Skip to main content

Hand Function in Common Hand Problems

  • Chapter
  • First Online:
Hand Function

Abstract

This chapter was designed to identify the commonly encountered non-traumatic hand problems that patients are likely to present to a practitioner. These conditions often present with characteristic physical findings, around which the diagnosis is made, as well as pain and dysfunction.

The intention of this chapter will be to describe how to evaluate the hand and which instruments are currently being used for this, correlate symptoms with findings that lead to a diagnosis, and identify treatments that have been shown to be effective in relieving symptoms and/or improving hand function. Some aspects of pathophysiology are also included, for example, the role of overuse or pathomechanical problems and what has been learned from functional MRI to describe neural pathways possibly involved in dystonias and chronic regional pain syndrome. Often, these diagnoses are made using clinical examination, imaging, and electrodiagnosis to support or confirm the findings.

The followings are the diagnoses or syndromes discussed in this chapter: carpal tunnel syndrome, stenosing tenosynovitis, de Quervain’s syndrome, Dupuytren’s tenosynovitis, carpometacarpal arthritis, sprains/strains of the digits, Kienbock’s disease, complex regional pain syndrome, and focal dystonia.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hoang-Kim A, Pegreffi F, Moroni A, Ladd A. Measuring wrist and hand function: common scales and checklists. Injury. 2011;42(3):253–8. Epub 2010 Dec 15

    Article  CAS  PubMed  Google Scholar 

  2. Longstaff L, Milner RH, O’Sullivan S, Fawcett P. Carpal tunnel syndrome: the correlation between outcome, symptoms and nerve conduction study findings. J Hand Surg (Br). 2001;26(5):475–80.

    Article  CAS  Google Scholar 

  3. Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosén I. Prevalence of carpal tunnel syndrome in a general population. JAMA. 1999;282(2):153–8.

    Article  CAS  PubMed  Google Scholar 

  4. Moghtaderi A, Izadi S, Sharafadinzadeh N. An evaluation of gender, body mass index, wrist circumference and wrist ratio as independent risk factors for carpal tunnel syndrome. Acta Neurol Scand. 2005;112:375.

    Article  CAS  PubMed  Google Scholar 

  5. Gulliford MC, Latinovic R, Charlton J, Hughes RA. Increased incidence of carpal tunnel syndrome up to 10 years before diagnosis of diabetes. Diabetes Care. 2006;29:1929.

    Article  PubMed  Google Scholar 

  6. Seror P. Symptoms of thoracic outlet syndrome in women with carpal tunnel syndrome. Clin Neurophysiol. 2005;116:2324.

    Article  CAS  PubMed  Google Scholar 

  7. Rempel D, Evanoff B, Amadio PC, et al. Consensus criteria for the classification of carpal tunnel syndrome in epidemiologic studies. Am J Public Health. 1998;88(10):1447–51.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Seror P. Sonography and electrodiagnosis in carpal tunnel syndrome diagnosis, an analysis of the literature. Eur J Radiol. 2008;67(1):146–52.

    Article  CAS  PubMed  Google Scholar 

  9. Kwon BC, Jung K-I, Baek GH. Comparison of sonography and electrodiagnostic testing in the diagnosis of carpal tunnel syndrome. J Hand Surg [Am]. 2008;33(1):65–71.

    Article  Google Scholar 

  10. Visser LH, Smidt MH, Lee ML. High-resolution sonography versus EMG in the diagnosis of carpal tunnel syndrome. J Neurol Neurosurg Psychiatry. 2008;79(1):63–7. Epub 2007 Apr 30

    Article  CAS  PubMed  Google Scholar 

  11. Slater RR Jr, Bynum DK. Diagnosis and treatment of carpal tunnel syndrome. Orthop Rev. 1993;22(10):1095–105.

    PubMed  Google Scholar 

  12. Gelberman RH, Hergenroeder PT, Hargens AR, Lundborg GN, Akeson WH. The carpal tunnel syndrome. A study of carpal canal pressures. J Bone Joint Surg Am. 1981;63(3):380–3.

    Article  CAS  PubMed  Google Scholar 

  13. Szabo RM, Chidgey LK. Stress carpal tunnel pressures in patients with carpal tunnel syndrome and normal patients. J Hand Surg Am. 1989;14(4):624–7.

