- Fractures and/or dislocations of the hand/wristYou can sustained fractures of the hand/wrist or dislocations of the joint if you sustained a fall on your hand or received a bad knock on the hand or wrist. Your hand will typically be painful, swollen and could be deformed. Movement of the fingers or wrist may be limited by pain. An open (compound) fracture occurs when the fracture is exposed through a wound on the skin. There is an increased risk of infection with open fractures
- Arthritis of the hand
Hand arthritis is a common condition. In majority, it is due to degenerative changes to the joint cartilage and “wear and tear” process (primary osteoarthritis). Sometimes the joint can be injured from previous trauma or fracture (traumatic osteoarthritis) . You can experience stiffness of the affected joints. These joints can be painful. Swelling and lumps can appear at the joint from the increased joint fluid (effusion) or from the bone spurs along the margin of the joint. In severe cases, the fingers and wrist can be deformed and some of the hand functions can be impaired.
- Tendon injuries
- Nerve injury
- Rheumatoid arthritis
- Psoriatic arthritisPsoriasis is a skin condition that causes red, flaky, crusty patches of skin covered with silvery scales. These patches normally appear on your elbows, knees, scalp and lower back, but can appear anywhere on your body.
Between 5-20% of patients with psoriasis may develop an associated arthritis (inflamed joint). The lining of the joint, called the synovium, becomes inflamed and swollen. With chronic inflammation, the joints become deformed and unstable. The joint surface wears out with further erosion. Apart from the hands, this arthritis can affect joints in the spine, feet, and jaw.
Psoriatic nail disease occurs in about 50% of patients with psoriasis and is more common in patients who suffer with psoriatic arthritis. Nail psoriasis occasionally occurs in the absence of any skin psoriasis. Characteristic nail changes include pitting (small depressions measuring less than 1 mm in diameter), discolouration (circular areas resembling an oil drop), subungual hyperkeratosis, crumbling of the nail plate, and onycholysis (separation of the nail plate from the nail bed).
- Dupuytren contracture