised. This can cause sensory and motor functions to be compromised due to nerve damage. Depending on the severity of the injury, treatment can include rest, physical therapy, and surgery.
Osteoarthritis of The Hand
Osteoarthritis of the hand, sometimes called degenerative arthritis, is due to inflammation of your joints and affects the small joints of the fingers, and the base of the thumb. Motion is limited due to being swollen, stiff, and painful. It is common in both men and women.
Rheumatoid Arthritis (RA) of The Hand (Arthritis Foundation Approved)
Rheumatoid arthritis of the hand is a condition where your joint lining swells, invades surrounding tissues and produces chemical substances that attack and damage the joint surface, causing hands to become painfully inflamed. Although genes play a role, the disease is not always inherited.
Syndactyly of The Hand
Syndactyly of the hand refers to the most common congenital hand anomaly. It occurs when two or more fingers are connected by skin or tissue. Sometimes, finger bones are also fused.
Triangular Fibrocartilage Complex (TFCC) Tears
Triangular Fibrocartilage Complex tears refer to injuries to the cartilage structure (TFCC) on the small finger side of the wrist. Injury or tear to TFCC can cause chronic wrist pain.
Types of Finger Conditions
Fingers serve an important purpose on the hand, and as a result, they are easily susceptible to injury. You use your fingers for grasping things, typing, playing instruments, and more, but finger pain can affect your ability to carry out these everyday functions. Some common finger conditions we treat at Resurgens include:
Basal Joint Osteoarthritis
Basal joint osteoarthritis, or "thumb arthritis," is a condition caused by overuse of the thumb. It's a joint degeneration condition that occurs at the joint at the base of the thumb, where the wrist meets the fleshy part of the thumb.
Boutonniere Deformity is an injury to the tendons that control the middle joints of your finger. As a result, the finger will no longer straighten. It can develop due to a cut to the top of the finger, which severs the tendon from its attachment to the bone.
Boxer's Fracture is a common name for a break of the fifth metacarpal bone. It is the most common type of hand fracture. It is caused by striking or punching an object with a closed fist. The result is the knuckle looking sunken or depressed.
Digital Mucous Cysts
Digital mucous cysts are common benign lesions that form as firm nodules on the fingers or toes. Typically, they are not painful.
Finger dislocation is a joint injury in which the finger bones move apart or sideways. The result is that the ends of the bones are no longer aligned normally. They usually happen when the finger is bent beyond its normal limits of motion. This can happen from a hard fall, athletic injury, or other trauma.
Fingertip injuries can occur in accidents at home, work, or play. Fingertip injuries include damage to the skin and soft tissue, distal phalanges, nails, and underlying nail beds. They range from minor tissue injury to larger tissue injury.
Flexor Tendon Injuries
Flexor tendon injuries happen as a result of experiencing a deep flesh cut on the palm side of your fingers, hand, wrist, or forearm, which causes the tendon to be cut into two pieces. As a result, the finger can no longer bend. These injuries occur from lacerations, high contact sports, and sometimes are the result of rheumatoid arthritis.
Fractures of the Finger
Fractures of the finger, more generally known as "broken fingers," happen when one of the 27 bones in your hand is fractured. These injuries account for one-third of all hand fractures in adults and are generally the result of accidental trauma.
Mallet Finger (sometimes called Baseball Finger) is an injury to the end of the tendon that straightens a finger's end joint, called the DIP joint. It results in drooping of the fingertip and prevents the finger from being straightened without assistance.
Paronychia is a nail disease that surrounds the toe or fingernail. It causes throbbing pain, redness, warmth and swelling under the nail. There are two types: acute and chronic.
Raynaud's Phenomenon and Disease
Raynaud's Phenomenon and Disease is a condition where the smaller arteries that supply blood to your fingers spasm and become more narrow, limiting blood circulation to affected areas. As a result, the fingers can become cold, painful, and discolored.
Swan Neck Deformity
Swan Neck Deformity is a condition where the middle joint of a finger is bent back due to tearing of a ligament of the palm side of the middle joint of the finger. Weakness of the ligament and tendon can be related to rheumatoid arthritis.
Thumb Ulnar Collateral Ligament (UCL) Injury
Otherwise known as a broken thumb, Thumb Ulnar Collateral Ligament (UCL) injury occurs when the distal phalange or proximal phalange - the primary bones in the thumb - are broken. They are caused by accidents, high contact sports, bone disease, or calcium deficiency.
Trigger Digit, also known as stenosing tenosynovitis, occurs when a tendon becomes inflamed and causes pain, stiffness, or a sensation of "locking" when you bend and straighten your finger.
Volar Plate Injuries
Volar Plate injuries occur when the finger is hyperextended, causing one or more of the collateral ligaments to tear.
Types of Wrist Conditions
Wrist conditions and diseases can develop as the result of repetitive stress, sudden impact, injury, or they can be the result of a congenital disorder. No matter what the cause of your wrist pain, it can affect your daily life. Some common wrist conditions we treat at Resurgens include:
Carpal Tunnel Syndrome
Carpal Tunnel Syndrome is a condition that causes pain, numbness, and tingling in your hand and arm. It is the result of compression of the median nerve. Most cases of carpal tunnel are caused by a variety of factors including heredity issues, repetitive hand use, extreme flexing of hand, and diabetes.
Colles Fractures involve a break of one or both of the forearm bones (called the radius and ulna) that occurs just above the wrist. These fractures are most commonly associated with trying to break a forward fall, which can place great stress on the wrist.
De Quervain's Tenosynovitis
De Quervain's Tenosynovitis is a condition that occurs when tendons around the base of the thumb are irritated or constricted. The resulting swelling causes pain on the thumb side of the wrist. It is often the result of overuse and is also associated with pregnancy and rheumatoid disease.
Distal Radius Fracture (Broken Wrist)
A broken wrist, or Distal Radius fracture, is a common condition that occurs when your distal radius breaks. This is the larger of the two bones connecting the wrist and elbow. This can be caused by falling on an outstretched arm, accidents, or osteoporosis.
Kienbock's Disease is a condition where blood supply to one of the small bones in your wrist (the lunate) is interrupted, causing its death and deterioration. While the cause is not known, many who have it had experienced a sprained wrist prior.
A Scaphoid fracture is a condition that is caused by breaking a small but important wrist bone called the scaphoid, which has a limited blood supply and can cause significant pain and loss of motion when broken. This can be caused by falling or accidents.
Wrist Sprains occur when the ligaments that support your wrist stretch beyond their limits. They are common injuries and can range from mild to severe.