    Article  CAS  PubMed  Google Scholar 

  14. Rempel D, Dahlin L, Lundborg G. Pathophysiology of nerve compression syndromes: response of peripheral nerves to loading. J Bone Joint Surg. 1999;81(11):1600–10.

    Article  CAS  PubMed  Google Scholar 

  15. Gelberman RH, Rydevik BL, Pess GM, et al. Carpal tunnel syndrome. A scientific basis for clinical care. Orthop Clin North Am. 1988;19(1):115–24.

    CAS  PubMed  Google Scholar 

  16. Katz JN, Simmons BP. Carpal tunnel syndrome. N Engl J Med. 2002;346:1807–12.

    Article  PubMed  Google Scholar 

  17. Atcheson SG, Ward JR, Lowe W. Concurrent medical disease in work-related carpal tunnel syndrome. Arch Intern Med. 1998;158(14):1506–12.

    Article  CAS  PubMed  Google Scholar 

  18. Upton ARM, McComas AJ. The double crush in nerve entrapment syndromes. Lancet. 1973;2:359–62.

    Article  CAS  PubMed  Google Scholar 

  19. Swenson RS. Double crush syndrome: what is the evidence? J Musculoskelet Syst. 1993;1:23–9.

    Google Scholar 

  20. Kwon HK, Hwang M, Yoon DW. Frequency and severity of carpal tunnel syndrome according to level of cervical radiculopathy: double crush syndrome? Clin Neurophysiol. 2006;117:1256–9.

    Article  PubMed  Google Scholar 

  21. Wilbourn AJ, Gilliatt RW. Double-crush syndrome: a critical analysis. Neurology. 1997;49:21–9.

    Article  CAS  PubMed  Google Scholar 

  22. Brismar T, Ekenvall L. Nerve conduction in the hands of vibration exposed workers. Electroencephalogr Clin Neurophysiol. 1992;85(3):173–6.

    Article  CAS  PubMed  Google Scholar 

  23. Palmer KT, Harris EC, Coggon D. Carpal tunnel syndrome and its relation to occupation: a systematic literature review. Occup Med (Lond). 2007;57(1):57–66.

    Article  Google Scholar 

  24. Wærsted M, Hanvold TN, Veiersted KB. Computer work and musculoskeletal disorders of the neck and upper extremity: a systematic review. Musculoskel Disord. 2010;11:79.

    Article  Google Scholar 

  25. Atroshi I, Gummesson C, Ornstein E, Johnsson R, Ranstam J. Carpal tunnel syndrome and keyboard use at work: a population-based study. Arthritis Rheum. 2007;56:3620–5.

    Article  PubMed  Google Scholar 

  26. D’Arcy CA, McGee S. The rational clinical examination: does this patient have carpal tunnel syndrome? JAMA. 2000;283(3):3110–7.

    Article  PubMed  Google Scholar 

  27. Pryse-Phillips WE. Validation of a diagnostic sign in carpal tunnel syndrome. J Neurol Neurosurg Psychiatry. 1984;47(8):870–2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Gerr F, Letz R, Harris-Abbott D, et al. Sensitivity and specificity of vibrometry for detection of carpal tunnel syndrome. J Occup Environ Med. 1995;37(9):1108–15.

    Article  CAS  PubMed  Google Scholar 

  29. Jablecki CK, Andary MT, So YT, Wilkins DE, Williams FH. Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. AAEM Quality Assurance Committee. Muscle Nerve. 1993;16(12):1392–414.. Review

    Article  CAS  PubMed  Google Scholar 

  30. Durkan JA. A new diagnostic test for carpal tunnel syndrome. J Bone Joint Surg. 1991;73(4):535–8.

    Article  CAS  PubMed  Google Scholar 

  31. Bakhish H, Ibrahim I, Khan W, et al. Assessment of validity, reliability, responsiveness and bias of three commonly used patient-reported outcome measures in carpal tunnel syndrome. Ortop Traumatol Rehabil. 2012;31:335–40.

