Article
Intrinsic tendinopathies in the hand
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Authors
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Roberto Melendez
- Clinica Reina Sofia, Bogota, Colombia
| Published: | February 6, 2020 |
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Outline
Text
Objective: The expression "Intrinsic tendinopathies in the hand" refers to mostly unknown entities that are rarely described in the bibliography but whose occurrence is increasingly frequent. For over 20 years the author has assembled many clinical observations to build a complex and original conception of the problem, describing 20 pathological entities classified in the following five groups:
- 1.
- Interossei muscles: first dorsal interossei, second dorsal interossei.
- 2.
- Extensor apparatus of the fingers: tendinitis of the extensor hood, tendinitis of the extensor apparatus central band.
- 3.
- Thenar muscles: proximal thenar zone, distal thenar zone, first metacarpal base zone.
- 4.
- Hypothenar muscles: distal tendinitis of the abductor digiti minimi, tendinitis of the opponens digiti minimi
- 5.
- Related extrinsic extensor tendons: tendinitis of the extensor indicis proprius, tendinitis of the extensor digiti quinti proprius, tendinitis of the extensor digitorum communis vincula from the 3rd to the 2nd fingers, tendinitis of the extensor digitorum communis vincula from the 5th to the 4th fingers and/or of the 5th finger extensor digitorum communis tendon.
The clinical characteristics, the etiopathogenesis and the physical examination manoeuvres leading to confirm the diagnosis are described for every subgroup, and the resources for their treatment and prevention are also explained.
We believe that these remarks, made upon the way of doing the clinical history, the use of means of diagnostic and therapeutic aspects, have allowed us to develop concepts that are useful for the management of this pathology.
Materials and Methods: Over 20 years of files were reviewed. Careful clinical observation had followed to the identification, definition and characterization of 20 pathological entities.
Results: A useful and practical intrinsic hand tendinopathies classification is presented. It defines 5 groups according to their location in the hand, as well as 20 varieties according to the intrinsic tendon affected.
Conclusions: A classification of intrinsic tendinopathies is presented according to their location in the hand. The concept of "intrinsic hand tendinopathies" is introduced and relevant issues are defined about their classification, diagnosis and treatment.
