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Hand Function pp 227-244 | Cite as

Hand Function in Common Hand Problems

  • Lynn H. GerberEmail author
  • Fatma Gülçin Ural
Chapter

Abstract

This chapter was designed to identify the commonly encountered non-traumatic hand problems that patients are likely to present to a practitioner. These conditions often present with characteristic physical findings, around which the diagnosis is made, as well as pain and dysfunction.

The intention of this chapter will be to describe how to evaluate the hand and which instruments are currently being used for this, correlate symptoms with findings that lead to a diagnosis, and identify treatments that have been shown to be effective in relieving symptoms and/or improving hand function. Some aspects of pathophysiology are also included, for example, the role of overuse or pathomechanical problems and what has been learned from functional MRI to describe neural pathways possibly involved in dystonias and chronic regional pain syndrome. Often, these diagnoses are made using clinical examination, imaging, and electrodiagnosis to support or confirm the findings.

The followings are the diagnoses or syndromes discussed in this chapter: carpal tunnel syndrome, stenosing tenosynovitis, de Quervain’s syndrome, Dupuytren’s tenosynovitis, carpometacarpal arthritis, sprains/strains of the digits, Kienbock’s disease, complex regional pain syndrome, and focal dystonia.

Keywords

Carpal tunnel syndrome Trigger finger De Quervain’s tenosynovitis Dupuytren’s disease Complex regional pain syndrome Focal dystonia 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Center for the Study of Chronic Illness and DisabilityGeorge Mason UniversityFairfaxUSA
  2. 2.Department of Physical Medicine and RehabilitationYıldırım Beyazıt University Medical SchoolAnkaraTurkey

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