    Google Scholar 

  32. Kotsis SV, Chung KC. Responsiveness of the Michigan hand outcomes questionnaire and the disabilities of the arm, shoulder and hand questionnaire in carpal tunnel surgery. J Hand Surg Am. 2005;30:81–6.

    Article  PubMed  Google Scholar 

  33. Huisstede BM, Hoogvliet P, Randsdorp MS, Glerum S, van Middelkoop M, Koes BW. Carpal tunnel syndrome. Part I: effectiveness of nonsurgical treatments – a systematic review. Arch Phys Med Rehabil. 2010;91(7):981–1004.

    Article  PubMed  Google Scholar 

  34. Bury TF, Akelman E, Weiss AP. Prospective, randomized trial of splinting after carpal tunnel release. Ann Plast Surg. 1995;35(1):19–22.

    Article  CAS  PubMed  Google Scholar 

  35. De Angelis MV, Pierfelice F, Di Giovanni P, Staniscia T, Uncini A. Efficacy of a soft hand brace and a wrist splint for carpal tunnel syndrome: a randomized controlled study. Acta Neurol Scand. 2009;119(1):68–74.

    Article  PubMed  Google Scholar 

  36. Akalin E, El O, Peker O, Senocak O, Tamci S, Gülbahar S, Cakmur R, Oncel S. Treatment of carpal tunnel syndrome with nerve and tendon gliding exercises. Am J Phys Med Rehabil. 2002;81(2):108–13.

    Article  PubMed  Google Scholar 

  37. Gurcay E, Unlu E, Gurcay AG, Tuncay R, Cakci A. Assessment of phonophoresis and iontophoresis in the treatment of carpal tunnel syndrome: a randomized controlled trial. Rheumatol Int. 2012;32(3):717–22.

    Article  CAS  PubMed  Google Scholar 

  38. Garfinkel MS, Singhal A, Katz WA, Allan DA, Reshetar R, Schumacher HR Jr. Yoga-based intervention for carpal tunnel syndrome: a randomized trial. JAMA. 1998;280(18):1601–3.

    Article  CAS  PubMed  Google Scholar 

  39. Ural FG, Öztürk GT. The acupuncture effect on median nerve morphology in patients with carpal tunnel syndrome: an ultrasonographic study. Evid Based Complement Alternat Med. 2017;2017:7420648.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Flondell M, Hofer M, Björk J, Atroshi I. Local steroid injection for moderately severe idiopathic carpal tunnel syndrome: protocol of a randomized double-blind placebo-controlled trial (NCT 00806871). BMC Musculoskelet Disord. 2010;11:76.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  41. Ustün N, Tok F, Yagz AE, Kizil N, Korkmaz I, Karazincir S, Okuyucu E, Turhanoglu AD. Ultrasound-guided vs. blind steroid injections in carpal tunnel syndrome: a single-blind randomized prospective study. Am J Phys Med Rehabil. 2013;92(11):999–1004.

    Article  PubMed  Google Scholar 

  42. Karadaş O, Tok F, Ulaş UH, Odabaşi Z. The effectiveness of triamcinolone acetonide vs. procaine hydrochloride injection in the management of carpal tunnel syndrome: a double-blind randomized clinical trial. Am J Phys Med Rehabil. 2011;90:287–92.

    Article  PubMed  Google Scholar 

  43. Wu YT, Ho TY, Chou YC, Ke MJ, Li TY, Huang GS, Chen LC. Six-month efficacy of platelet-rich plasma for carpal tunnel syndrome: a prospective randomized, single blind controlled trial. Sci Rep. 2017;7(1):94.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  44. Uzun H, Bitik O, Uzun Ö, Ersoy US, Aktaş E. Platelet-rich plasma versus corticosteroid injections for carpal tunnel syndrome. J Plast Surg Hand Surg. 2017;51(5):301–5.

    Article  PubMed  Google Scholar 

  45. Kushner SH, Lane CS. Endoscopic versus open carpal tunnel release: big deal or much ado about nothing? Am J Orthop. 1997;26(9):591–6.

    Google Scholar 

  46. Bai J, Kong L, Zhao H, Yu K, Zhang B, Zhang J, Tian D. Carpal tunnel release with a new mini-incision approach versus a conventional approach, a retrospective cohort study. Int J Surg. 2018. pii: S1743-9191(18)30563-6; https://doi.org/10.1016/j.ijsu.2018.02.033.

