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The dark side of sun exposureSome safe exposure to the summer sun is important to help the body make vitamin D.
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Many activities can pull the thumb suddenly away from the rest of the hand, stretching or occasionally tearing this ligament. A thumb sprain involves a fibrous band of tissue lying on either side of the thumb, known as the ulnar collateral ligament. If a torn ulnar collateral ligament is left untreated, it may result in a painful, unstable thumb with loss of mobility. Buddy taping the thumb to its neighbouring digit, especially during contact sports, may help prevent re-injury. Non-contact sports may usually be permitted six weeks following the injury, and a return to contact sports can be expected after three months, depending on the severity of the original sprain. If you manage this site and have a question about why the site is not available, please contact us directly. Jeremy Beckworth, MDScott Boden, MDDi Cui, MDSusan Dreyer, MDJose Garcia-Corrada, MDJohn Heller, MDDavid Hubbell, MDRandy Katz, DO, MPHHoward Levy, MDOluseun Olufade, MDDaniel Refai, MDJohn Rhee, MDGerald Rodts, Jr., MDDiana Sodiq, DOTim Yoon, MDElbow and Upper ExtremityClaudius Jarrett, MDSpero Karas, MDScott Maughon, MDGary McGillivary, MDR. Also, Emory Healthcare does not endorse or recommend any specific commercial product or service.
However, the cumulative effects of sun exposure put us at higher risk of cellular damage, early wrinkling, age spots, actinic keratoses and skin cancer -- including malignant melanoma, the most serious type. It is intended for general information purposes only and does not address individual circumstances. Topics are richly illustrated with more than 40,000 clinical photos, videos, diagrams, and radiographic images.
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The injury is very prevalent among skiers and is often referred to as skier’s thumb, though repetitive activities that gradually wear and irritate the ulnar collateral ligament can produce a chronic form of injury.
The ulnar collateral ligament connects the metacarpal bone to the first phalanx at the base of the thumb (the thumb has two phalanges). Repetitive wear of the ulnar collateral ligament through gripping between the thumb and index finger.
Gradual use of motion exercises to restore thumb movement should be undertaken as the ulnar collateral ligament undergoes final repair.

Amadeus Mason, MDKenneth Mautner, MDBrandon Mines, MDOluseun Olufade, MDJeffrey Webb, MDFoot and AnkleRami Calis, DPMSameh (Sam) A.
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A functioning fingertip has sensation without pain, stable padding, and an acceptable appearance.NextPathophysiologyFingertip injuries occur frequently because hands are used to explore surroundings.
Customize your Medscape account with the health plans you accept, so that the information you need is saved and ready every time you look up a drug on our site or in the Medscape app. Its function is to prevent the thumb from stretching too far away from the hand The ligament is required for pinching and grasping activities. Any activity that violently separates the thumb from the rest of the hand, such as a skiing fall. SuntanTanned skin may be revered as beautiful, but that golden colour you see is the result of injury to the epidermis, the top layer of skin. Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site. Common types of injuries include blunt or crush injuries to the fingernail creating subungual hematomas, nail root avulsions, and fractures of the terminal phalanx.
Easily compare tier status for drugs in the same class when considering an alternative drug for your patient. Amadeus Mason, MDKenneth Mautner, MDBrandon Mines, MDOluseun Olufade, MDJeffrey Webb, MDHand and Wrist Claudius Jarrett, MDGary McGillivary, MDR.
Exposure to the sun’s ultraviolet (UV) rays accelerates the effects of ageing and increases your risk of developing skin cancer. Sharp or shearing injuries from knives and glass result in lacerations and avulsion types of soft tissue defects. Amadeus Mason, MDKenneth Mautner, MDBrandon Mines, MDOluseun Olufade, MDJeffrey Webb, MDHeadR.
To prevent sun damage, use a sunscreen of SPF 15 or higher when outdoors and re-apply it regularly. Amadeus Mason, MDKenneth Mautner, MDBrandon Mines, MDMathew Pombo, MDJeffrey Webb, MDHipThomas Bradbury, MDGreg Erens, MDNicholas Fletcher, MDKyle Hammond, MDR. Also, cover-up with clothing, sunglasses and a wide-brimmed hat and seek the shade during the middle of the day. Amadeus Mason, MDKenneth Mautner, MDSamuel Milton, MDBrandon Mines, MDDavid Monson, MDOluseun Olufade, MDShervin Oskouei, MDJames Roberson, MDKneeThomas Bradbury, MDGreg Erens, MDKyle Hammond, MDSpero Karas, MDSam Labib, MDR.
Hand injuries represent 11-14% of on-the-job injuries and 6% of compensation paid injuries. Most sunburns result in redness, warmth to the touch, and mild pain, affecting only the outer layer of skin (first degree burns).
Sunburn usually appears within hours after sun exposure and may take several days to weeks to fade. Painkillers such as paracetamol or ibuprofen, cold compresses and aloe, hydrocortisone or moisturising creams may help reduce pain and discomfort. Sunburn (second degree burns)A second degree burn - damaging deeper skin layers and nerve endings - is usually more painful and takes longer to heal.
More than 80% of the signs of skin ageing in adults are the result of the tans they had as teenagers before the age of 18. That’s because over time, the sun's ultraviolet light damages the fibres in the skin called elastin.
When these fibres break down, the skin begins to sag, stretch and lose its ability to go back into place after stretching. The sun can also cause a permanent stretching of small blood vessels, giving your skin a reddish appearance. FrecklesFlat, pigmented spots on the skin, freckles are usually found on sun-exposed areas of the body. They’re more noticeable in the summer, especially among fair-skinned people and those with light-coloured or red hair. Seek medical advice if the size, shape or colour of a spot changes or if it becomes painful, itchy, or bleeds. Melasma (pregnancy mask)Melasma (or chloasma) is characterised by brown or tan coloured patches on the cheeks, nose, forehead and chin. If it persists, melasma can be treated with prescription creams and over-the-counter products.

