Specialists

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Hypothenar Syndrome

SYMPTOMS

There is pain and a sensation of cold in the fingers. Often sleep is disturbed by pain. It is common in martial arts and lacrosse.

AETIOLOGY

These symptoms are caused by spasm, thrombosis or aneurysm in the ulna artery in Guyon’s canal.

CLINICAL FINDINGS

There may be an ulceration of a […]

Handlebar Palsy

SYMPTOMS

There is paraesthesia of the ulnar one and a half fingers and weakness and atrophy of the intrinsic hand muscles. It is common in cyclists and racket sport players.

AETIOLOGY

These symptoms are caused by chronic compression of the ulnar nerve in Guyon’s canal.

CLINICAL FINDINGS

There is a positive Froment’s […]

De Quervain’s Tenosynovitis

SYMPTOMS

There is localised, sometimes intense exercise-induced pain and swelling over the radial part of the wrist. This is common in racket sports.

AETIOLOGY

These symptoms are caused by compression of the abductor pollucis longus and extensor pollucis brevis by swollen, inflamed or hypertrophied tendon sheaths.

CLINICAL FINDINGS

There is tenderness on palpation over […]

Carpal Tunnel Syndrome

SYMPTOMS

There is paraesthesia of the radial three and a half fingers and pain around the wrist. Often, sleep is disturbed.

AETIOLOGY

These symptoms are caused by chronic compression of the median nerve in the carpal tunnel by a hypertrophied flexor tendon retinaculum.

CLINICAL FINDINGS

There is tenderness on palpation over the carpal […]

Hallux Rigidus

SYMPTOMS

There is increasing stiffness and exercise-induced pain around MTP I without preceding trauma, usually affecting adult athletes. This condition can be mistaken for ‘turf toe’, which is common in young footballers.

AETIOLOGY

The aetiology is unclear but there is a possible genetic predisposition.

CLINICAL FINDINGS

There is decreased active and passive range […]