The most common disorders of the hand include a colorful spectrum of deformities, ganglia, infections Kienböck’s disease, nerve compression syndromes, non-infectious tendovaginitis and osteoarthritis. The reflex sympathetic dystrophy as complex regional pain syndrome is complex regional pain syndrome (CRPS) described, hand injuries are shown in fractures, dislocations and sprains. Deformities deformities may arise as a result of system diseases (e.g., B. tRA), of dislocations, fractures or other localized disorders. Most non-traumatic localized disease can be diagnosed by a physical examination. If a deformity of the hand is once finalized, it can not significantly influence by splinting, physiotherapy or other non-surgical procedures. Hand bone MEDICAL RF.COM/SCIENCE PHOTO LIBRARY var model = {thumbnailUrl: ‘/-/media/manual/professional/images/f0013744_bones_of_the_hand_science_photo_library_high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/ – / media / manual / professional /images/f0013744_bones_of_the_hand_science_photo_library_high_de.jpg?la=de&thn=0 ‘, title:’ hand bones’, description: ” credits’ MEDICAL RF.COM/SCIENCE PHOTO LIBRARY ‘hideCredits: false, hideTitle: false, hideFigure: false, hideDescription : true}; var panel = $ (MManual.utils.getCurrentScript ()) Closest ( ‘image-element-panel.’). ko.applyBindings (model, panel.get (0)); Infections The most common bacterial infections in the hand are the paronychia (acute paronychia), infected bite wounds, the felon, Palmarabszesse and infectious Beugertenosynovitis. The herpetic nail bed infection is a viral infection of the hand. Infections often begin with a constant, intense throbbing pain and can usually be diagnosed by physical examination. In some cases, an X-ray image, so in bite wounds or infectious Beugertenosynovitis is recommended to detect occult foreign body, but small or radiolucent objects can be hidden there. Treatment includes surgery and antibiotics. The increased incidence of community-acquired and hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA) should be considered. Uncomplicated MRSA infections are best treated with incision and drainage. If a high incidence of MRSA exists and the infection is severe, are required hospitalization and vancomycin or daptomycin (for an infusion therapy) is recommended, as well as the involvement of an infectious disease specialist. Ambulatory patients can be given trimethoprim / sulfamethoxazole, clindamycin, doxycycline or linezolid (for oral treatment). When culture and sensitivity testing MRSA exclude nafcillin, cloxacillin, dicloxacillin or cephalosporin 1st or 2nd generation can be given. Nerve compression syndromes These include carpal tunnel syndrome, cubital tunnel syndromes and the radial tunnel syndrome. The compression of the nerve often triggers paresthesia, which can be provoked by pressure on the compressed nerve with the fingertips (Tinel’s sign). A suspected nerve compression can be confirmed by measuring the nerve conduction velocity and distal latencies, in this case the motor and sensory nerve conduction be accurately measured. Treatment is initially conservative in general, if unsuccessful, or significant motor or sensory deficits, surgical decompression is required. Non-infectious tenosynovitis (tendinitis and tenosynovitis.) A tenosynovitis can affect any tendon in the hand, finger flexor tendons and the tendon of the extensor pollicis brevis, however, are affected most often. Clarification history and physical examination are often leading the way in diseases of the hand. Anamnesis medical history is important with regard to trauma and other events on information that could be related to the symptoms. Presence and duration of deformities and limitations in mobility are to be raised, as well as the presence, duration, severity and possible exacerbation or mitigating factors of pain. Finally, Raynaud’s disease (Raynaud’s phenomenon), paresthesia and weakness to suchen.Körperliche investigation is to accompanying symptoms such as fever, swelling, skin rashes, the investigation should include an inspection for redness, swelling, deformity and palpation on tenderness. In terms of possible tendon injuries active range of motion should be investigated. By testing the passive mobility, the presence can be established fixed deformities and whether certain movements have a pain-reinforcing. Means Zweipunktdiskrimination, z. As with the help of a staple, the sensitivity can be checked. By examining the motor muscles are checked by the Nn. radial, median and ulnar be innervated. The vascular examinations include capillary refill, and Radialis- Ulnarispuls and the Allen test (arterial blood gas analysis). Stress tests are helpful if the suspected special tape consists damage (for example, the ulnar collateral ligament at the goalkeeper thumb;.. Sprains ligament ulnar collateral.). Provocation tests can support the diagnosis of tenosynovitis and nerve compression syndromes. As one examines the hand The investigation was shown by Paul Liebert, MD, Tomah Memorial Hospital. var model = {videoId: ‘5510388223001’, playerId ‘H1xmEWTatg_default’, imageUrl ‘http://f1.media.brightcove.com/8/3850378299001/3850378299001_5510393128001_5510388223001-vs.jpg?pubId=3850378299001&videoId=5510388223001’, title: ‘How can the hand examined’, description: ”, credits: ‘the investigation was shown by Paul Liebert, MD, Tomah Memorial Hospital’, hideCredits: true hideTitle: false, hideDescription: true loadImageUrlWithAjax: true};. var panel = $ (MManual.utils.getCurrentScript ()) Closest ( ‘video element panel..’); ko.applyBindings (model, panel.get (0)); Technical studies laboratory tests can help in the diagnosis of inflammatory joint diseases (eg. As RA), but otherwise play a limited role. X-rays and MRI are useful in the detection of accidents, arthritis and Crohn Kienböck, also exclude hidden foreign objects that could represent a source of infection. MRI and ultrasound are useful to evaluate the structure and integrity of a tendon and to detect deep abscesses. The high-resolution ultrasound allows for real-time imaging and is particularly useful in the clarification of tendons and synovitis. The measurement of the nerve conduction to the diagnosis of nerve compression syndromes. Bone scintigraphy is an alternative to MRI is in the diagnosis of occult fractures and can assist in the diagnosis of complex regional pain syndromes.

Health Life Media Team

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