Pain and paresthesia from median nerve compression in carpal tunnel syndrome can have a significant impact on functional hand use. Understanding contributing factors and the chronicity of this pathology is essential for appropriate treatment selection.
The distal radioulnar joint, or DRUJ, is a complex articulation that is dependent on a multitude of static and dynamic stabilizers. Careful evaluation of the various factors that contribute to distal radioulnar joint instability is key for determining appropriate treatment.
Fractures can affect many of the bones that make up the hand and wrist, including the radius, metacarpals, and phalanges. Varied techniques and implants are available for operative fixation.
Flexor tendon injuries that affect the palmar aspect of the hand not only affect mobility and hand function but may also result in neurological and vascular compromise. Depending on the pathology, surgical release or repair may be indicated.
The lunotriquetral ligament (LTL) and associated joint are integral to wrist structure and function. Injury resulting in lunotriquetral ligament instability may require ligament repair, reconstruction, or other surgical intervention to restore ulnar-sided stability to the wrist.
Midcarpal instability encompasses a wide range of pathomechanics that result in palmar, dorsal, or combined instability. Critical evaluation of the multifactorial etiology of this pathology can help guide successful treatment.
A palmar distal interphalangeal (DIP) joint injury, otherwise known as jersey flexor digitorum profundus from the distal phalanx. Surgical intervention can restore alignment to preserve function and prevent deformity.
Perilunate injuries range in severity, inclusive of multipoint instability, dislocation, and fracture. Careful evaluation of the extent of injury and level of structural involvement is needed for treatment planning to maximize functional outcomes.
The scaphoid plays an integral role in biomechanics of the wrist due to its articulation with five other bones. Because vascular supply is poor, scaphoid pathologies can present challenges with healing.
Scapholunate pathologies disrupt the normal kinematics of the wrist. Common causes of pain and dysfunction include ganglion cysts and scapholunate ligament injuries, which can progress to scapholunate advanced collapse (SLAC).
The carpometacarpal joint of the thumb is an intricate saddle articulation that is integral for maintaining hand dexterity. Thumb pathologies, including joint and ligamentous injuries, present challenges with hand function and fine motor movement.
The triangular fibrocartilage complex (TFCC) is a conglomerate of soft-tissue structures on the ulnar side of the wrist that plays a significant biomechanical role in wrist mobility and stabilization. The severity and chronicity of TFCC injuries will help determine the...
