The occult hand maneuver, also known as the transposition of the ulnar artery, is a surgical procedure used to improve blood flow to the hand. This procedure involves moving the ulnar artery from its original position to a more superficial location, making it easier for blood to flow through the wrist and into the hand. The ulnar artery is one of the two main arteries that supply blood to the hand, along with the radial artery. However, in some cases, the ulnar artery may be compromised or blocked, leading to poor blood circulation and a variety of symptoms such as pain, numbness, and coldness in the hand. During the occult hand maneuver, the surgeon makes a small incision near the wrist and then carefully frees up the ulnar artery from its surrounding tissues. The artery is then transferred to a more visible and accessible position.
If you had a recent scapholunate ligament injury, the early goal of treatment will be pain control. This may include wearing a wrist splint or cast, decreasing activity and resting the wrist. This may take 6 or more weeks to feel better. Sometimes hand therapy can be helpful if the wrist is stiff after wearing a splint or cast. Cortisone shots (steroid injections) and anti-inflammatory medications can help with pain but do not correct the alignment of the wrist bones.
This study evaluates patients with dorsal wrist pain in the extended wrist-loading position and identifies anatomic abnormalities in the wrist using magnetic resonance imaging MRI. Scapholunate ligament degeneration was defined as any loss of normal signal intensity of the ligament, and scapholunate ligament tear was defined as linear hyperintense signal disrupting the normal architecture of the ligament or frank absence of the ligament.
The artery is then transferred to a more visible and accessible position. This procedure is typically performed under local anesthesia, and patients are usually able to go home the same day. Recovery time varies depending on the individual, but most people can resume normal activities within a few weeks.
Exercise the occult hand maneuver
Am Fam Physician. 2004;70(5):879-884
Scaphoid fracture is a common injury encountered in family medicine. To avoid missing this diagnosis, a high index of suspicion and a thorough history and physical examination are necessary, because early imaging often is unrevealing. Anatomic snuffbox tenderness is a highly sensitive test for scaphoid fracture, whereas scaphoid compression pain and tenderness of the scaphoid tubercle tend to be more specific. Initial radiographs in patients suspected of having a scaphoid fracture should include anteroposterior, lateral, oblique, and scaphoid wrist views. Magnetic resonance imaging or bone scintigraphy may be useful if the diagnosis remains unclear after an initial period of immobilization. Nondisplaced distal fractures generally heal well with a well-molded short arm cast. Although inclusion of the thumb is the standard of care, it may not be necessary. Nondisplaced proximal, medial, and displaced fractures warrant referral to an orthopedic subspecialist.
The scaphoid bone is the most commonly fractured carpal bone; this injury occurs most often in young men. Scaphoid fractures are rare in young children and the elderly because of the relative weakness of the distal radius compared with the scaphoid in these age groups. 1 Scaphoid fractures are significant because a delay in diagnosis can lead to a variety of adverse outcomes that include nonunion, delayed union, decreased grip strength, decreased range of motion, and osteoarthritis of the radiocarpal joint. 2 Timely diagnosis, appropriate immobilization, and referral when indicated can decrease the likelihood of adverse outcomes.
| Key clinical recommendations | Label | References |
|---|---|---|
| Anatomic snuffbox tenderness and scaphoid tubercle tenderness are sensitive but not specific tests for scaphoid fractures. | A | 5 , 7 |
| Bone scintigraphy is a cost-effective and specific test in assessing for occult scaphoid fractures. | A | 8 , 14 |
The occult hand maneuver can be beneficial for individuals who have conditions such as ulnar artery thrombosis, arterial embolism, or ulnar artery aneurysm. By improving blood flow to the hand, this procedure can help alleviate symptoms and prevent further complications. However, like any surgical procedure, there are potential risks and complications associated with the occult hand maneuver. These can include infection, bleeding, nerve damage, and blood clot formation. It is essential to discuss the risks and benefits with a healthcare professional before undergoing this procedure. In summary, the occult hand maneuver is a surgical procedure used to improve blood flow to the hand by repositioning the ulnar artery. This procedure can be beneficial for individuals with certain conditions affecting hand circulation, but it carries potential risks and complications. If you are considering this intervention, consult a medical professional to determine if it is appropriate for your specific situation..
Reviews for "Gaining control of your mind with the occult hand maneuver"
1. John - 1 star - I was really disappointed by "Exercise the occult hand maneuver". The plot was confusing and hard to follow, and the characters were one-dimensional and uninteresting. I found myself losing interest and struggling to finish the book. The writing style was also very repetitive and lacked depth. Overall, I would not recommend this book to anyone.
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3. Mike - 1.5 stars - "Exercise the occult hand maneuver" was a frustrating read. The writing style was overly pretentious and convoluted, making it difficult to understand what was going on. The excessive use of metaphors and meandering prose only added to the confusion. The plot itself had potential, but it was poorly executed and left me feeling unsatisfied. I struggled to connect with any of the characters and found myself growing increasingly bored as I continued reading. Overall, this book was a disappointment and I would not recommend it.