Hand, Finger, and Wrist Disorders

Sep 1, 2004 Issue
Diagnosis and Management of Scaphoid Fractures [Article]

Scaphoid fracture is a common injury encountered in family medicine. To avoid missing this diagnosis, a high index of suspicion and a thorough history and physical examination are necessary, because early imaging often is unrevealing. Anatomic snuffbox tenderness is a highly sensitive test for scaph...

Apr 15, 2004 Issue
Hand and Wrist Injuries: Part I. Nonemergent Evaluation [Article]

Diagnosis of upper extremity injuries depends on knowledge of basic anatomy and biomechanics of the hand and wrist. The wrist is composed of two rows of carpal bones. Flexor and extensor tendons cross the wrist to allow function of the hand and digits. The ulnar, median, and radial nerves provide in...

Apr 15, 2004 Issue
Hand and Wrist Injuries: Part II. Emergent Evaluation [Article]

Primary care physicians must be able to recognize wrist and hand injuries that require immediate attention. A complete history and physical examination, including assessment of distal limb function, are essential. Hemorrhage control is necessary in patients with vessel lacerations and amputations. A...

Dec 1, 2003 Issue
Common Acute Hand Infections [Article]

Hand infections can result in significant morbidity if not appropriately diagnosed and treated. Host factors, location, and circumstances of the infection are important guides to initial treatment strategies. Many hand infections improve with early splinting, elevation, appropriate antibiotics and, ...

Feb 15, 2003 Issue
Diagnostic and Therapeutic Injection of the Wrist and Hand Region [Article]

Joint injection of the wrist and hand region is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedures for carpal tunnel syndrome, de Quervain's tenosynovitis, osteoarthritis of the first carpometacarpal joint, wrist ganglion cysts, and digital f...

Nov 1, 2001 Issue
Unusual Wrist Bruise [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Aug 1, 2001 Issue
The V-Y Plasty in the Treatment of Fingertip Amputations [Article]

Fingertip amputations are injuries commonly seen by family physicians. The classification of fingertip injuries corresponds with the normal anatomy of the tip of the digit. There are three zones of injury; the V-Y plasty technique is used to repair zone II injuries. The plane of the injury can be de...

May 15, 2001 Issue
Fingertip Injuries [Article]

The family physician often provides the first and only medical intervention for fingertip injuries. Proper diagnosis and management of fingertip injuries are vital to maintaining proper function of the hand and preventing permanent disability. A subungual hematoma is a painful condition that involve...

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