    Article  PubMed  Google Scholar 

  47. Boya H, Ozcan O, Oztekin HH. Long-term complications of open carpal tunnel release. Muscle Nerve. 2008;38(5):1443–6.

    Article  PubMed  Google Scholar 

  48. Provinciali L, Giattini A, Splendiani G, Logullo F. Usefulness of hand rehabilitation after carpal tunnel surgery. Muscle Nerve. 2000;23(2):211–6.

    Article  CAS  PubMed  Google Scholar 

  49. Mansiz Kaplan B, Akyuz G, Kokar S, Yagci I. Comparison of effectiveness of orthotic intervention, kinesiotaping and paraffin in patients with carpal tunnel syndrome: a single-blind and randomized controlled study. J Hand Ther. 2018;17 https://doi.org/10.1016/j.jht.2017.12.006.

  50. Sim SE, Gunasagaran J, Goh KJ, Ahmad TS. Short term clinical outcomes of orthosis alone or combination of orthosis, nerve and tendon gliding exercises and ultrasound therapy for treatment of carpal tunnel syndrome. J Hand Ther. 2018; https://doi.org/10.1016/j.jht.2018.01.004.

  51. Wolny T, Linek P. Neurodynamic techniques versus “Sham” therapy in the treatment of carpal tunnel syndrome: a randomized controlled trial. Phys Med Rehabil. 2018;4:843–54.

    Article  Google Scholar 

  52. Huisstede BM, Fridén J, Coert JH, Hoogvliet P, European HANDGUIDE Group. Carpal tunnel syndrome: hand surgeons, hand therapists, and physical medicine and rehabilitation physicians agree on a multidisciplinary treatment guideline—results from the European HANDGUIDE Study. Arch Phys Med Rehabil. 2014;95(12):2253–63.

    Article  PubMed  Google Scholar 

  53. Moore JS. Flexor tendon entrapment of the digits (trigger finger and trigger thumb). J Occup Environ Med. 2000;42(5):526–45.

    Article  CAS  PubMed  Google Scholar 

  54. Saldana MJ. Trigger digits: diagnosis and treatment. J Am Acad Orthop Surg. 2001;9(4):246–52.. Review

    Article  CAS  PubMed  Google Scholar 

  55. Idler RS. Anatomy and biomechanics of the digital flexor tendons. Hand Clin. 1985;1(1):3–11.

    CAS  PubMed  Google Scholar 

  56. Kirkpatrick WH, Lisser S. Soft-tissue conditions: trigger finger and deQuervain’s disease. In: Hunter JM, Mackin EJ, Callahan AD, editors. Rehabilitation of the hand: surgery and therapy, vol. 2. St. Louis: Mosby; 1990. p. 1007–16.

    Google Scholar 

  57. McAuliffe JA, Kalms SB, Hojgaard AD. Tendon disorders of the hand and wrist. J Hand Surg Am. 2010;35(5):846–53.

    Article  PubMed  Google Scholar 

  58. Ryzewicz M, Wolf JM. Trigger digits: principles, management, and complications. J Hand Surg Am. 2006;31(1):135–46.

    Article  PubMed  Google Scholar 

  59. Steenwerckx A, DeSmet L, Fabry G. Congenital trigger digit. J Hand Surg Am. 1996;21(5):909–11.

    Article  CAS  PubMed  Google Scholar 

  60. Griggs SM, Weiss AP, Lane LB, Schwenker C, Akelman E, Sachar K. Treatment of trigger finger in patients with diabetes mellitus. J Hand Surg Am. 1995;20(5):787–9.

    Article  CAS  PubMed  Google Scholar 

  61. Kameyama M, Meguro S, Funae O, Atsumi Y, Ikegami H. The presence of limited joint mobility is significantly associated with multiple digit involvement by stenosing flexor tenosynovitis in diabetics. J Rheumatol. 2009;36(8):1686–90. Epub 2009 Jun 16

    Article  PubMed  Google Scholar 

  62. Katzman BM, Steinberg DR, Bozentka DJ, Cain E, Caligiuri DA, Geller J. Utility of obtaining radiographs in patients with trigger finger. Am J Orthop (Belle Mead NJ). 1999;28(12):703–5. Erratum in: Am J Orthop 2000 Sep;29(9):preceding 711

    CAS  Google Scholar 

  63. Colbourn J, Heath N, Manary S, Pacifico D. Effectiveness of splinting for the treatment of trigger finger. J Hand Ther. 2008;21(4):336–43.

