Raleigh Hand Surgeon

Hand

Thumb Ligament Injury

Thumb Ligament Injury The ulnar collateral ligament (UCL) is a strong band of tissue that is located on the inside of the thumb, connecting the bones of the thumb to the wrist. It provides stability and support to the thumb and helps it to move smoothly. Injuries to the UCL can result from activities that …

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Trigger Finger

Trigger Finger Trigger finger is a common diagnosis among adults. It commonly occurs in thumb and ring finger but can affect any digit and is caused by inflammation of the flexor tendons in the hand that get stuck when passing through the tunnel (pulley). Because of the increased resistance to the gliding of the tendon …

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Nail Injuries

Nail Injury Nail injuries are often associated with injury to the bone and the nail bed that is underneath the nail. Most often these occur with a crush mechanism such as a car door. The nail bed is the soft tissue underneath the nail plate that is responsible for nail growth. Injuries to the nail bed …

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Dupuytren’s Disease

Dupuytren’s Disease What is Dupuytren’s Disease? Dupuytren’s disease is a contracture disorder of the palm and fingers.  Nodules and cords form which limit the motion of the finger.  These contractures can become worse over time and prevent patients from extending their fingers and making putting on gloves or placing their hand in their pocket difficult.  …

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Thumb Arthritis

Thumb Arthritis The base of the thumb joint (CMC or carpometacarpal joint) is responsible for the thumb’s range of motion allowing firm grasping and pinching.  In thumb osteoarthritis, the cartilage wears out, resulting in bone on bone contact and producing pain and deformity. Thumb basal joint is one of the most common places in the …

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Tendon Injuries

Tendon Injuries Tendons connect forearm muscles to fingers. When forearm muscles contract, tendons pull on fingers, allowing fingers to move. There are flexor tendons and extensor tendons on each side of the hand.  When the tendon is injured it will be difficult to bend or straighten one or more joints in a finger/wrist. Surgical intervention …

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Mallet Finger

Mallet finger is a common injury of the extensor tendon to the tip of finger. Often this occurs when the finger is jammed (such as during basketball) but subtle injuries can also cause it. The finger may be painful, swollen or bruised and often looks like the picture below.    Mallet Finger Treatment  Patients should …

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Hand Fractures

Finger fractures are a common occurrence. The good news is that they often can be treated without surgery in either a cast or removable brace.  These fractures are often more of a soft tissue injury than a bony injury. This means that the goal is often to prevent stiffness and provide a stable construct to …

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Caparl Tunnel Syndrome

Carpal Tunnel Syndrome

  What is Carpal Tunnel Syndrome? Carpal tunnel syndrome is a condition caused by the compression of the median nerve at the wrist. This nerve provides sensation to the thumb, index, and middle fingers, as well as half the ring finger. The nerve also provides innervation to the muscles of the thumb (thenar muscles). The …

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