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HAND INJURIES
DEFINITIONS:
Kecederaan pada tulang/tisu lembut di bawah…
HAND INJURIES
DEFINITIONS:
Kecederaan pada tulang/tisu lembut di bawah pergelangan tangan Melibatkan,kulit,tendon,sarat,salur darah,tulang
Rawatan Umum
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Trigger Finger: Steroid, splint, pembedahan
CLASSIFICATION
De Quervain’s Tenosynovitis,
Etiology: Repetitive thumb abduction/extension, trauma, postpartum care.
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Signs & Symptoms: Sakit di radial styloid, sakit bila genggam ibu jari & ulnar deviasi (Finkelstein test).
Management: Splint (thumb spica), NSAID, steroid, surgery jika gagal konservatif.
Complications: Radial nerve injury, neuroma, CRPS
Medical Assessment: Finkelstein maneuver, Eichhoff test.
Prognosis: Kebanyakan pulih konservatif, tapi boleh berulang.
Carpal Tunnel Syndrome
Etiology: Repetitive wrist motion, obesiti, kehamilan, arthritis, DM
Pathophysiology: Tekanan meningkat dalam carpal tunnel menyebabkan median nerve compression, edema & keradangan.
Signs & Symptoms: Kebas/tingling (jari 1-3), sakit di pergelangan, kelemahan ibu jari.
- Medical Assessment: Tinel’s sign, Phalen test, Nerve conduction study, MRI/US
Management: Splint malam, ergonomik, steroid injection, carpal tunnel release (surgery).
Complications: Neuroma, parut hipertrofik, kerosakan saraf median kekal.
Prognosis: 90% kes ringan-moderat respon konservatif, sesetengah perlu pembedahan
Trigger Finger
Etiology: Overuse, DM, gout, rheumatoid arthritis.
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Signs & Symptoms: Locking/catching semasa extension, sakit tapak tangan, nodul di A1 pulley.
Medical Assessment: Diagnosis klinikal (finger locking), palpasi nodul.
Management: Steroid injection (1st line), MCP blocking splint, surgery (A1 pulley release)
Complications: Tisu atrophy, jangkitan (steroid), parut pasca-pembedahan
Prognosis: Sangat baik, >80% respon kepada steroid + splint.
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Ligament Injuries: Wrist Sprains, Gamekeeper’s Thumb, IP Collateral Ligament Sprain, Finger Dislocation
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MEDICAL ASSESSMENT
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Physical exam: ROM, kekuatan otot, pemeriksaan saraf.
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Special tests: Phalen & Tinel sign (CTS), Finkelstein (De Quervain).
MEDICAL MANAGEMENT:
Ligament Injuries: PRICE, splint/taping, X-ray.
Tendon Injuries: Ice, splint (contoh: extension splint untuk Mallet Finger), fisioterapi, pembedahan jika koyakan teruk
Bone Injuries: Splint, cast, analgesik, surgery (pins/screws).
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De Quervain: Splint, NSAID, steroid, surgical release jika gagal konservatif.
- Trigger Finger: Steroid + splint (MCP blocking), pembedahan open release A1 pulley.
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