Scaphoid bone fracture

Tenderness in the anatomic snuffbox is a very sensitive marker

Dx

X-ray may not show the defect for up to 3 weeks

Tx

Wrist immobilization for 6-10 weeks in case of nondisplaced fractures (< 2mm displacement and no angulation)

Thumb spica cast

Trigger Finger

acutely flexed and painful finger caused by a stenosis of the tendon sheath

Tx

Steroid injections can decrease pain and recurrence

If failed, surgery to cut the sheath that is restricting

Dupuytren contracture

more common in men over the age >40

Dupuytren’s contracture is characterized by loss of full extension of the affected finger or fingers at the MCP joint. The loss of extension is fixed and chronic, while in a trigger finger it is dynamic and episodic.

Unlike trigger finger, Dupuytren’s is painless and nodular lesions are typically evident in the palmar fascia. The nodule typically progresses over a period of time to form a fibrous cord that extends from the palm to the digits, which also helps distinguish it from trigger finger

Tx

Surgery