News Category: Hand


What Surgeons Need to Know About Mallet Thumb

In three short pages, surgeons can obtain a quick, but thorough review of a condition known as mallet thumb. This evidence-based continuing education activity provides updated information on indications for the treatment of mallet thumb (both surgical and nonsurgical approaches), methods of splinting, and expected results from treatment. All information […]


Important Tips for Nail Gun Removal From the Hand

There is evidence that with increased housing construction and remodeling going on after the recession during the mid-2000s, nail gun injuries to the hand have also gone up. It is estimated that half of all nail gun injuries affect the hands and fingers. Up to 14 per cent of those […]


Successful Treatment for Severe Dupuytren Contracture

Dupuytren’s contracture is a fairly common disorder of the fingers. It most often affects the ring or little finger, sometimes both, and often in both hands. It occurs most often in middle-aged, white men. This condition is seven times more common in men than women. The condition commonly first shows […]


Consensus on Diagnosis and Treatment of Scaphoid Fractures

Hand surgeons from Columbia University Medical Center in New York City wrote up a case study illustrating the difficulties of defining and diagnosing scaphoid fractures of the wrist. They were asked for a second opinion by a 31-year-old man who had fallen and injured his right wrist. The patient was […]


Carpal Tunnel Syndrome and Neck Arthritis: Linked or Coincidence?

What do neck pain and carpal tunnel syndrome (CTS) have in common? They could be coming from damage, injury, or compression of the same spinal nerve root. In fact, compression in one region has been shown to increase the likelihood of damage at another location along the nerve. And as […]


A Review of the Complex, Delicate Anatomy of the Hand

It might surprise you to know that the hand is the most commonly injured part of the body. Serious injuries like tendon injuries require treatment by an experienced hand surgeon. Surgeons know how complex and delicate the anatomic structures of the hand are. They understand the need for very careful […]


Is It True That Weather Affects Arthritis?

If you have ever relied on a family member with arthritis to predict an upcoming storm, you know there must be some kind of link between change in weather and joints. In this study from Brazil, the influence of air pressure, temperature, humidity, and moisture (precipitation) is evaluated on pain, […]


Test and Treatment for Sesamoiditis

True or false? Chronic sesamoiditis can be treated effectively with conservative (nonoperative) care. A sampling of the published studies on this condition suggests “no” — steroid injections, physical therapy, splints, and pain relievers do not relieve the painful symptoms of chronic sesamoiditis. But in this report of 18 patients, hand […]


Treatment and Rehab Vital to Finger Fractures

A broken finger is not something to ignore. Even though the individual bones that make up each finger are small, a fracture (and especially a fracture with dislocation) can result in a painful, unstable, nonfunctional finger. Studies show that early treatment (within the first six weeks of injury) is advised […]


Can 300 Patients Be Wrong?

Based on a retrospective (looking back) study of 300 patients with carpal tunnel syndrome, this study showed a direct link between the number of trigger fingers a person had and the risk of carpal tunnel syndrome. In fact, they found that patients with more than one trigger finger were three […]


Worldwide Results of Injection Therapy for Dupuytren Contracture

Dupuytren’s contracture is a fairly common disorder of the fingers. It most often affects the ring or little finger, sometimes both, and often in both hands. It occurs most often in middle-aged, white men. This condition is seven times more common in men than women. Although more common in men […]


Results From Around the World Treating Dupuytren’s Contracture

Thirty-seven hand surgeons from around the world worked together over a period of years to gather data on the long-term results of using collagenase (Xiaflex) injection for Dupuytren’s contracture. This report is a summary of their findings using recurrence rate as the main measuring stick for success/failure. Dupuytren’s contracture is […]


Evaluation and Treatment Flowchart for Skier’s Thumb

You may have seen a flowchart meant to help someone make an important or difficult decision. Physicians use this same idea when examining patients and determining the best treatment approach. For example, they might think “if this symptom is present, then I will order this test — or if the […]


New Roll-On Splint for Stiff Finger Tip

The fingers bend and straighten because of three separate joints. The middle joint called the proximal interphalangeal joint (PIP) is the focus of this case study. A previous ATV accident left this 49-year-old with a very stiff PIP. The problem described was stiffness of the PIP causing pain and preventing […]


Kienböck Disease: 100 Years Later

Over 100 years ago, Dr. Robert Kienböck, an Austrian radiologist described (and named after himself) a breakdown of the lunate wrist bone. Now known as Kienböck disease, we still don’t know really what causes it or how to best treat it. Kienböck disease is a condition in which one of […]


Bird Bites are a Real Health Threat

Would it surprise you to know that over six million American families have a pet bird? And like all domestic animals, birds come with a variety of interesting problems. Besides the mess that they can make and parasites they carry, they also bite! And those beaks are designed for crushing […]


Review of Treatment of Metacarpal (Finger) Fractures

Fractures of the long bones of the fingers (called metacarpals usually only require casting and immobilization for a short time to promote healing. But if the fracture is separated (called displacement), unstable, or incongruent (broken ends don’t line up correctly), then surgical fixation may be required. Fixation refers to the […]


New Treatment Choices for Finger Ligament Injuries

Few structures of the human anatomy are as unique as the hand. The hand needs to be mobile in order to position the fingers and thumb. Adequate strength forms the basis for normal hand function. The hand also must be coordinated to perform fine motor tasks with precision. The structures […]