The hand is a highly specialized, highly differentiated, highly complex, highly important part of our body. With the development of the upright gait, it was freed from locomotion and was able to develop into a fine gripping and tactile organ.
Its unique position is highlighted, among other things, by the fact that it occupies large parts in the brain in order to control them.
If the hand becomes unusable, this hampers us considerably, even a bandage on a finger can cause us problems with day to day tasks.
Hand surgery has developed into a discipline in its own right, developing its own methods of treatment in order to maintain its function with particularly fine methods.
The hand can become damaged in a number of ways;
Injuries can range from small scratches to severe bruising and even to amputation, the latter involving major surgery.
Congenital malformations affect the fingers: they can be too long, too short or to close together and sometimes the shape and structure of the hand itself can be missing, this often happens more in younger patients.
Benign and malignant tumours on the hand, malignant surgery usually has to be treated in the clinic. Outpatient treatment is the ganglion, a protrusion of the inner skin of the joint capsule (synovia) or the tendon sheath.
The two most important nerves of the hand, the median nerve and the ulnar nerve, can be compressed at the level of the wrist in their lodges and thus irritated and damaged. Compression of the median nerve is called carpal tunnel syndrome or Karpaltunnelsyndrom in Germany and compression of the ulnar nerve is called compression syndrome in the Loge de Guyon.
These changes can be treated on an outpatient basis.
The hand and wrist are constantly in motion and loaded, this can stress their anatomical structures beyond the load limit.
This can effect:
In Dupuytren’s disease, the rough connective tissue layer of the palm of the hand (Faszia palmaris) hardens for unknown reasons, as does the finger, forming firm knots and strands. These can be felt, they can hurt and the patient’s fingers can be pulled crooked.
Joints: Arthritis Develops
Tendon sheaths: The result is an inflammation of the tendon sheath (tendovaginitis), especially on the wrist, or a snap finger / springfinger (tendovaginitis stenosans).
This post is also available in: