Hand | Medical Art

Art of the Hand

Ashley Davidoff MD

The Beauty of Normal

A Poignant Moment

The Hands Tell an Amazing Story

This painting on the Sistine chapel by Michelangelo has such poignancy in its depiction of a moment in time with a focus on the fingers of God and Adam. If you cast your eye and open your mind to the image of God and angels you may perceive a sagittal section of the brain idepicted as a background with God’s angels embedded in the “brain”

13285 hand Michelangelo fingers index finger expression God reaching out shape

Hands of the Fetus

Fingers in Thought

Simple Beauty

Hheberden’s Ostearthropathy

The Young, the Middle Aged and the Old

Handshake

Stroke

48641c01.800 60 year old male brain area of decreased attenuation in the superior anterior frontal laobe fx encephalomalacia dx chronic infarction CTscan 3 D resurface rendering Courtesy Ashley Davidoff MD

Rheumatoid Arthritis

77333c bone hand boutonniere or swan-neck deformities rheumatoid arthritis hand deformity dislocated metacarpophalangeal joints hand deformity dislocated metacarpophalangeal joints Swan-neck deformity is common in persons with RA. It occurs as the end result of rheumatoid synovitis of the metacarpophalangeal (MP), PIP, and/or DIP joints, which disrupts the balance of flexion and extension forces acting across a joint CTscan Courtesy Ashley Davidoff 3D copyright 2008

This hand Tells a Story of Temper Tantrum in a Young Male usually between 14 and 40

Fisted Wall or Door Punch

Young, in Need of Help With Temper Control, Healing

72175c02 15 year old with pain after punching bone hand 5th metacarpal fracture growth plates epiphyses epiphysis Boxer’s fracture plain X-ray plain film Davidoff MD

Gunshot of a Young Child – Adult Issue!

The A-P examination of the hand of a young patient with unfused epiphyses reveal a gunshot injury to the hand resulting in a shattered third metacarpal of the right hand. The distal shaft of the bone is flared with a horizontal fracture through the growth plate and fractures along the long axis of the shaft. The soft tissues are swollen and some air is noted around the fracture site . This is a example of a high velocity penetration injury

Painful to Look At

This is one of the most painful X-rays of my career and it is older than 30 years. The exact history eludes me but there has been obvious traumatic injury to the handwith multiple fractures (black arrows) a transverse skin incision that contains a broad band of air (white arrow), probable debridement of the severely injured metacarpal row, and extensive pinning and wiring of the thumb following surgical trauma. The combination of the large somatic sensory nociceptor supply to the hand, together with the extensive skin, bone,and tissue damage, is difficult to perceive the extent of the pain that this poor patient went through. The remarkable feature is the maintenace of blood supply to the hand.