    Article  PubMed  Google Scholar 

  64. Evans RB, Hunter JM, Burkhalter WE. Conservative management of trigger finger, a new approach. J Hand Surg. 1988;2:59–68.

    Google Scholar 

  65. Tung WL, Kuo LC, Lai KY, Jou IM, Sun YN, Su FC. Quantitative evidence of kinematics and functional differences in different graded trigger fingers. Clin Biomech (Bristol, Avon). 2010;25(6):535–40.

    Article  Google Scholar 

  66. Quinnell RC. Conservative management of trigger finger. Practitioner. 1980;224(1340):187–90.

    CAS  PubMed  Google Scholar 

  67. Peters-Veluthamaningal C, van der Windt DA, Winters JC, Meyboom-de Jong B. Corticosteroid injection for trigger finger in adults. Cochrane Database Syst Rev. 2009;1:CD005617.

    Google Scholar 

  68. Peters-Veluthamaningal C, Winters JC, Groenier KH, Jong BM. Corticosteroid injections effective for trigger finger in adults in general practice: a double-blinded randomised placebo controlled trial. Ann Rheum Dis. 2008;67(9):1262–6.

    Article  CAS  PubMed  Google Scholar 

  69. Newport ML, Lane LB, Stuchin SA. Treatment of trigger finger by steroid injection. J Hand Surg. 1990;15:748–50.

    Article  CAS  Google Scholar 

  70. Marks MR, Gunther SF. Efficacy of cortisone injection in treatment of trigger finger. J Hand Surg. 1989;14:722–7.

    Article  CAS  Google Scholar 

  71. Huisstede BM, Hoogvliet P, Coert JH, Fridén J, European HANDGUIDE Group. Multidisciplinary consensus guideline for managing trigger finger: results from the European HANDGUIDE Study. Phys Ther. 2014;94(10):1421–33.

    Article  PubMed  Google Scholar 

  72. Thorpe AP. Results of surgery for trigger finger. J Hand Surg (Br). 1988;13:199–201.

    Article  CAS  Google Scholar 

  73. Moore JS. DeQuervain’s tenosynovitis. Stenosing tenosynovitis of the first dorsal compartment. J Occup Environ Med. 1997;39(10):990–1002.

    Article  CAS  PubMed  Google Scholar 

  74. Amadio PC. DeQuervain’s disease and tenosynovitis. In: Gordon SL, Blair SJ, Fine LJ, editors. Repetitive motion disorders of the upper extremity. Rosemont: American Academy of Orthopedic Surgeons; 1997. p. 435–48.

    Google Scholar 

  75. Clarke MT, Lyall HA, Grant JW, et al. The histopathology of deQuervain’s disease. J Hand Surg (Br). 1998;23:732–4.

    Article  CAS  Google Scholar 

  76. Moore JS. Function, structure, and responses of components of the muscle-tendon unit. Occup Med. 1992;7(4):713–40.

    CAS  PubMed  Google Scholar 

  77. Hanson R. A contribution to the knowledge of ‘tendovaginitis or tendinitis stenosans’. Acta Chir Scand. 1926;60:281.

    Google Scholar 

  78. Dawson C, Mudgal CS. Staged description of the Finkelstein test. J Hand Surg Am. 2010;35(9):1513–5. Epub 2010 Aug 14

    Article  PubMed  Google Scholar 

  79. Giovagnorio F, Andreoli C, De Cicco ML. Ultrasonographic evaluation of de Quervain disease. J Ultrasound Med. 1997;16(10):685–9.

    Article  CAS  PubMed  Google Scholar 

  80. Chen CC, Bode RK. Psychometric validation of the Manual Ability Measure-36 (MAM-36) in patients with neurologic and musculoskeletal disorders. Arch Phys Med Rehabil. 2010;91(3):414–20.

