Ape Hand: Difference between revisions

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<div class="editorbox"> '''Original Editor '''- [[User:User Name|User Name]] <br>
'''Original Editor '''- [[User:User Name|User Name]] <br>


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}
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== Introduction ==
== Introduction ==
Ape hand is a physical deformity in humans causing inability to abduct or oppose the thumb thereby causing the thumb little or no abduction and opposition. Abduction of the thumb is the ability to move the perpendicular (90°) away from the plane of the palm. Opposition is the ability of the first metacarpal to swing over the palmar surface of the hand so that the thumb and the tip of the little finger are in contact. The thumb may also experience limited flexion and extension.  
Ape hand is a physical deformity in humans causing inability to abduct or oppose the thumb thereby causing the thumb little or no abduction and opposition. Abduction of the thumb is the ability to move the perpendicular (90°) away from the plane of the palm. Opposition is the ability of the first metacarpal to swing over the palmar surface of the [[Wrist and Hand|hand]] so that the thumb and the tip of the little finger are in contact. The thumb may also experience limited flexion and extension.  


== Mechanism of Injury / Pathological Process  ==
== Mechanism of Injury / Pathological Process  ==


The mechanism of injury are deep injuries to the arm, forearm and wrist causing damage to the median nerve thereby causing impairment to the thenar muscles and opponents policis<br>  
The mechanism of injury are deep injuries to the arm, forearm and [[Wrist & Hand Examination|wrist]] causing damage to the [[Median Nerve|median nerve]] thereby causing impairment to the thenar muscles and opponents policis<br>  


== Clinical Presentation  ==
== Clinical Presentation  ==
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== Differential Diagnosis  ==
== Differential Diagnosis  ==
# Carpal tunnel syndrome   
# [[Carpal Tunnel Syndrome|Carpal tunnel syndrome]]  
# De Quervain's tendinosis
# [[De Quervain's Tenosynovitis|De Quervain's tendinosis]]
# Trigger finger<br>
# [[Trigger Finger|Trigger finger]]<br>


== Resources    ==
== Resources    ==

Revision as of 10:47, 11 October 2020

Original Editor - User Name

Top Contributors - Kehinde Fatola, Joseph Ayotunde Aderonmu, Ahmed M Diab, Kim Jackson and Shaimaa Eldib

Introduction[edit | edit source]

Ape hand is a physical deformity in humans causing inability to abduct or oppose the thumb thereby causing the thumb little or no abduction and opposition. Abduction of the thumb is the ability to move the perpendicular (90°) away from the plane of the palm. Opposition is the ability of the first metacarpal to swing over the palmar surface of the hand so that the thumb and the tip of the little finger are in contact. The thumb may also experience limited flexion and extension.

Mechanism of Injury / Pathological Process[edit | edit source]

The mechanism of injury are deep injuries to the arm, forearm and wrist causing damage to the median nerve thereby causing impairment to the thenar muscles and opponents policis

Clinical Presentation[edit | edit source]

The condition is a part of median nerve palsy and it typically present with problems moving the thumb in various planes. There is limited range of motion of the thumb.

Management / Interventions[edit | edit source]

Surgery may be prescribed depending on the severity of the deformity, anti-inflammatory drugs and corticosteroid injections may also be used. Occupational therapy, Physiotherapy and dynamic splinting which pulls the thumb in opposition may prevent excess in deformity. It is however possible to recover without treatment.

Differential Diagnosis[edit | edit source]

  1. Carpal tunnel syndrome
  2. De Quervain's tendinosis
  3. Trigger finger

Resources[edit | edit source]

add appropriate resources here

References[edit | edit source]