Monthly Archives: May 2015

de Quervain's Tenosynovitis Hand Tendons Wrist

Ask a Doctor: de Quervain’s Tenosynovitis

 

Dr. Carl B. Weiss, an orthopaedic surgeon, answers your questions about de Quervain’s Tenosynovitis.

Q: What is de Quervain’s Tenosynovitis?

A: De Quervain’s Tenosynovitis is a condition caused by entrapment of some of the tendons going to your thumb.  These tendons, called the abductor pollicis longus and the extensor pollicis brevis, go through a snug tunnel at the wrist, called the first dorsal extensor compartment.  You can see the tendons on the back of your hand when you straighten your fingers. When, for whatever reason, the tunnel becomes too tight, it sets up a vicious cycle; whenever you move your thumb in certain ways, it pulls the tendons through the tight tunnel, causing pain and further aggravating the condition.

Q: How is the diagnosis made?

A: A hand surgeon can help determine if you have de Quervain’s.  If you have tenderness over the tendons and pain when you make a fist with your thumb tucked inside and bend the wrist with the pinkie facing down (see image), then you have what is known as a positive Finkelstein’s sign, which would indicate that you likely have de Quervain’s.  However, there are other causes of pain in this area, such as arthritis in the joint at the base of your thumb, which can feel similar to de Quervain’s.  Therefore, x-rays may be used to help make the diagnosis.  A hand surgeon can distinguish between these conditions, though it is quite possible that a patient has both.

Read More
Arthritis Hand

May is Arthritis Awareness Month

This recent Facebook post from The Hand Society reminds us all that May is Arthritis Awareness Month! Visit www.handcare.org for more information about arthritis.


In honor of May being Arthritis Awareness Month, make sure you check out our resources on arthritis, such as this information about arthritis of the base of the thumb. http://bit.ly/1PGD4Ne

Posted by American Society for Surgery of the Hand on Friday, May 15, 2015

Read More
Animal Bite Hand

8 signs of an infected animal bite

Animal bites of the hand are more likely to become infected than other parts of the body. Spot an infection – which can result in surgeries, amputations or even death – by watching for these signs:

  1. Increased redness and pain around the bite
  2. Difficulty moving the body part
  3. Drainage
  4. Swelling
  5. Development of an abscess (a bump full of puss or debris)
  6. Red streaks going up the arm
  7. Enlarged lymphnodes
  8. Fever

Reduce your risk of infection by visiting a doctor immediately after an animal bite, regardless of whether you are experiencing any problematic symptoms. Dog and cat bites are the most common animal bites. Learning how to prevent and treat these injuries is important. Here are some tips:

Read More
Amputation Arm Hand

Random Fact: Amputations

American flags during 4th of July parade

Since 2001, more than 1,500 U.S. soldiers have sustained limb amputations. Thank a military man or woman for Armed Forces Day today. Learn more about amputations and prosthetic limbs.

Read More
Ganglion Cysts Hand Wrist

Signs, Symptoms and Treatment of Ganglion Cysts

Ganglion cysts are lumps in the hand and wrist that are very common. Watch the latest ganglion cyst video from The Hand Society to see what a cyst looks like and how it can be treated. For more videos, visit www.handcare.org.

Read More
Arm Elbow Hand Hand Surgeon Shoulder Wrist

What is a hand surgeon?

What is a Hand Surgeon v2

Find a hand surgeon near you.

Read More
Gardening Hand Wrist

How to prevent gardening injuries

Gardening tools and flowers in the garden

Spring is in full bloom, and now is the time to tend to your garden! Follow these safety tips to prevent gardening injuries:

  1. Wear gloves: Gloves will reduce blistering and protect your skin from fertilizers, pesticides, bacteria and fungus that live in the soil. When exposed to soil, even small cuts can turn into a hand infection.
  2. Rotate tasks: Repetitive motions such as digging, raking, trimming, pruning or planting can cause skin, tendon or nerve irritation. Rotate tasks every 15 minutes and take brief rests between so the same muscles are not used over and over again.
  3. Use tools: Do not use your hands to to dig. Sharp objects and debris in the soil can cut or puncture the hand. Use a hand shovel or a rake.
  4. Check your posture: Keep your wrist in a relaxed or neutral position when using tools as opposed to bent. This keeps grip strength at its maximum and requires less pressure to control the tool.
  5. Use caution when climbing a ladder: Always have someone holding the ladder as you climb, and make sure the ladder is on even ground. If pruning needs to be performed higher up on a tree, consider hiring a service.

Learn more about gardening safety, including when to visit the emergency room, at www.handcare.org.

Read More
Carpal Tunnel Syndrome Hand Nerves Wrist

Carpal Tunnel and Migraines

Could your splitting migraine possibly be related to Carpal Tunnel Syndrome? Check out the latest ASSH Facebook post about recent findings that link the two.


Learn more about the link between #carpaltunnel and #migraines that member Douglas M. Sammers, MD, FACS and a team of other plastic surgeons at UT Southwestern Medical Center found. http://bit.ly/1bLhomM

Posted by American Society for Surgery of the Hand on Monday, April 27, 2015

Read More