    Article  PubMed  Google Scholar 

  81. Kaneko S, Takasaki H, May S. Application of mechanical diagnosis and therapy to a patient diagnosed with de Quervain’s disease: a case study. J Hand Ther. 2009;22(3):278–83.

    Article  PubMed  Google Scholar 

  82. Anderson BC, Manthey R, Brouns MC. Treatment of De Quervain’s tenosynovitis with corticosteroids. A prospective study of the response to local injection. Arthritis Rheum. 1991;34(7):793–8.

    Article  CAS  PubMed  Google Scholar 

  83. Witt J, Pess G, Gelberman RH. Treatment of De Quervain tenosynovitis. A prospective study of the results of injection of steroids and immobilization in a splint. J Bone Joint Surg. 1991;73(2):219–22.

    Article  CAS  PubMed  Google Scholar 

  84. Huisstede BM, Coert JH, Fridén J, Hoogvliet P, European HANDGUIDE Group. Consensus on a multidisciplinary treatment guideline for de Quervain disease: results from the European HANDGUIDE study. Phys Ther. 2014;94(8):1095–110.

    Article  PubMed  Google Scholar 

  85. Burge P. Genetics of Dupuytren’s disease. Hand Clin. 1999;15(1):63–71.

    CAS  PubMed  Google Scholar 

  86. Ross DC. Epidemiology of Dupuytren’s disease. Hand Clin. 1999;15(1):53–62.

    CAS  PubMed  Google Scholar 

  87. Sladicka MS, Benfanti P, Raab M, Becton J. Dupuytren’s contracture in the black population: a case report and review of the literature. J Hand Surg Am. 1996;21(5):898–9.

    Article  CAS  PubMed  Google Scholar 

  88. Urban M, Feldberg L, Janssen A, Elliot D. Dupuytren’s disease in children. J Hand Surg (Br). 1996;21(1):112–6.

    Article  CAS  Google Scholar 

  89. Yi IS, Johnson G, Moneim MS. Etiology of Dupuytren’s disease. Hand Clin. 1999;15(1):43–51.

    CAS  PubMed  Google Scholar 

  90. Hurst LC, Badalamente MA. Nonoperative treatment of Dupuytren’s disease. Hand Clin. 1999;15(1):97–107.

    CAS  PubMed  Google Scholar 

  91. Thomas A, Bayat A. The emerging role of Clostridium histolyticum collagenase in the treatment of Dupuytren disease. Ther Clin Risk Manag. 2010;6:557–72.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  92. Costas B, Coleman S, Kaufman G, James R, Cohen B, Gaston RG. Efficacy and safety of collagenase clostridium histolyticum for Dupuytren disease nodules: a randomized controlled trial. BMC Musculoskelet Disord. 2017;18(1):374.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  93. Skov ST, Bisgaard T, Søndergaard P, Lange J. Injectable collagenase versus percutaneous needle fasciotomy for dupuytren contracture in proximal interphalangeal joints: a randomized controlled trial. J Hand Surg Am. 2017;42(5):321–8.

    Article  PubMed  Google Scholar 

  94. Rayan GM. Palmar fascial complex anatomy and pathology in Dupuytren’s disease. Hand Clin. 1999;15:73–86.

    CAS  PubMed  Google Scholar 

  95. Strickland JW, Leibovic SJ. Anatomy and pathogenesis of the digital cords and nodules. Hand Clin. 1991;7(4):645–57; discussion, 659–660

    CAS  PubMed  Google Scholar 

  96. Tomasek JJ, Vaughan MB, Haaksma CJ. Cellular structure and biology of Dupuytren’s disease. Hand Clin. 1999;15(1):21–34.

    CAS  PubMed  Google Scholar 

  97. Watt AJ, Shin AY, Vedder NB, Chang J. Joint arthritis and soft-tissue problems of the hand. Plast Reconstr Surg. 2010;126:288e–300e.

