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  • Hand surgery


    Hand surgery deals with both surgical and non-surgical treatment of conditions and problems that may take place in the hand or upper extremity (commonly from the tip of the hand to the shoulder) including injury and infection. Hand surgery may be practiced by graduates of general surgery, orthopedic surgery and plastic surgery. Chiroplasty, or cheiroplasty, is plastic surgery of the hands. Plastic surgeons and orthopedic surgeons receive significant training in hand surgery during their residency training, with some graduates going on to do an additional one-year hand fellowship. Board certified general, plastic, or orthopedics surgeons who have completed approved fellowship training in hand surgery and have met a number of other practice requirements are qualified to take the "Certificate of Added Qualifications in Surgery of the Hand" examination, formerly known as the CAQSH, it is now known as the SOTH." Regardless of their original field of training, once candidates have completed an approved fellowship in hand surgery, all hand surgeons have received training in treating all injuries both to the bones and soft tissues of the hand and upper extremity.

  • Trigger finger


    Trigger finger, also known as stenosing tenosynovitis, is a disorder characterized by catching or locking of the involved finger. Pain may occur in the palm of the hand or knuckles. The name is due to the popping sound made by the affected finger when moved. Most commonly the index finger or thumb is affected. Risk factors include repeated injury, diabetes, kidney disease, thyroid disease, and inflammatory disease. The underlying mechanism involves the tendon sheath being too narrow for the flexor tendon. This typically occurs at the level of the A1 pulley. While often referred to as a type of stenosing tenosynovitis, little inflammation appears to be present. Diagnosis is typically based on symptoms after excluding other possible causes. Initial treatment is generally with rest, splinting the finger, NSAIDs, or steroid injections. If this is not effective surgery may be used. Trigger finger is relatively common. Females are affected more often than males. Those in their 50s and 60s are most commonly affected. The condition was formally described in 1850.

  • Samuel Armas


    Samuel Alexander Armas (born ) is the child shown in a famous photograph by Michael Clancy, dubbed the "Hand of Hope," of his hand extending from an opening in his mother's uterus and touching his surgeon's finger during open fetal surgery for spina bifida.

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