06 Jul Understanding Hand Tendon Injuries and Treatment Options
The human hand contains an intricate network of tendons that coordinate fine motor movements required for writing, gripping, typing, lifting, and countless daily activities. Even a relatively small tendon injury can significantly affect hand strength, dexterity, and overall function. Because tendons have a limited blood supply, healing often occurs more slowly than injuries involving muscles, making timely diagnosis and appropriate treatment important.
As people age, tendons gradually undergo structural changes. Collagen fibers become less elastic, water content decreases, and microscopic degeneration may accumulate over years of repetitive use. These changes can increase susceptibility to tendon tears, inflammation, and overuse injuries. Understanding how hand tendon injuries develop and the available treatment options may help patients seek appropriate care before long-term stiffness or permanent functional loss occurs. Individuals searching for a hand pain specialist in Singapore are often looking for an assessment that distinguishes minor tendon irritation from injuries requiring specialized orthopedic management.
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Dr. Wei Shan Hoong[/caption]
Dr Caroline Wei Shan Hoong, MBBS, MRCP
Associate Consultant Endocrinologist
Department of General Medicine
Woodlands Health Campus
National Healthcare Group, Singapore
MedicalResearch.com: What is the background for this study?
Response: In the course of our clinical work, we have noticed a predominance of musculoskeletal complaints among some of COVID-19 patients who are otherwise clinically well, and a small subset of them who develop a viral arthralgia (joint pains) sometimes occurring separately from the onset of acute respiratory symptoms. Besides a few isolated case reports, there was not much described about COVID-19 associated viral arthralgia in the literature.
Clinicians are well aware of the need to test for COVID-19 when patients present with cough or shortness of breath. However, when they present as joint pains without any respiratory symptoms, a diagnosis of COVID-19 could easily be missed. Due to overlapping clinical features like low platelet count and elevated liver enzymes, they could easily be misdiagnosed as having other vector-borne infections such as dengue fever, if clinicians do not have a high clinical suspicion of COVID-19. Hence we decided to describe the epidemiology and various presentations of musculoskeletal manifestations of COVID-19 in our cohort of patients.