Complex Injuries

The Hands: Injuries, Symptoms, Causes, Medical Care

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The hands are a magnificent piece of work. Its intricate design and functional form follow the hand. However, any injury to the underlying structures of the hand can overlap with other injuries/conditions. Even the smallest hand injuries require a proper medical examination. The objective is a quick and accurate initial evaluation along with treatment. Early treatment is done quickly to minimize short and long-term effects.

Anatomy

The hand consists of 27 bones that include 8 bones in the wrist. If the associated structures:

  • Nerves
  • Arteries
  • Veins
  • Muscles
  • Tendons
  • Ligaments
  • Joint cartilage
  • Fingernails
  • Get injured or damaged in some way; there is increased potential for various injuries.

Causes

The most common cause of injury/s is blunt trauma, followed by injury from a sharp object. Hand injuries are divided into categories:

Other hand injuries include:

  • Finger injuries
  • Wrist injuries
  • Broken hand
  • Nail injuries
  • Finger infection

Symptoms

Symptoms vary depending on the type of injury, how the injury occurred/mechanism, the depth, severity, and location. Common symptoms:

Lacerations

  • Tenderness
  • Pain
  • Bleeding
  • Numbness
  • Decreased range of motion
  • Difficulty moving
  • Weakness
  • Pale appearance

Fractures and Dislocations

  • Swelling
  • Discoloration
  • Tenderness
  • Deformity
  • Reduced range of motion
  • Numbness
  • Weakness
  • Bleeding

Soft Tissue Injuries and Amputations

  • Swelling
  • Discoloration
  • Tenderness
  • Deformity with or without tissue loss/bone loss
  • Bleeding
  • Weakness
  • Numbness

Infection

  • Tenderness
  • Swelling
  • Warmth/Heat around the area
  • Redness
  • Deformity
  • Reduced range of motion
  • Fever is rare in hand infections

Burns

  • Redness
  • Tenderness
  • Blistering
  • Complete numbness
  • Discoloration
  • Loss of tissue
  • The texture of the skin change
  • Areas of tissue blackened
  • Deformity

High-pressure Injection Injury

  • Pain
  • Swelling
  • Bleeding
  • Skin discoloration
  • Muscle, tendon, ligament tears
  • Cracked/Broken bones

Medical Care

Anyone with a hand injury is recommended to call a doctor or seek medical attention. When medical attention is delayed, the possibility of worsening or creating further injuries increases. Even the smallest cut or what looks like a minor injury could require advanced treatment to prevent infection or loss of function. Any cut or laceration that requires stitches to repair should also have a medical evaluation to make sure the musculoskeletal system of the hands is functioning properly. Injuries causing the following symptoms require emergency medical attention at an emergency clinic.

  • Severe bleeding
  • Severe pain
  • Numbness
  • Loss of motion
  • Loss of strength
  • Deformity
  • Signs of infection โ€“ tenderness, warmth/heat, redness, swelling, pus, or fever
  • Exposure of structures โ€“ tendons, bones, joints, arteries, veins, or nerves

Diagnosis

A medical examination can include a medical history and physical examination.

Medical History

  • Past medical history
  • Does the patient have diabetes or arthritis?
  • Is the patient right or left-handed?
  • Occupation
  • Extracurricular activities and hobbies
  • How does the patient use their hands?
  • How did the injury occur, mechanism of injury?
  • Does the patient smoke?

Physical Exam

  • Visual inspection look at the injury
  • Sensory nerve exam feeling
  • Vascular exam circulation of blood supply
  • Muscular and tendon exam movement and strength
  • Bone exam broken bones or dislocated joints

Tests

A doctor will order X-rays after the history and physical exam if necessary. Certain injuries will require imaging to identify fractures/dislocations or to rule out foreign bodies. Many types of injuries can lead to compartment syndrome. Compartment syndrome is a condition in which there is swelling and an increase in pressure within a limited space or a compartment that presses on and compromises blood vessels, nerves, and/or tendons that run through that particular area. Once the immediate injury is addressed, a personalized treatment plan can be developed .to rehabilitate the hand/s to optimal function quickly


