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Conditions General Hands

Understanding Hand Tumors

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People hear the word tumor and immediately think that this refers to cancer. However, thats not the case. In fact, a tumor is the name for any mass, lump, or bump hat may appear on or in the body. Most tumors are nonmalignant, which means they are not cancerous. On one hand, most tumors grow close to the surface. They may grow on the skin or directly under it. Of course, since you have all types of tissue in your hands, like tendons, muscles, skin, nerves, etc, then there are many different types of tumors that may occur. Instead of going over every type of hand tumor that is possible, lets discuss the most commonly seen.

Ganglion Cysts

Ganglion cysts are completely benign and they occur near or on a joint, especially on the fingers and the wrist. They are filled with a clear liquid and can grow or shrink from day to day. Sometimes, thy completely disappear all on their own. Usually, they do not cause any problems, but if they become painful or they get in the way of normal use of the hand, then surgical removal is possible. Ganglion cysts are the most common of all hand tumors.

Giant Cell Tumor on Tendon

This is the second most common and it occurs when a solid mass develops on the sheath protecting a tendon in the hand. They can occur anywhere a tendon is present, so anywhere in the hand. They grow very slowly and they are benign. It is unclear what may cause them, but some doctors feel there is a link between tumors and trauma or injury that affects the growth of the tendon sheath.

Epidermal Inclusion Cyst

Epidermal inclusion cysts are also very common and they are benign too, Essentially, they grow on the underside of your skin in the hand. Often, they form where the hand has been cut or otherwise wounded and they are made of keratin. As skin cells get trapped under the skin, keratin grows and continues reproducing.

Other, not so common types of hand tumors, include fibromas, glomus tumors, and bone spurs. In almost every situation, they are benign. If a foreign body, like a splinter gets stuck deep in the hand, then the skin may form a tumor around it as well.

Hand Cancer

As mentioned, most types of tumors are benign, but any lump or bump should be evaluated by a physician. Most of the time, hand cancer comes in the form of squamous cell carcinoma, melanoma, or basal cell carcinoma – all of which are skin cancers. It is important to get cancer in the hand diagnosed because it can spread to other parts of the body, especially the bones, breast, and lungs.

If you have a bump or lump on your hand, then be sure to visit a doctor. A diagnosis will be made and if the bump is causing you problems, then it can be removed surgically. This resolves the problems in most cases. Some people choose to leave the tumor alone if it is benign and it is not causing pain or discomfort.

Resources:

http://www.massgeneral.org/ortho/assets/pdfs/hand_conditions/HandTumors.pdf

Categories
Conditions General

What Is Kienbock’s Disease?

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There are numerous different diseases and problems that can affect the hand specifically. In the case of Kienbocks disease, one of the small bones in the wrist is effected specifically. This bone is called the lunate and it is closer to the fingers than the forearm.

Kienbocks disease occurs when the lunate bone goes without the blood supply it needs.

There is no specific cause to the disease, and there are a number of different factors that can lead to it, including: the arteries, the bones themselves, and the veins that take blood away. If any one of these things is not quite right, it can cause this disease to develop. Many times, people with certain conditions are more prone to the disease. These conditions associated with Kienbocks disease include sickle cell anemia, cerebral palsy, and gout.

Sometimes, certain types of trauma and injury can also lead to a lack of blood supply to the bone. Certain occupations put it at risk especially.

Diagnosing the Disease

The most common symptom of Kienbocks disease is pain in the wrist that continues over an extended period of time. Additionally, you will feel tenderness when touched right where the lunate bone is situated. Generally, the disease is diagnosed through a combination of a physical exam and x0rays. Sometimes MRIs, CT scans, and bones scans are used to pinpoint the disease.

It is impossible to determine how the disease will progress. Some people may experience the same level of discomfort for a very long time. However, x-rays will be used to track progression. Over time, if the disease is not treated, then fractures will occur throughout the lunate bone. Eventually, it will completely collapse and change the way the wrist works altogether. If not treated, then Kienbocks disease can be debilitating.

Treatment

Treatment of the disease will be determined based on the severity of the condition. Sometimes, the disease will simply be tracked and observed. Other times, the hand may be immobilized with a splint. Some more serious treatments include:

  • Surgery to fuse the bones
  • Hand therapy to ease pain and restore hand functionality
  • Hand surgery to lengthen or strengthen the bone

There is no one specific treatment for this condition and your doctor will decide what to do strictly based on your condition and how the disease will progress. Since there is no sure way to determine progression either, then the condition will need to be closely observed. Otherwise, it may progress quicker than expected and cause serious problems much sooner. If Kienbocks has progressed to severity, then surgery will have to be considered in order to save the bone.

If you have wrist pain, then you should visit a doctor as soon as possible to determine whether or not you have Kienbocks disease. There are other conditions that could result in wrist pain as well. So, make sure you get diagnosed. If you have the disease, then you will need to discuss your options with your doctor and determine how it will be handled going forward.

Resources:

http://orthoinfo.aaos.org/topic.cfm?topic=a00017

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Dr. Aroras office from my first call to schedule my appointment was friendly. Walking in the first day, I felt like I was in a nice atmosphere. Dr. Arora was EXCELLENT in taking great care of my hand injury. He was gentle and very understanding to the concerns I had about my hand. His expertise was admirable and I would recommend anyone with an injury to their hand to his office to be under his care. Because of him, I have healed faster than expected and will make an 100% recovery! Thank you Dr.

Jackie S.

I first thought I was going to have to have painful injections or surgery, but Dr. Arora suggested physical therapy may do the trick. I was doubtful, but I agreed to do it. Now, my pain is gone, and with the help of an ergonomic keyboard at work to keep my hands in the correct position, I am virtually pain free. The therapy strengthened my wrists and shoulders, and built more flexibility into my wrists.

Jerry T.

My experience with this doctor was positive from the outset. Dr. Arora was kind and spent a great deal of time with me. Staff was friendly. The office was nice and bright.

Ariel G.

Very friendly and helpful Great staff!!! Doctor Arora was very professional and did great work. I was very happy with everything!

L B.