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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

 

Wrist Pain

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. 

 

Wrist Fractures

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.

 

Hand and Wrist Surgery

 

Why have Wrist Surgery?

Injuries

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.

Arthritis

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

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. 

 Wrist Arthroscopy

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