Hand X-ray reveals the inner structures of the hand, including bones like metacarpals, carpals, phalanges, the distal portion of radial and ulnar joints. This helps diagnose a fracture, joint inflammation in arthritis, dislocation, calcifications, and the presence of foreign bodies. Hand X-rays are taken in three views based on the need posteroanterior view, ball catcher's view, and lateral view.
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How to treat a stiff finger after an injury?
Query: Hi doctor, A few months before, I got an injury on my finger. Now, my finger has become very stiff. When I try to straighten it, it is popping back. Also, it is very painful. What to do? Please help me. Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned that you got an injury to your finger previously and now, you are having some issue with its movements. As per your symptoms, it could be subluxating out of the joint and then coming back as per the movements. For that, I will advise you to kindl... Read Full »
My left wrist is swollen after a bike accident. Can you please help?
Query: Hello doctor, I met with a bike accident three days ago and had swelling in my left wrist. I have got an X-ray (AP, oblique) of the left wrist. Currently, I am on Combiflam and Rantac medications. Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern, and I hope you are not in much discomfort. I have reviewed your X-ray images (attachment removed to protect the patient’s identity) and found a mild cortical irregularity in the area between the waist and distal pole of the scaphoid bone... Read Full »
Query: Hello doctor, I am 16 years old, and I will turn 17 in four months. I am attaching a copy of my wrist x-rays below. Could you tell me if my growth plates are closed or open? Read Full »
Answer: Hello, Welcome to icliniq.com. Hope you are doing well. By the looks of your wrist x-ray (attachments removed to protect the patient's identity), your growth plates are almost over, and the minimal residual growth left will also be over in 1 to 2 months. Any growth modulating procedure you are th... Read Full »
Query: Hello doctor, My 66-year-old mother had a distal radius fracture in her right hand two months back. She has diabetes, hypertension, hypothyroidism, ASD, and osteoporosis. The doctor performed a K-wire fixation and put a plaster of Paris cast from her fingers all the way up to her shoulder (just a li... Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to hear that the surgery and its outcome have not met your level of expectations. I would like to see the entire set of X-rays before I can comment on the healing of the fracture, as well as the timing of the removal of wires. Usually, the wires are removed ar... Read Full »
My wrist has been paining for a few weeks now. Is it due to the injury that I had a few months back?
Query: Hi doctor,I have been feeling wrist pain for a few weeks now. No recent injury, but I had an injury a few months back. I had foot surgery and fell off my scooter, and landed on my wrist. I was on crutches and needed my wrists, so I dealt with the pain, which was very painful. The pain went away and ... Read Full »
Answer: Hi, Welcome to icliniq.com. The area (attachment removed to protect patient identity) you have marked is an area of the scaphoid bone. Do you have any X-rays or other investigations? Read Full »
Why is my middle finger curved towards the ring finger?
Query: Hi doctor, Yesterday, I noticed that my left hand fingers look different that is some sort of out of place. The left ring finger is no longer straight and is leaning towards my index finger. I am not sure if the other fingers look normal or not. But, it is annoying me. The ring finger being bent, le... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your history as well as the images attached to the query (attachment removed to protect patient identity). This is subluxation of the metacarpophalangeal joint (MCP joint) towards the radial direction. To determine subluxation towards palmar sid... Read Full »
I am suffering from joint pain after my delivery. Kindly help.
Query: Hello doctor,I am 33 and since having my baby a year ago I am suffering from joint pain, especially in my wrists and fingers. I have pins and needles sensation at times and writing is becoming difficult. I just got my reports and have elevated CRP and low folate. Any idea what could be wrong? Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. You have pain in the small joints of your body with an elevated CRP (C-reactive protein) level. I suggest you go for an investigation to rule out rheumatoid arthritis. Do anti-CCP (anti-cyclic citrullinated peptide) and RF (Rheumatoid factor)... Read Full »
Why is my fractured finger swollen and bent?
Query: Hello doctor, I broke the top joint of my right pinky finger, two and a half months ago, late the night, before I was leaving for a two-month trip abroad. I tried to splint it, but it did not work, and it bent down by about 45 degrees, and now the joint is swollen. After getting an X-ray, now that ... Read Full »
Answer: Hello, Welcome to icliniq.com. Two and a half months is a very long time for a phalanx fracture to heal. There is no role of splint after two months. So, I would not recommend wearing the splint for six weeks on a trial basis. To decide whether there will be any movement at the joint or not, I need... Read Full »
Is it necessary to take DMARDs for psoriatic arthritis?
Query: Hi doctor, I am a 40-year-old female with presumed psoriatic arthritis. At the onset, I had mild, intermittent finger swelling and pain over five years ago, also, intermittent SI joint pain. SI joint X-ray only mentions mild sclerosis. Recent hand X-rays show three small erosions in my fourth and f... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query. DMARDs (disease-modifying anti-rheumatic drugs) are considered first-line drugs for psoriatic arthritis, especially in patients who are non-responsive to NSAIDs (non-steroidal anti-inflammatory drugs). However, in patients with good responses... Read Full »
My son is having severe pain after punching the wall with his fist. Is it a fracture?
Query: Hi doctor, My 14 year old son punched a wall with his fist, and it resulted in an immediate swelling of a knuckle. I applied an ice pack immediately for 20 minutes, which decreased the swelling to some extent. The color of the skin has also slightly changed. He is complaining of severe throbbing pa... Read Full »
Answer: Hi, Welcome to icliniq.com. Sorry to hear about your son's injury. The clinical photograph that you provided (attachment removed to protect patient identity) shows some evidence of soft tissue injury and a small hematoma (a small collection of blood beneath the dermis) in the soft tissue overlying ... Read Full »