    Article  PubMed  CAS  Google Scholar 

  98. Tubiana R. Dupuytren’s disease of the radial side of the hand. Hand Clin. 1999;15(1):149–59.

    CAS  PubMed  Google Scholar 

  99. Hindocha S, Stanley JK, Watson JS, Bayat A. Revised Tubiana’s staging system for assessment of disease severity in Dupuytren’s disease-preliminary clinical findings. Hand (N Y). 2008;3(2):80–6.

    Article  Google Scholar 

  100. Rodrigues J, Zhang W, Scammell B, Russell P, Chakrabarti I, Fullilove S, Davidson D, Davis T. Validity of the Disabilities of the Arm, Shoulder and Hand patient-reported outcome measure(DASH) and the Quickdash when used in Dupuytren’s disease. J Hand Surg Eur Vol. 2016;41(6):589–99.

    Article  CAS  PubMed  Google Scholar 

  101. Knobloch K, Redeker J, Vogt PM. Antifibrotic medication using a combination of N-acetyl-L-cystein (NAC) and ACE inhibitors can prevent the recurrence of Dupuytren’s disease. Med Hypotheses. 2009;73(5):659–61. Epub 2009 Sep 1

    Article  CAS  PubMed  Google Scholar 

  102. Hueston JT. The table top test. Hand. 1982;14:100–3.

    Article  CAS  PubMed  Google Scholar 

  103. McFarlane RM, Botz FS, Cheung H. Epidemiology of surgical patients. In: McFarlane RM, McGrouther DA, Flint M, editors. Dupuytren’s disease biology and treatment. Edinburgh: Churchill Livingstone; 1990.

    Google Scholar 

  104. Mackin EF, Byron PM. Postoperative management. In: McFarlane RM, McGrouther DA, Flint M, editors. Dupuytren’s disease biology and treatment. Edinburgh: Churchill Livingstone; 1990. p. 368–76.

    Google Scholar 

  105. Huisstede BM, Hoogvliet P, Coert JH, Fridén J, European HANDGUIDE Group. Dupuytren disease: European hand surgeons, hand therapists, and physical medicine and rehabilitation physicians agree on a multidisciplinary treatment guideline: results from the HANDGUIDE study. Plast Reconstr Surg. 2013;132(6):964e–76e.

    Article  CAS  PubMed  Google Scholar 

  106. Watt AJ, Curtin CM, Hentz VR. Collagenase injection as nonsurgical treatment of Dupuytren’s disease: 8-year follow-up. J Hand Surg Am. 2010;35:534–9.

    Article  PubMed  Google Scholar 

  107. Coderre TJ, Bennett GJ. A hypothesis for the cause of complex regional pain syndrome-type I (reflex sympathetic dystrophy): pain due to deep-tissue microvascular pathology. Pain Med. 2010;11(8):1224–38.

    Article  PubMed  Google Scholar 

  108. Stanton-Hicks M, Jänig W, Hassenbusch S, Haddox JD, Boas R, Wilson P. Reflex sympathetic dystrophy: changing concepts and taxonomy. Pain. 1995;63(1):127–33.

    Article  CAS  PubMed  Google Scholar 

  109. Harden RN, Bruehl S, Stanton-Hicks M, Wilson PR. Proposed new diagnostic criteria for complex regional pain syndrome. Pain Med. 2007;8(4):326–31.

    Article  PubMed  Google Scholar 

  110. Task Force on Professional Education of the International Association for the Study of Pain. Chapter 40: Complex regional pain syndrome. In: Charlton JE, editor. Core curriculum for professional education in pain. 3rd ed. Seattle: IASP Press; 2005.

    Google Scholar 

  111. Sommer C, Leinders M, Üçeyler N. Inflammation in the pathophysiology of neuropathic pain. Pain. 2018;159(3):595–602.

    CAS  PubMed  Google Scholar 

  112. Packham T, MacDermid JC, Henry J, Bain J. A systematic review of psychometric evaluations of outcome assessments for complex regional pain syndrome. Disabil Rehabil. 2012;34(13):1059–69.

    Article  PubMed  Google Scholar 

  113. Stanton-Hicks M, Baron R, Boas R, Gordh T, Harden N, Hendler N, Koltzenburg M, Raj P, Wilder R. Complex regional pain syndromes: guidelines for therapy. Clin J Pain. 1998;14(2):155–66.

