Document Library
Our documents library is offer to users who have questions about their orthopaedic musculoskeletal injuries and care.  These documents will provide information about what it is, what causes it, what signs and symptoms you might experience, how a diagnosis can be made and recommended treatment.

ACROMIOCLAVICULAR JOINT SEPARATION
A shoulder separation is a fairly common injury, especially in an athletic population.  A shoulder separation is actually a dislocation of the acromioclavicular (AC) joint, the joint between the scapula (shoulder blade) and the clavicle (collarbone). Some people mistake this for a shoulder dislocation, and vice versa. This is a very different injury than a shoulder dislocation...
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CARPAL TUNNEL SYNDROME
Carpal tunnel syndrome (CTS) refers to irritation of the median nerve in the forearm and hand. The median nerve passes from the forearm into the hand though the carpal tunnel, which is formed by the bones of the wrist...
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CARPOMETACARPAL JOINT ARTHROSIS
Carp metacarpal joint arthrosis (CMCJ arthrosis), refers to osteoarthritis which develops at the base of the thumb. Osteoarthritis is the most common form of arthritis and the thumb is one of the most common locations...
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DEQUERVAIN'S TENDONITIS
DeQuervain's tendonitis is a condition brought on by irritation or swelling of the tendons found along the thumb side of the wrist.  The irritation causes the compartment (lining) around the tendon to swell, changing the shape of the compartment...
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DISCOGRAM
Many people experience both low back and leg pain.  These symptoms can emanate from several sources within the spine itself, including a herniated disc, a degenerated disc, nerve compression, as well as degenerative arthritis.  The discogram can help clarify if a patient's symptoms are coming from a degenerative disc and if so at what exact level...
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DUPUYTREN'S CONTRACTURE
The first sign is the presence of small nodules in the palm of the hand, which feel like hard lumps.  Over several months or years, the nodules can coalesce and grow together to form long bands called cords.  As the cords become further diseased, they can bend the fingers down, resulting in the inability to fully straighten the finger, which is called contracture...
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EMG TESTING
Electromyography (EMG) is used to help your doctor diagnose diseases and injuries of the nervous system.  Your doctor has requested an EMG examination in order to more precisely diagnose your condition, as well as gauge its severity...
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GANGLION CYSTS
A ganglion cyst is a small, fluid-filled sac which commonly develops in the hand or the wrist.  These cysts are similar to small water balloons, except that the fluid inside the cyst is thick and gelatinous, and very similar to honey in its consistency.  Ganglion cysts are typically found near joints and tendons, especially the wrists and fingers...
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IMPINGEMENT SYNDROME
This design gives the shoulder joint great range of motion but not much stability.  As long as the parts of this elegant machine are in good working order, the shoulder can move freely and painlessly.  An injury to the shoulder, or wear and tear in the parts of the shoulder, can lead to pain with movement or stiffness in the shoulder...
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MALLET FINGER
Mallet finger frequently occurs following sports or occupational injuries. Sudden, acute, forceful flexion at the end of the of the finger ruptures the extensor tendon. The ruptured tendon can include a small flake of bone, or a large corner of the bone which can extend into the joint.
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OSTEOARTHROSIS OF THE HAND
The reason OA develops is not clearly known, but there are several risk factors. There is a dramatic increase with advance age. More than one-half of man and three-quarters of women over age 65 will develop OA in the hand, making it one of the most common causes of joint pain among the elderly.
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REFLEX SYMPATHETIC DYSTROPHY
Reflex sympathetic dystrophy (RSD) is a term used to describe a complex pain disorder.  The pain is characterized by its intense burning nature that is out of proportion to the inciting injury.  The upper extremity is most commonly involved, but the lower extremities can also be effected.
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ROTATOR CUFF TEAR
The shoulder is a very elegant and complex piece of machinery. The design of the shoulder gives us the ability to do many useful things by allowing the shoulder to help us reach and use our hands in many different positions. This design gives the shoulder great range of motion but not much stability...
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TENNIS ELBOW
Lateral epicondylitis, commonly known as "tennis elbow," is an inflammation of the tendon fibers that attach the forearm extensor muscles to the outside of the elbow.  These muscles lift the wrist and hand.  Pain may be felt where these fibers attach to the bone on the outside of the elbow or along the muscles in the forearm...
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TRIGGER FINGER
Trigger finger/thumb happens when the tendon develops a nodule (knot) or swelling of its lining. When the tendon swells, it must squeeze through the opening of the tunnel (flexor sheath) which causes pain, popping, or a catching feeling in the finger or thumb.
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