Age spots (solar lentigines)These brown or grey spots are not really caused by ageing, though they do multiply as you get older.
Age spots are the result of sun exposure, which is why they tend to appear on areas that get a lot of sun, such as the face, hands and chest. Solar lentigines are harmless, but to rule out serious skin conditions such as melanoma, seek medical advice to confirm the diagnosis. Actinic keratosis (solar keratosis)The small, scaly red, brown or skin-coloured patches caused by too much sun exposure commonly occur on the head, neck or hands, but can be found elsewhere on the body. Actinic keratosis usually appears on people after the age of 40, but they can appear in much younger people.
Early treatment is advised to stop the possible progression to squamous cell carcinoma, a type of skin cancer. Actinic cheilitis (farmer's lip)Related to actinic keratosis, actinic cheilitis is a precancerous condition that usually appears on the lower lips. Less common symptoms include swelling of the lip, loss of the sharp border between the lip and skin, and prominent lip lines. Actinic cheilitis may eventually evolve into invasive squamous cell carcinoma if not treated. Squamous cell carcinomaThis non-melanoma skin cancer may appear as a firm red nodule, a scaly growth that bleeds or develops a crust, or a sore that doesn’t heal.
It most often occurs on the nose, forehead, ears, lower lip, hands and other sun-exposed areas of the body. Bowen's diseaseBowen's disease is also called squamous cell carcinoma "in situ." It is a type of skin cancer that spreads outward on the surface of the skin. By contrast, "invasive" squamous cell carcinomas can grow inward and spread to the interior of the body. Basal cell carcinomaThe most common form of skin cancer, basal cell carcinoma is the most easily treatable and least likely to spread, though it can damage surrounding tissue.
Basal cell carcinomas can take many forms, including a pearly white or waxy bump, often with visible blood vessels, on the ears, neck or face. The carcinoma can also appear as a flat, scaly, flesh-coloured or brown patch on the back or chest, or more rarely, a white, waxy scar.
Malignant melanomaMalignant melanoma is not as common as other types of skin cancer, but it's the most serious and potentially deadly. Possible signs of malignant melanoma include a change in the appearance of a mole or pigmented area. Seek medical advice if a mole changes in size, shape or colour, has irregular edges, is more than one colour, is asymmetrical, or itches, oozes or bleeds. Malignant melanoma can affect the skin only, or it may spread to internal organs and bones. CataractA cataract is a cloudy area in the lens of the eye that blocks the passage of light to the retina.
Cataracts are painless but may cause vision problems, including foggy vision, glare from light and double vision in one eye. Shun the sunThe best way to prevent sunburn, premature wrinkles, skin cancer and other damaging effects from the sun is to stay out of it, especially between 11am and 3pm in the UK, when the sun’s rays are strongest.
Apply sunscreen liberally (don’t forget the lips and ears!), wear a hat and sunglasses and cover up with clothing when outdoors. If you notice changes to your skin such as a mole changing appearance, a new growth, or a sore that won't heal, seek medical advice promptly.
Six years of epinephrine digital injections: absence of significant local or systemic effects. The use of prophylactic antibiotics in treatment of fingertip amputation: a randomized prospective trial. The PNB classification for treatment of fingertip injuries: the boundary between conservative treatment and surgical treatment.
The use of chloramphenicol ointment as an adhesive for replacement of the nail plate after simple nail bed repairs. Comparison of nail bed repair versus nail trephination for subungual hematomas in children. Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantations.

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