Body Composition


Artificial Sweeteners And Muscle Gain

Artificial sweeteners donโ€™t individuals that are trying to build lean body mass. The body needs carbs after a workout for replenishing the depleted glycogen stores. Many commercially prepared protein supplements are made with artificial sweeteners that donโ€™t provide an adequate source of carbohydrates. If an individual consumes only protein made with sugar substitutes after a workout, they are missing essential components of post-workout recovery. A study found that supplementing with carbohydrates before and during strength training can increase performance, compared to participants that were taking the artificial sweeteners saccharin and aspartame. To properly refuel after a workout, remove the artificially sweetened protein powders and replace them with a snack packed with protein and high-quality carbohydrates. These include:

  • Greek yogurt
  • Fruit with nuts or nut butter
  • Hummus with whole-grain crackers
  • Tuna
  • Hard-boiled eggs
References

Banting, Joshua, and Tony Meriano. โ€œHand Injuries.โ€ Journal of special operations medicine: a peer-reviewed journal for SOF medical professionals vol. 17,4 (2017): 93-96.

Fuhrer, Reto et al. โ€œTipps und Tricks in der Behandlung offener Handverletzungen in der Notfallpraxisโ€ [Treatment of acute injuries of the hand]. Therapeutische Umschau. Revue therapeutique vol. 77,5 (2020): 199-206. doi:10.1024/0040-5930/a001177

Harrison, BP, and M W Hilliard. โ€œEmergency department evaluation and treatment of hand injuries.โ€ Emergency medicine clinics of North America vol. 17,4 (1999): 793-822, v. doi:10.1016/s0733-8627(05)70098-5

MedscapeReference.com. High-Pressure Hand Injury.

MedscapeReference.com. Soft Tissue Hand Injury Differential Diagnoses.

Siotos, C et al. โ€œHand injuries in low- and middle-income countries: a systematic review of existing literature and call for greater attention.โ€ Public health vol. 162 (2018): 135-146. doi:10.1016/j.puhe.2018.05.016

WebMD.com. Finger, Hand, and Wrist Injuries.

Professional Scope of Practice *

The information herein on "The Hands: Injuries, Symptoms, Causes, Medical Care" is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.

Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Dr. Alex Jimenez

Specialties: Stopping the PAIN! We Specialize in Treating Severe Sciatica, Neck-Back Pain, Whiplash, Headaches, Knee Injuries, Sports Injuries, Dizziness, Poor Sleep, Arthritis. We use advanced proven therapies focused on optimal Mobility, Posture Control, Deep Health Instruction, Integrative & Functional Medicine, Functional Fitness, Chronic Degenerative Disorder Treatment Protocols, and Structural Conditioning. We also integrate Wellness Nutrition, Wellness Detoxification Protocols and Functional Medicine for chronic musculoskeletal disorders. We use effective "Patient Focused Diet Plans", Specialized Chiropractic Techniques, Mobility-Agility Training, Cross-Fit Protocols, and the Premier "PUSH Functional Fitness System" to treat patients suffering from various injuries and health problems. Ultimately, I am here to serve my patients and community as a Chiropractor passionately restoring functional life and facilitating living through increased mobility. Purpose & Passions: I am a Doctor of Chiropractic specializing in progressive cutting-edge therapies and functional rehabilitation procedures focused on clinical physiology, total health, functional strength training, functional medicine, and complete conditioning. We focus on restoring normal body functions after neck, back, spinal and soft tissue injuries. We use Specialized Chiropractic Protocols, Wellness Programs, Functional & Integrative Nutrition, Agility & Mobility Fitness Training and Cross-Fit Rehabilitation Systems for all ages. As an extension to dynamic rehabilitation, we too offer our patients, disabled veterans, athletes, young and elder a diverse portfolio of strength equipment, high-performance exercises and advanced agility treatment options. We have teamed up with the cities' premier doctors, therapist and trainers in order to provide high-level competitive athletes the options to push themselves to their highest abilities within our facilities. We've been blessed to use our methods with thousands of El Pasoans over the last 3 decades allowing us to restore our patients' health and fitness while implementing researched non-surgical methods and functional wellness programs. Our programs are natural and use the body's ability to achieve specific measured goals, rather than introducing harmful chemicals, controversial hormone replacement, un-wanted surgeries, or addictive drugs. We want you to live a functional life that is fulfilled with more energy, a positive attitude, better sleep, and less pain. Our goal is to ultimately empower our patients to maintain the healthiest way of living. With a bit of work, we can achieve optimal health together, no matter the age, ability or disability.

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