Surgical therapy All unstable fractures and those with accompanying vascular and nerve injuries must be treated surgically. The same applies to fractures where no satisfactory fracture repair is possible. Before any operation, the patient must be informed about the type of procedure, alternatives, risks and chances of success and give his or her written consent. … Surgical therapy | Therapy of a fracture of the spoke and wrist
Synonyms Sudeck`sche healing derailment Algodystrophy Causalgia Sudeck Syndrome Posttraumatic Dystrophy Complex Regional Pain Syndrome (CRPS) Complex regional pain syndrome I and II (CRPS I and II) Complex Regional Dysfunction System Sympathetic reflex dystrophy Sudeck ́sche Disease Definition Sudeck’s disease is a complex regional pain syndrome, which classically runs in three stages. In the final stage, … Sudeck’s disease on the hand
Diagnosis The diagnosis of Sudeck’s disease of the hand is made via:. The examination by the specialist (swelling, pain, restricted movement, tissue changes, hair growth) X-ray of the hand (decalcification? ) MRI of the hand Therapy Therapeutic measures primarily pursue the goal of improving the mobility of the joint and ideally restoring it completely. This … Diagnosis | Sudeck’s disease on the hand
Synonyms in a broader sense Scapholunary dissociation, scaphoid dislocation, ligament injury of the carpus, distal radius fracture, hand injury Definition In scapholunar dissociationSLD, external force is used to injure the ligaments in the carpal area between the scaphoid bone (Os scaphoideum, formerly Os naviculare) and the lunate bone (Os lunatum). Cause Scapholunar dissociationSLD is the … Scapholunar dissociationSLD
Diagnosis The first measure is the clinical examination of the wrist. There should be specific tests (Watson’s shift test) to determine whether SLD can be diagnosed with certainty. As a further measure, an x-ray of the wrist will be performed in two planes. A third degree scapholunar dissociationSLD can be diagnosed by the extended distance … Diagnosis | Scapholunar dissociationSLD
Prognosis The prognosis of a scapholunar dissociation cannot be given in general terms, but must be made dependent on the respective extent and concomitant injuries. It is important to notice the injury early. If the diagnosis is made immediately, the injury can heal stably and sustainably within 6 weeks with conservative therapy and consistent immobilization. … Prognosis | Scapholunar dissociationSLD
Therapy Like all fractures, the scaphoid fracture can be treated conservatively in a plaster cast or by surgery. The indication for a conservative approach are non-displaced scaphoid fractures. Due to the very slow healing of the fracture, the duration of the plaster therapy is extremely long. For the first 6 weeks an upper arm plaster … Therapy of a scaphoid fracture
Prognosis The prognosis is favorable with operative and conservative therapy. Nevertheless, there are therapy failures in both forms of therapy, i.e. bone fractures do not heal. An untreated scaphoid fracture generally ends in the formation of a false joint (pseudarthrosis), which can be painless and can only cause problems years after the fall. It should … Prognosis | Therapy of a scaphoid fracture
ConnectionMerging of two fingers when all fingers are affected is called a spoon hand. Syndactyly occurs frequently with the Apert – Syndrome. Splitting hand Spoon Hand Definition A syndactyly of the hand is a bony or connective tissue connection of two fingers. In this disease the space between the fingers is missing. This disease is … Syndactyly of the hand
Diagnosis As a rule, syndactyly is a so-called gaze diagnosis, which immediately catches the eye when viewed alone. In order to confirm the diagnosis, an X-ray of the hand should always be taken. On the basis of the X-ray image, a bony syndactyly can be distinguished from a soft tissue syndactyly. Therapy A syndication of … Diagnosis | Syndactyly of the hand
Synonyms in a broader sense Sudeck`sche healing derailment Algodystrophy Causalgia Sudeck Syndrome Posttraumatic Dystrophy Complex Regional Pain Syndrome Complex regional pain syndrome I and II Sympathetic reflex dystrophy Sudeck ́sche Disease Introduction In Sudeck’s disease (also known as CRPS I= Cronic Regional Pain Syndrome) at least one joint is affected. This is usually on the … Sudeck’s disease
Appearance When does Sudeck’s disease occur? 50% after 25% without 20% after 5% after Contusions (bruises) Sprains Fractures (bone fracturesBone fracture) Luxations (joint dislocations) After OperationsOperation Obvious cause Neuropathies (nervous diseases) Myocardial infarction (heart attack) Coronary insufficiency (coronary artery disease) Hyperthyroidism (overactive thyroid) Medication (e.g. barbiturates (sleeping pills)) Frequency Due to the many different symptoms, … Appearance | Sudeck’s disease
