Carpometacarpal Boss: Causes, Symptoms And Treatment

by Administrator 24. April 2017 10:16

Carpometacarpal Boss or Carpal Boss is a condition that occurs due to deterioration of the joints situated at the back of the basal joints of the middle or index fingers. A bony overgrowth forms on the back of the wrist at the base of the metacarpal bones of either of the two fingers. Generally seen in people aged between 20 to 40 years, this condition can affect anyone.

Causes

  • Traumatic injury
  • Activities that involve repetitive wrist motion
  • Frequently playing sports such as badminton, tennis or golf
  • Wear and tear of the cartilage lining
  • Thickening of the soft tissue

Symptoms

  • Inflammation at the back of the hand in the index or middle fingers
  • Pain in the affected area
  • A hard, immovable bump on the back of the wrist
  • Breaking of the tendons that aid in straightening the fingers

Diagnosis

  • The orthopedic doctor will note down the complete medical history of the patient along with the visible symptoms
  • He will also ask questions regarding any physical injury or trauma to the hand or wrist
  • A detailed physical examination of the wrist and hand is also done to look for pain and tenderness
  • Imaging tests such as X-Ray can be conducted by the doctor to confirm the diagnosis of Carpal Boss
  • EMG or nerve conduction studies can be done to have a clear picture of the nerve damage in the affected area

Treatment

Initial treatment for Carpal Boss generally include conservative options.

Non-surgical treatment

  • The patient is advised to modify or limit the activities associated with wrist and hand
  • Pain medications might be recommended by the doctor to reduce discomfort and ease the symptoms
  • Application of ice packs can reduce swelling in the affected area
  • Muscle relaxants also aid in providing relief from pain and inflammation to a certain extent
  • Gentle massage in the affected area might also prove to be beneficial
  • Steroid injections can also calm down the painful symptoms
  • The doctor can use a wrist splint for immobilization of the hand till swelling subsides

Surgical Treatment

  • Surgery may be necessary if any of the above treatment methods fail to provide relief
  • A procedure known as Carpal Boss excision is performed after administering local anesthesia to the patient
  • The surgical procedure involves creating a small incision in the affected area of the wrist
  • Any soft tissue abnormality or arthritic joint is removed
  • If the pain still does not go away, a separate medical procedure is conducted
  • It involves fusing the joints for complete relief

For comprehensive treatment of Carpometacarpal Boss and other orthopedic conditions of the hand, consult Dr. Christopher D. Allmon. To schedule an appointment, call at (972) 492 – 1334.

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Boxer’s Fracture: Causes, Symptoms And Treatment

by Administrator 27. April 2016 12:23

Boxer’s Fractureor Brawler’s Fracture, refers to a break or crack in the metacarpal bones that form the knuckles of the hand.

There are 5 metacarpal bones in each hand with same structure (base, shaft, neck and head). The head of the metacarpal bone joins with the proximal phalangeal bone of each finger and forms the metacarpophalangeal (MCP) joint or the knuckles. A break or fracture in the neck part of the metacarpal bone is termed as a Boxer’s Fracture.

Though the fracture can be seen in any of the MCP joints, it most commonly affects the little and ring finger.

Causes:

  • Punching (a hard object)
  • Hand striking forcefully on an immovable surface

Symptoms:

  • Severe Pain
  • Swollen hand
  • Bruising or localised discoloration near the knuckles
  • Clicking or snapping sound at the time of injury
  • Painful movements of the hand
  • Limited range of movement
  • Misalignment of the bones when trying to make a fist
  • Open wound, in case of injury due to animal bite or hitting a sharp object
  • Little finger may bend inwards
  • Inability to bend or straighten the finger

Diagnosis:

A complete physical examination may reveal tenderness at the joint, misaligned bones, etc. X-ray or CT scan may be conducted byt the orthopedic doctor to diagnose the severity of the fracture and identify the presence of any foreign body, in case of an open wound in the hand.

Treatment:

The initial course of treatment may involve:

  1. Ice packs to reduce the pain and swelling
  2. Immobilization
  3. Elevation of the hand
  • Splinting may be done to support the hand and allow the bones to heal.
  • Open fractures may require stitches to avoid any infection. The doctor may also remove any foreign objects present in the hand.
  • Anti-inflammatory drugs may be prescribed to ease pain and discomfort
  • After the swelling has subsides, physical therapy may help to restore the range of motion of the hand.
  • Antibiotics may be prescribed in case of an open wound or pus formation is noted in the hand.
  • Surgery may be needed if the metacarpal bone undergoes angulation, i.e. it moves from its normal position.

