• tendons
  • Orthopedic surgeons are trained to reconstruct all aspects to salvage the appendage: tendons, muscle, bone. (wikipedia.org)
  • Hand surgeons perform a wide variety of operations such as fracture repairs, releases, transfer and repairs of tendons and reconstruction of injuries, rheumatoid deformities and congenital defects. (wikipedia.org)
  • Repetitive flexion and extension in the wrist significantly increase the fluid pressure in the tunnel through thickening of the synovial tissue that lines the tendons within the carpal tunnel. (wikipedia.org)
  • injuries
  • Injuries of the carpal bone generally take place while performing sports activities. (primehealthchannel.com)
  • Carpal fractures are quite common injuries in sportspersons, laborers and gymnasts. (primehealthchannel.com)
  • Injuries to the growth plate will need to be monitored to make sure the bone can continue to grow as expected. (medicalcityhospital.com)
  • The occult bone injuries included 53 (68%) of the 78 wrists having more than one injured bone and 25 (32%) having one injured bone. (medscape.com)
  • The injuries without a fracture line (contusion) were present in 49 (63%) of 78 wrists and were found most frequently in the scaphoid (35 cases). (medscape.com)
  • Regardless of their original field of training, once candidates have completed an approved fellowship in hand surgery, all hand surgeons have received training in treating all injuries both to the bones and soft tissues of the hand and upper extremity. (wikipedia.org)
  • Orthopedic surgeons are trained to handle complex fractures of the hand and injuries to the carpal bones that alter the mechanics of the wrist. (wikipedia.org)
  • Hand surgeons going through these programs are trained in all aspects of hand surgery, combining and mastering all the skills traditionally associated with "Orthopedic hand surgeons" and "Plastic hand surgeons" to become equally adept at handling tendon, ligament and bone injuries as well as microsurgical reconstruction such as reattachment of severed parts or free tissue transfers and transplants. (wikipedia.org)
  • The following conditions can be indications for hand surgery: Hand injuries Carpal tunnel syndrome Carpometacarpal bossing Rheumatoid arthritis Dupuytren's contracture Congenital defects Tetraplegic upper limb surgery "About Hand Surgery", American Society for Surgery of the Hand. (wikipedia.org)
  • Fractures of the scaphoid are the most common of the carpal bone injuries, because of its connections with the two rows of carpal bones. (wikipedia.org)
  • dorsal surface
  • The blood supply of the scaphoid comes from the radial artery, feeding the bone on the dorsal surface near the tubercle and scaphoid waist. (aafp.org)
  • This surface is bounded by two lines, which commence in small tubercles situated on either side of the digital extremity, and, passing upward, converge and meet some distance above the center of the bone and form a ridge which runs along the rest of the dorsal surface to the carpal extremity. (wikipedia.org)
  • fragments
  • One can have a small crack in the bone and not be through and through or one can have total separation of the bone fragments. (healthtap.com)
  • T1-weighted (middle) and fat-suppressed T2-weighted (right) MRI scans demonstrate the fracture without clear evidence of synovial fluid tracking between the fragments. (medscape.com)
  • This causes sharp fragments of bone to float between the joints, causing excruciating pain. (wikipedia.org)
  • Radial
  • Further more, if the hand was ulnarly deviated (i.e. bent towards the small finger), there would be associated radial styloid fracture. (wikipedia.org)
  • When palpated in this position, the bone will be felt to slide forward during radial deviation (wrist abduction) and flexion. (wikipedia.org)
  • navicular bone
  • In older literature about human anatomy, the scaphoid is referred to as the navicular bone of the hand, since there is also a bone in a similar position in the foot which is called the navicular. (wikipedia.org)
  • compression
  • Anatomic snuffbox tenderness is a highly sensitive test for scaphoid fracture, whereas scaphoid compression pain and tenderness of the scaphoid tubercle tend to be more specific. (aafp.org)
  • A surgeon can use small compression screws or K-Wires to unite the two pieces of bone. (wikipedia.org)
  • The headless compression screw has advantage over the K-wire as it provides compression across the fracture site and allows early motion. (wikipedia.org)
  • Even rapidly immobilized fractures may require surgical treatment, including use of a headless compression screw such as the Herbert screw to bind the two halves together. (wikipedia.org)
  • As a result of medullary canal obliteration and bony expansion, grave pancytopenia, cranial nerve compression, and pathologic fractures may ensue. (wikipedia.org)
  • diagnosis
  • In case of an injury in the carpal bones X Ray examination is carried out for diagnosis. (primehealthchannel.com)
  • Magnetic resonance imaging or bone scintigraphy may be useful if the diagnosis remains unclear after an initial period of immobilization. (aafp.org)
  • 1 Scaphoid fractures are significant because a delay in diagnosis can lead to a variety of adverse outcomes that include nonunion, delayed union, decreased grip strength, decreased range of motion, and osteoarthritis of the radiocarpal joint. (aafp.org)
  • According to Evenski et al, scaphoid fractures are often missed in children because of their rarity and because of the difficulty in making a radiographic diagnosis. (medscape.com)