The Hand, Wrist & Elbow Center
About the specialty
The elbow is a complex joint formed by the convergence of three bones: the humerus, radius, and ulna. The ulna, featuring a "C"-shaped hook at its end, fits into a concave fossa on the humerus, forming a pivotal part of the elbow's hinge joint. The radius lies adjacent to the ulna, allowing for pronation and supination – movements essential for the versatile function of the forearm.
The wrist's structure is equally intricate, composed of eight bones of varying shapes and sizes, arranged into two rows. The proximal row includes the scaphoid, lunate, triquetrum, and
pisiform, while the distal row comprises the trapezium, trapezoid, capitate, and hamate. This configuration facilitates a wide range of movements, underpinning the hand's dexterity.
Within the hand itself, nineteen bones are intricately arranged, including five metacarpals in the palm and fourteen phalanges in the fingers. Each finger, except for the thumb, contains three phalanges (proximal, intermediate, and distal), while the thumb features two. This skeletal framework supports the hand's complex functions, from gripping to fine manipulation.
Fractures in the bones of the fingers, hand, or elbow can occur due to direct trauma, necessitating varied treatment approaches based on the fracture's location and nature. Initial management often involves immobilization, though some cases may require surgical intervention for optimal recovery.
Treatments
Arthritis
Arthritis, a common condition affecting individuals post-forty, involves the degeneration of cartilage at the ends of bones, leading to pain and reduced mobility. The joints of the hand, wrist, and elbow are not immune to this ailment. Treatment typically focuses on conservative measures such as bracing and injections, although surgical options, including joint replacement, may be considered for certain joints.
Trigger Finger
Trigger Finger manifests as a finger stuck in a flexed position, potentially snapping back into place, or forming palpable nodules in the palm. Management options range from injections to surgical intervention in severe cases.
Dupuytren’s
Dupuytren's contracture is characterized by the thickening of palmar tissues, particularly affecting the fourth and fifth fingers, leading to a flexed finger posture challenging to straighten. Treatment may involve office-based procedures, injections, or surgery.
Nerve Compression
Common nerve compressions in the wrist (carpal tunnel syndrome) and elbow (cubital tunnel syndrome) can affect the function of the hand and upper extremity. Symptoms include numbness, tingling, nighttime awakening, and weakness. Treatment includes the entire spectrum of care, ranging from splinting, therapy, injections, or surgery.
At BBJI, our expertise in orthopedics allows us to provide comprehensive care tailored to each patient's unique needs, ensuring a swift and effective recovery from injuries and other orthopedic issues. Our dedicated team is committed to guiding you through the entire healing process, prioritizing open communication and collaboration with all parties involved. Our
ultimate goal is to restore your quality of life, helping you return to daily activities with confidence and without pain.
