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Under the Hand

Metacarpal Fractures

Metacarpal fractures are breaks in the long bones of the hand that connect the wrist to the fingers. These injuries typically occur from a direct blow or crush injury to the hand, often during sports or a fall on an outstretched hand. Treatment of metacarpal fractures depends on the severity and location of the break, ranging from immobilization with a splint to surgery with pins, plates, or screws to stabilize the bone.

Tendon Lacerations

Tendon lacerations are cuts or tears in the tendons, the tough bands of fibrous tissue that connect muscles to bones. These injuries are usually caused by deep cuts from sharp objects (like knives or glass), but they can also result from a bad fall, a sports accident, or other trauma. Tendon lacerations are serious because they disrupt the ability of muscles to control joint movement, and if not repaired surgically, can cause long-term loss of function.

Dupuytren's Contracture

Dupuytren’s contracture is caused by the fascia (layer of tissue underneath the skin) thickening, which affects the mobility of the fingers. To treat this condition, a Dupuytren’s contracture surgery is performed. The doctor makes a cut in the hand to remove the thickened tissue.

De Quervain's Tenosynovitis

De Quervain’s tenosynovitis is a painful swelling of the thumb tendons that run along the wrist. A surgery called De Quervain’s release is needed to treat this condition. It involves releasing the tendon covering (sheath) to relieve pressure and friction.