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Cheiralgia paraesthetica (Wartenberg's syndrome) is a neuropathy of the hand generally caused by compression or trauma to the superficial branch of the radial nerve. [1] [2] The area affected is typically on the back or side of the hand at the base of the thumb, near the anatomical snuffbox, but may extend up the back of the thumb and index finger and across the back of the hand.
Nerve injuries occur as a result of trauma, compression or over-stretching. Nerves send impulses to the brain about sensation and also play an important role in finger movement. When nerves are injured, one can lose ability to move fingers, lose sensation and develop a contracture. Any nerve injury of the hand can be disabling and results in ...
The main symptom is pain, particularly with gripping and pinching. [7] [8] This pain is often described as weakness, but true weakness is not a part of this disease. People may also note a change in shape of the thumb. [7] [8] Some people choose surgery, but most people find they can accommodate trapeziometacarpal arthritis. [9] [10] [11]
[3] [5] [6] This results in pain and tenderness on the thumb side of the wrist. [3] Radial abduction of the thumb is painful. [6] On some occasions, there is uneven movement or triggering of the thumb with radial abduction. [4] Symptoms can come on gradually or be noted suddenly. [4] The diagnosis is generally based on symptoms and physical ...
The injured finger may be examined to determine where the pain is worst. [3] If the finger is sprained or dislocated, pain will be worse at the joint rather than the bone. [3] Due to the risk of dislocations or fractures, X-rays should be conducted prior to testing joint stability. This allows for prior detection of a dislocation or fracture. [3]
Finkelstein's test was described by Harry Finkelstein (1865–1939), an American surgeon, in 1930. [5]A similar test was previously described by Eichhoff, in which the thumb is placed in the palm of the hand and held with the fingers, and the hand is then ulnar deviated (see images), causing intense pain over the radial styloid which disappears if the thumb is released.
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Nintendo thumb, also known as gamer's thumb [1] and similar names, is a form of repetitive strain injury (RSI) caused by excessive playing of video games with the traditional Nintendo controller. [2] This injury mainly occurs due to repeated thumb movements while playing video games. [ 3 ]