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Gross clubbing – Thickening of the whole distal (end part of the) finger (resembling a drumstick) Hypertrophic osteoarthropathy – Shiny aspect and striation of the nail and skin Schamroth's sign or Schamroth's window test (originally demonstrated by South African cardiologist Leo Schamroth on himself) [ 16 ] is a popular test for clubbing.
PDP has a number of visible signs. Most important clinical features are: pachydermia (thickening and wrinkling of the skin), furrowing of the face and scalp, periostosis (swelling of periarticular tissue and shaggy periosteal new bone formation of long bones) and digital clubbing (enlargement of fingertips). [1]
Hitchhiker's thumb, also known as distal hyperextensibility of the thumb, is the condition of having a thumb that has a distal phalange that bends backwards in an angle of 90°. This condition is benign (when isolated) and does not cause pain or affect the thumb with the trait negatively.
Hypertrophic osteoarthropathy is one of many distant effect disorders due to cancer, with lung cancer being the most common cause but also occurring with ovarian or adrenal malignancies. A distant effect disorder, or a paraneoplastic syndrome , affects distant areas and thus is not related to local compression or obstruction effects from the tumor.
Pycnodysostosis also causes problems that may become evident with time. Aside from the broken bones, the distal phalanges and the collar bone can undergo slow progressive deterioration. Vertebral defects may permit the spine to curve laterally resulting in scoliosis. The dental problems often require orthodontic care and cavities are common.
Anterior interosseous syndrome is a medical condition in which damage to the anterior interosseous nerve (AIN), a distal motor and sensory branch of the median nerve, classically with severe weakness of the pincer movement of the thumb and index finger, and can cause transient pain in the wrist (the terminal, sensory branch of the AIN innervates the bones of the carpal tunnel).
If a jammed finger produces a fracture, pain will be greatest at the bone as opposed to the joint. [2] There may also be visual deformation of the bone itself. [6] As with any skeletal injury, an x-ray can be conducted to verify the presence of a fracture. [1] The distal phalanx is especially vulnerable to avulsion fractures. [1]
clubbing of distal phalanges Hirschberg test: Julius Hirschberg: ophthalmology: strabismus: corneal reflection centred (-) or not centred (+) on pupil Hoffmann's sign: Johann Hoffmann: neurology: corticospinal tract lesions: tapping distal phalanx of 3rd or 4th finger elicits flexion of same in thumb Hollenhorst plaque: Robert Hollenhorst ...