My Hands are Aching

My Hands are Aching

1. Bones of the hand

   • Carpals
     • Scaphoid
     • Lunate
     • Trquetram
     • Pisiform
     • Trapezium
     • Trapezoid
     • Capitate
     • Hamate
   • Metacaprals
   • Phalanges
     • Proximal
     • Middle
     • Distal

2. Joints of the Hand

   • Carpometacarpal Joint
   • Radiocarpal Joint
   • Intermetacarpal Joint
   • Metacarpophalangeal Joints
   • Proximal Interphalangeal Joints
     • Distal Interphalangeal Joints

3. Muscles of the Hand

   • Palmaris brevis
   • dorsal interossei
   • palmar interossei
   • adductor pollicis
   • lumcricals
   • opponens pollicis
   • extensor pollicis brevis
   • opponens digiti minimi
   • abductor digiti minimi
   • flexor digiti minimi brevis

4. Carpal Tunnel Syndrome

   • Compression of the median nerve

5. Synovial Fluid

   • Synovial fluid is a viscous, stringy fluid found in the cavities of synovial joints.
   • Components
     • Lubricin
     • Proteinases
     • Collagenases
     • Hyaluronic acid

6. Joint Stiffness

   • Causes
     • Injury
     • Arthritis
     • Bursitis
     • Synovitis

7. Nerve Conduction Test

   • A nerve conduction velocity (NCV) test [also called a nerve conduction study (NCS)] measures how fast an electrical impulse moves through your nerve.

8. Rheumatoid Arthritis

   • chronic inflammatory disorder that can affect more than just your joints
     • warm
     • Tender
     • swollen joints
   • Investigations
     • History taking
     • physical exam
     • Rheumatoid Factor Test
     • ESR
   • X-ray

9. Epidemiology

   • Ratio of females to males
     • 3:1
   • The global prevalence of arthritis is 0.24% with no change from 1990 to 2010
   • Risk Factors
     • Family
     • Obesity
     • Injury
     • Age

10. Management

    • Pharmacological Management
      • NSAIDs
      • DMARDs
    • Physiotherapy
      • Exercise
      • Rest
      • Electrical Stimulation
      • Joint protection

11. Psychosocial Impact

    • Work
    • Family
    • Leisure

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