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A Patient’s Guide to Kienbock’s Disease

Introduction

Kienbock’s disease is a condition in which one of the small bones of the wrist loses its blood supply and dies, causing pain and stiffness with wrist motion. In the late stages of the disease, the bone collapses, shifting the position of other bones in the wrist. This shifting eventually leads to degenerative changes […]

Ganglion Treatment in Singapore

Ganglion Cysts

About ganglion cysts

Ganglion cysts are fluid-filled sacs. They can occur at any joint in your body, but are most common around the wrist. Ganglion cysts may also appear on the feet.

Ganglion cysts form when the natural lubricating fluid leaks out of a joint or tendon, making a little sac (or cyst).

A Patient’s Guide to Ganglions of the Wrist

Introduction

A ganglion is a small, harmless cyst, or sac of fluid, that sometimes develops in the wrist. Doctors don’t know exactly what causes ganglions, but a ganglion that isn’t painful and doesn’t interfere with activity can often be left untreated without harm to the patient. However, treatment options are available for painful ganglions or […]

Skier’s and Gamekeeper’s Thumb Treatment in Singapore

Gamekeeper'sThumb

Gamekeeper'sThumb

The ulnar collateral ligament is a band of tough, fibrous tissue that connects the bones at the base of the thumb. This ligament prevents the thumb from pointing too far away from the hand.

How is the ulnar collateral ligament injured? Two common descriptive terms for injuries to the ulnar collateral ligament […]

Dupuytren’s Contracture Treatment in Singapore

Dupuytren’s Contracture

Dupuytren’s Contracture

Dupuytren’s contracture

Dupuytren’s contracture is a painless thickening and contracture of tissue beneath the skin on the palm of the hand and fingers.

Causes, incidence, and risk factors

The cause is unknown. Family history of Dupuytren’s contracture makes you more likely to develop this condition. It does not seem to be […]

Resisted flexion of each finger separately

Positioning and procedure.

The subject presents his hand palm downwards. The examiner stabilizes the wrist with one hand. With the other hand he applies resistance to the distal phalanx of each finger respectively.

Common mistakes.

None.

Anatomical structures tested:

Muscle function:

• Flexor digitorum superficialis • Flexor digitorum profundus.

Common pathological situations:

• […]

Muscles controlling the fingers-Resisted extension of each finger separately

Positioning and procedure.

The subject presents his hand palm downwards. The examiner stabilizes the wrist with one hand. With the other, he applies resistance to the distal phalanx of each finger respectively.

Common mistakes.

None.

Anatomical structures tested:

Muscle function:

• Extension of the index finger:

– Extensor indicis proprius – Tendon to the index […]

Dorsal Impaction Syndrome

Dorsal impaction is a chronic pain syndrome caused by repetitive axial loading of the wrist in dorsiflexion. This injury is common in young gymnasts.

Symptoms

– Pain is felt on the back of the wrist. – The pain is increased with dorsiflexion and loading of the wrist.

Treatment

Treatment should include: – modification of training […]

Myositis

Myositis or muscle inflammation is rare; it mainly affects the muscles of the thigh, back, shoulder, and calf.

Symptoms and diagnosis

The following may suggest a diagnosis of myositis: – pain in the affected muscle group on exertion; – symptoms increasing as effort becomes more intensive and repetitive; – tender, firm areas felt on examination […]

Squeaker’s Wrist

SYMPTOMS

There is exercise-induced pain and crepitation and swelling 6-8 cm proximal to Lister’s tubercle at the wrist.

AETIOLOGY

These symptoms are caused by a peri-tendinous bursitis between the first (abductor pollucis longus, extensor pollucis brevis) and second (extensor carpi radialis longus, extensor carpi radialis brevis) extensor compartments. This condition often affects rowers, […]