Pain pp 749-752 | Cite as

Chronic Conditions of the Hand and Wrist

  • Jay Karri
  • George C. Chang Chien
  • Alaa Abd-ElsayedEmail author


As it is responsible for a wide range of fine motor operations, the musculoskeletal structure of the hand is highly intricate and involves a host of minuscule bones, joints, and tendons working in concert to coordinate movement with great dexterity. Additionally, these operations also require the assistance of numerous vascular, nervous, and supportive tissues all located in a confined compartment. Therefore, the close proximity and abundance of these structures predisposes towards a host of hand conditions that can alter physical structures and generate pain to collectively hinder motor movement. These conditions often involve arthropathies, tendinopathies, and nerve entrapments. The appropriate diagnosis and management is instrumental in helping restore hand function.


Hand disorders Arthropathy Tenodinopathy Nerve entrapment 


  1. 1.
    Shipley M, Wise E. Pain in the wrist and hand. In: Adebajo A, editor. ABC of rheumatology. 4th ed: Wiley-Blackwell in Hoboken, NJ; 2010. p. 5–12.Google Scholar
  2. 2.
    Swigart, C. Hand and wrist pain. In: Gary S, Firestein et al., editors. Kelley’s textbook of rheumatology. 9th ed: I, Elsevier in Amsterdam, Netherlands; 2013, p. 708–20.Google Scholar
  3. 3.
    Alexander CJ. Heberden’s and Bouchard’s nodes. Ann Rheum Dis. 1999;58(11):675–8.CrossRefGoogle Scholar
  4. 4.
    Kozlow JH, Chung KC. Current concepts in the surgical management of rheumatoid and osteoarthritic hands and wrists. Hand Clin. 2011;27(1):31–41.CrossRefGoogle Scholar
  5. 5.
    Longo UG, Petrillo S, Denaro V. Current concepts in the management of rheumatoid hand. Int J Rheum. 2015;2015:1–5.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jay Karri
    • 1
  • George C. Chang Chien
    • 2
  • Alaa Abd-Elsayed
    • 3
    Email author
  1. 1.Department of Physical Medicine and RehabilitationBaylor College of MedicineHoustonUSA
  2. 2.Ventura County Medical Center, Neuroscience CenterVenturaUSA
  3. 3.Department of AnesthesiologyUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA

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