Wrist, Hand, and Finger Injuries
While wrist, hand, and finger injuries naturally develop through habitual wear and tear processors and progressive overuse, they are more commonly seen as a result of: Direct trauma associated with sports Trips resulting in FOOSH injuries Accidents with heavy machinery and/or power tools Patients who present with wrist, hand, or finger injuries following direct trauma may have the following signs and symptoms: Pain Sensitivity Weakness Heat Swelling Deformity Joint restriction and/or locking Clicking The common neuromusculoskeletal diagnoses for injuries of the wrist, hand, and fingers are: Ligament strains and/or tears Tendon strains and/or tears Joints sprains Overlying and intrinsic muscles tissue tearing, straining, or bruising Complicated fractures requiring surgical intervention (scaphoid, or fractures near the physis of the metacarpals and phalanges) Stable fractures requiring splinting followed by progressive rehabilitation Partial and complete dislocations Compression or crushing injuries potentially resulting in carpal tunnel, and nail-bed deformities Depending on the diagnosis and the severity of the wrist, hand, or finger injury, patients may respond well to a conservative manual approach involving: Soft tissue therapy Passive joint mobilisation Musculoskeletal dry needling Advanced taping techniques (rigid taping and/or kinesio taping) Progressive injury rehabilitation
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