Dr. Allmon is a leading hand and wrist surgeon providing treatment for boxer’s fracture. To schedule an appointment with the Carrollton, TX based surgeon, call at (972) 492 – 1334.

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Hand Fracture: Orthopedic Carrollton

by Administrator 26. October 2015 05:12

Hand fracture refers to a crack or break in any of the several small bones of the fingers (phalanges) or the long bones (metacarpals). The fracture can occur in different locations of the hand such as on the knuckle, in the shaft, or at the base of the bone. The injury is more common among sports persons who perform repetitive hand/wrist movements.

Causes

  • Work related Injury
  • Trauma or Car accident
  • Direct contact in sports
  • Falling on the outstretched hand on the hard surface
  • Sudden twisting of hand
  • Repeated or overuse of hand
  • Osteoporosis or calcium deficiency increases the risk of fracture

Symptoms

  • Pain that worsens with the movement of hand
  • Inability to hold or grab anything
  • Bruising
  • Tenderness
  • Inability to move the hand
  • Swelling
  • Numbness
  • Deformity
  • Misalignment of fingers

Diagnosis

The physician conducts thorough physical examination to check the affected area for deformity, open wound, nerve damage, swelling or impaired blood flow. The doctor may recommend X-ray or other imaging tests such as CT scan or MRI to determine the extent of condition.

Treatment

The physician will align the broken bones properly to promote healing. The process of manipulating the pieces to join them together is called fracture reduction. Depending upon the severity of the fracture, the patient may be treated either non-surgically or surgically. The non-surgical treatment involves immobilizing the broken hand by using cast or a splint so that the bones can heal quickly. If the patient will not restrict the movement, the bones will not join rightly and it can lead to deformity.  The patient may be prescribed some pain relievers to offer relief from the pain.

Surgery may be required in case of an open fracture. In the procedure, the orthopedic surgeon will repair the multiple fractures or replace the displaced bones. He may have to implant plates, screws or wires to hold the broken bone pieces together and promote healing.

The patient needs to perform some stretching and strengthening exercises to restore the movement in wrist and hand.

For comprehensive diagnosis and treatment of hand or wrist fracture, consult Dr. Allmon. To schedule an appointment with the hand surgeon in Carrollton, call at (972) 492 – 1334 or visit 4780 N Josey Lane, Carrollton, TX 75010.

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Tips To Prevent Hand Pain

by Administrator 21. May 2015 08:05

Hands are responsible for major tasks like, reaching distant things, grabbing, writing, touching, holding, lifting heavy objects etc. Each human hand consists of 27 bones including fingers, palm, wrist and arm. Hand pain can be triggered due to various causes like bruises, nerve disorders, fractures, infections, dislocated wrist, Arthritis, Tendinitis, etc. Following are some tips which can be helpful in the prevention of hand pain.

  • Prevent injuries: Hand pain that is caused by injuries like cuts and bruises can be easily prevented by taking more care of your hands. Handling objects that are potentially injuring, like knife, heavy objects etc. carefully can also help in saving your hand from an injury. Also, avoiding falls can be helpful in preventing injuries to the hand.
  • Wear protective gear while athletic activities: Injuries like wrist fractures and sprains are very common with people who get indulged in sports and athletic activities. You must wear proper protective gear at the time of these activities to reduce the risk of hand pain.
  • Build bone strength: One can also prevent the risk of hand and wrist pain by building bone strength. It can be built by taking measures like doing regular exercises, drinking milk and eating food that is rich in calcium.
  • Avoid straining the muscles: Repetitive movements of the hand or wrist can exhaust the muscles and tendons of the hand which can result in their inflammation. Proper rest should be provided to the muscles in order to prevent hand pain. It is recommended to take regular breaks while long sessions of activities like writing, knitting, etc. to prevent stress in the wrist and fingers.
  • Regular exercises: Hand pain can be prevented by doing regular exercises to build strength and regulate the flow of blood. Various stretching exercises of wrists and fingers can be helpful in releasing the stress from the muscles.
  • Proper posture: It is recommended to use proper posture while doing everyday activities like typing, chopping vegetables, carrying heavy things, holding the steering, etc. It can help in the prevention of muscle or tendon pulls and sprains.
  • Improve grip: For athletes, it is recommended to improve the grip while holding the gymnasium training bars at the time of workouts. This can reduce the possibility of injuries. It is suggested to use full hand while gripping as using only the thumb and index finger can strain the wrist. Gripping objects like pen, spoon, stair supports, etc. gently can also help in preventing muscle stress.

These preventive measures should be taken to prevent hand and wrist pain. In case of hand pain, visit your nearest hand/wrist doctor immediately.

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