Many procedures are available to treat the stiffness, pain and weakness that can occur with arthritic conditions in the wrist.
Hand and Wrist Surgery
The early restoration of function is one of the key goals of the hand surgeon.
The reconstructive elements of hand and wrist surgery are technically complex.
Multiple surgical skills are essential including meticulous tissue handling techniques
for skin, nerve, tendon, ligament and bone, and microsurgery for the tiny vessels.
Patients have hugely differing demands for their hands dexterity sensitivity and power requirments.
From injuries, RSI, arthritis and tumours, the hand surgeon must have experience in treating a wide variety of pathology
A successful outcome can not be achieved without all of the following:
a motivated patient
a skilled surgeon
an experienced hand therapy team
For information on individual conditions see the HAND SURGERY tab above
Pain in the wrist can occur without obvious injury and may be a sign of ligament instability
or early arthritis developing. Patients often will not remember a fall in early adult years that develops into a painful wrist.
Loss of wrist function leads to weak grip and significant disability especially in manual workers.
Steroid injections, wrist denervation and salvage surgery all have a role in the treatment of wrist pain.
The most commonly broken bones of the wrist are the radius and the scaphoid.
Other wrist bone can be fractured and the wrist surgeon can treat these with either splinting or surgical fixation.
Other common fractures include hook of hamate fractures, triquetral avulsion fractures.
Ligaments are often injured in conjunction with broken bones.
Wrist Sprains / Ligament Injuries.
A wrist sprain is an injury to the complex wrist ligaments.
Ligaments are tough elastic tissue that holds the bones in alignment.
Common ligament injuries include TFCC and scapho-lunate ligament tears
Due to the complexity of the wrist ligaments early assessment by a wrist specialist
will help speed recovery and assess those injuries that require erly surgical repair to prevent the condition becoming chronic.
Why have Wrist Surgery?
The wrist joint is probably the most complex joint in the body.
It is often injured following a fall or trip, which if untreated can lead to arthritis, degeneration, pain and weakness.
Due to its complexity the surgeon needs to accurately assess the nature and scale of the injury,
often using keyhole (arthroscopy) techniques. Damaged bones and ligaments need to be r
epaired before they set in the wrong place and cause arthritis.
The most common injuries are scaphoid fracture, scapholunate ligament injury and TFCC tears.
If treated early and appropriately, all can have excellent outcomes.
Osteoarthritis is common in the wrist, probably because it is
frequently injured and treatment is often delayed or inappropriate.
Rheumatoid Arthritis, which is not caused by injury,
frequently affects the wrists and hands for some reasons that are not certain.
Many procedures are available to treat the stiffness,
pain and weakness that can occur with arthritic conditions in the wrist.
Wrist arthroscopy allows the surgeon to accurately diagnose
and treat many problems of the wrist that would other wise be
difficult to assess on X ray or MRI scans.
Four small 5mm incisions allow access to visualize the whole wrist joint.
Diagnosis of hiden ligament injuries and fracture fixation
can be aided by the use of these keyhole techniques.
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The contents on this site is for information only, and is not meant to substitute the advice of your own physician or other medical professional.
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