Author Archives: The Hand Society

Elbow Elbow Fracture Hand

6 signs of an elbow fracture

A young woman touching her painful elbow

An elbow fracture is another term for a broken elbow. It can result from a fall, a direct blow to the elbow, or an abnormal twisting of the arm. An x-ray can confirm if you have fractured your elbow, but how do you know whether to visit a hand surgeon or the emergency room? Here are 6 signs of an elbow fracture:

  1. Swelling and bruising of the elbow
  2. Extreme pain
  3. Stiffness in and around the elbow
  4. Snap or pop at the time of the injury
  5. Visible deformity
  6. Numbness or weakness in the arm, wrist and hand

Some elbow fractures are more severe than others. If the bones have not moved and have low risk of moving, a sling, cast or splint will be used to treat the injury. If the fracture is more severe, surgery may be required.

Learn more about the different types of elbow fractures, potential treatment options, and long-term side effects of this injury at www.handcare.org.

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Elbow Hand Lateral Epicondylitis Tennis Elbow

Symptoms, causes and treatment of Tennis Elbow

This 2-minute video tells you everything you need to know about the painful condition Lateral Epicondylitis, also known as Tennis Elbow.

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Arm Elbow Hand Shoulder Wrist

Follow The HandCare Blog on Twitter @HandCareMD

Get all the information from The HandCare Blog plus more in 140 characters or less! Follow @HandCareMD on Twitter for information on conditions, fun facts, and updates on your favorite athlete and celebrity hand surgeries.



 

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Hand Hand Transplant Pediatrics

Q&A with Dr. Scott Levin, the lead surgeon in 8-year-old Zion’s double hand transplant

L. Scott Levin, MD

from the Naples Herald by Gary Levine

Zion Harvey…an archetypal eight-year-old in so many ways…yet wistfully distinctive in so many others…was the recipient, last week, of a gift like no other.

As a toddler (age 2), Zion horrifically lost both hands and both feet to Sepsis…a life-threatening complication from infection.  Two years later, the infection severely damaged his kidneys and required a kidney transplant…the organ donated by his mother, Pattie Ray.

Despite unimaginable misfortune, Zion is bursting with bravura…with determination…with a gutsiness that most could never muster.

levin-scottApproximately three years ago, Pattie began the search for prosthetic hands for her son.  She approached Dr. Scott Kozin, Chief of Staff at Shriners Hospital for Children in Philadelphia who, along with his partner, Dr. Dan Zlotolow, offered a far more progressive suggestion…Vascularized Composite Allotransplantation…make Zion the youngest recipient of a bilateral hand transplant.Zion has already been successfully fitted for prosthetics for his feet and utilizes them to the fullest.

Drs. Kozin and Zlotolow referred Pattie and Zion to the Children’s Hospital of Philadelphia Hand Transplantation Program…led by Dr. Scott Levin.

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Hand Hand Safety Power Saws

10 power saw safety tips

Power Saw Injuries v2

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Anatomy Hand Muscles

Anatomy 101: Hand Muscles

Muscles-Hand-Lumbricals

There are both intrinsic and extrinsic muscles of the hand. The intrinsic muscles are in the hand itself, while the extrinsic muscles are in the forearm and control things such as your ability to grip an object. The intrinsic muscles include:

  • Interossei: Located between the bones of the hand
  • Hypothenar: Located in the palm
  • Lumbricals: Each of the four lumbrical muscles are associated with a finger.
  • Thenar: Located at the base of the thumb

Learn more about the hand muscles that allow you to perform daily activities with the anatomy tool at www.handcare.org.

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Hand Wrist Wrist Fracture

Ask a Doctor: Wrist Fractures

Medical physician doctor hands. Healthcare background banner.

Dr. David J. Bozentka answers your questions about wrist fractures, commonly known as a distal radius fracture.

Q: What is a distal radius fracture?

A: The radius is the forearm bone on the thumb side of your wrist. When you break the radius bone about an inch from the wrist it is considered a distal radius fracture. These are the most common fractures of the wrist and occur most often when you fall on an outstretched hand.  You will notice pain, swelling, and sometimes a deformity after the injury. The fracture can range in severity from very mild (requiring a splint for treatment) to a more severe injury in which the bone is shifted out of position and might need surgery.

Q: What should I do if I believe that I have broken my wrist?
A: You should support your wrist with a splint, apply ice, and elevate it. You should have an evaluation by a hand surgeon as soon as possible. The hand surgeon will often obtain an x-ray and place you in a well-molded, supportive splint or cast. You may need to have the wrist placed in a better position; this is called “reducing” the fracture. You will be asked to follow-up with your hand surgeon.

Q: What studies are performed in treating a distal radius fracture?

A: X-rays are performed in all patients to evaluate the extent of the injury. A CT scan might be needed to better evaluate the number of fragments and displacement. X-rays might be repeated every week or few weeks if you are treated without surgery to determine if the fracture has shifted out of alignment. A final set of x-rays are also taken to confirm that the fracture has healed, which occurs at six weeks or longer after the injury. If you are over 50 years of age, whether you are a male or female, ask your doctor about an evaluation for osteoporosis. A DEXA scan is often performed in the workup in the evaluation.

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Hand Hand Transplant Pediatrics

8-year-old Zion receives first ever bilateral hand transplant in a child

Watch this touching story about Zion and his journey to receive new hands through a bilateral hand transplant, a 14-hour surgery that required an entire team of surgeons, nurses and anesthesiologists. Learn more about hand surgery at www.handcare.org.

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