    Article  CAS  PubMed  Google Scholar 

  114. Hsu ES. Practical management of complex regional pain syndrome. Am J Ther. 2009;16(2):147–54.

    Article  PubMed  Google Scholar 

  115. Albazaz R, Wong YT, Homer-Vanniasinkam S. Complex regional pain syndrome: a review. Ann Vasc Surg. 2008;22(2):297–306.

    Article  PubMed  Google Scholar 

  116. Pappagallo M, Rosenberg AD. Epidemiology, pathophysiology, and management of complex regional pain syndrome. Pain Pract. 2001;1(1):11–20.

    Article  CAS  PubMed  Google Scholar 

  117. Birklein F, Dimova V. Complex regional pain syndrome-up-to-date. Pain Rep. 2017;2(6):e624.

    Article  PubMed  PubMed Central  Google Scholar 

  118. Rosenkranz K, Williamon A, Butler K, et al. Pathophysiological differences between musician’s dystonia and writer’s cramp. Brain. 2005;128:918–31.

    Article  PubMed  Google Scholar 

  119. Zeuner KE, Molloy FM. Abnormal reorganization in focal hand dystonia – sensory and motor training programs to retrain cortical function. NeuroRehabilitation. 2008;23(1):43–53.. Review

    CAS  PubMed  Google Scholar 

  120. Das CP, Prabhakar S, Truong D. Clinical profile of various sub-types of writer’s cramp. Parkinsonism RelatDisord. 2007;13(7):421–4. Epub 2007 Mar 30

    Article  Google Scholar 

  121. Waddy HM, Fletcher NA, Harding AE, Marsden CD. A genetic study of idiopathic focal dystonias. Ann Neurol. 1991;29:320–4.

    Article  CAS  PubMed  Google Scholar 

  122. Hallett M. Neurophysiology of dystonia: the role of inhibition. Neurobiol Dis. 2011;42(2):177–84.

    Article  PubMed  Google Scholar 

  123. Gallea C, Herath P, Voon V, Lerner A, Ostuni J, Saad Z, Thada S, Solomon J, Horovitz SG, Hallett M. Loss of inhibition in sensorimotor networks in focal hand dystonia. Neuroimage Clin. 2017;17:90–7.

    Article  PubMed  PubMed Central  Google Scholar 

  124. Nutt JG, Muenter MD, Aronson A, Kurland LT, Melton LJ. Epidemiology of focal and generalized dystonia in Rochester, Minnesota. Mov Disord. 1988;3:188–94.

    Article  CAS  PubMed  Google Scholar 

  125. Hallett M. Pathophysiology of writer’s cramp. Hum Mov Sci. 2006;25(4–5):454–63. Epub 2006 Jul 21. Review

    Article  PubMed  Google Scholar 

  126. Cohen LG, Hallett M. Hand cramps: clinical features and electromyographic patterns in a focal dystonia. Neurology. 1988;38:1005–12.

    Article  CAS  PubMed  Google Scholar 

  127. Fahn S. Assessment of the primary dystonias. In: Munsat TL, editor. Quantification of neurologic deficit. Oxford: Butterworths; 1989. p. 241–70.

    Google Scholar 

  128. Tubiana R. Musician’s focal dystonia. In: Tubiana R, Amadio PC, editors. Medical problems of the instrumentalist musician. London: Martin Dunitz; Distributed in the U.S. by Blackwell Science; 2000. p. 329–42.

    Google Scholar 

  129. Karp BI, Cole RA, Cohen LG, Grill S, Lou JS, Hallett M. Long-term botulinum toxin treatment of focal hand dystonia. Neurology. 1994;44:70–6.

    Article  CAS  PubMed  Google Scholar 

  130. Cho HJ, Hallett M. Non-invasive brain stimulation for treatment of focal hand dystonia: update and future direction. J Mov Disord. 2016;9(2):55–62.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lynn H. Gerber .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gerber, L.H., Ural, F.G. (2019). Hand Function in Common Hand Problems. In: Duruöz, M. (eds) Hand Function. Springer, Cham. https://doi.org/10.1007/978-3-030-17000-4_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-17000-4_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16999-2

  • Online ISBN: 978-3-030-17000-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics