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HAND AND WRIST
 
Carpal Tunnel Syndrome:
Symptoms: Pain and numbness in the palm of the hand and the wrist are the hallmark symptoms. The syndrome usually starts insidiously and may be associated with repetitive use of the extremity. Resting the extremity and night pain is another finding. Physical exam findings along with a electrical conduction study will confirm the diagnosis.
 
Treatment: A splinting protocol is the mainstay of conservative treatment. Steroid injections may be efficacious for some patients. Surgical release of the transverse carpal ligament has a high degree of cure.
 
Tendonitis:
 
Diagnosis: Tendonitis of the hand and wrist describes a constellation of conditions that can cause pain and lack of mobility for the patient. One of the most common tendonopathies is De Quervain's tenosynovitis. This syndrome makes simple lifting and motion of the wrist painful. Steroid injections, stretching, medications, and splinting make up the conservative treatment options. Surgical release of the affected tendon sheath is an effective option.
 
Trigger Finger:
 
Diagnosis: Tenosynovitis of the flexor tendons of the hand is the cause of this condition. Thickening and swelling of the digital flexors and the thumb flexor are the cause of "popping", locking, and pain in the palm of the hand. Relieve can be obtained with splinting, injections, and medications. Refractory cases can be cured with a simple surgical release.