Wrist

My mother is going to have her bones fused in her left wrist where her arthritis is just horrible. Does this mean her hand will be straight all the time now?

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When someone has severe rheumatoid arthritis in a wrist, it becomes not only very painful, but difficult for them to go about their daily activities. One treatment for severe arthritis in the wrist is arthrodesis, or bone fusion. This type of surgery straightens out the wrist, cleans out the joint and sets it so it is stable. Unfortunately, the drawback is the bones are fused and range of motion becomes limited.




Why do wrist replacements not seem to work as well as hip or knee replacements?

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Hip and knee replacements are considered to be common surgeries now. Doctors have been performing them for quite a while and manufacturers are coming up with better and improved models as quickly as they can. The knee and the hip are rather straight forward joints, although they do bear a heavy load in supporting your body as you stand, walk, and move about in general. The joints have to be able to bend and rotate as needed, and be strong enough for all the demands placed on them.




How is dorsal wrist impingement diagnosed? I can't seem to find any tests for it.

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There are no specific tests for dorsal wrist impingement. It is diagnosed based on the patient's history and how and when the pain started. If someone has dorsal wrist impingement, the pain is not a generalized pain, but a specific pain in a specific spot, usually brought on by certain hand and wrist movements. The diagnosis is also made by ruling out any other wrist problems that could be causing the pain.

Mark Henry, MD. Arthroscopic Management of Dorsal Wrist Impingement.




My daughter is a gymnast and has hurt her hand twice doing floor exercises. She's been diagnosed with dorsal wrist impingement and responded well to injections the first time. This time it's not working. The doctor is now talking about surgery. What is involved? How long will she have to stay away from gymnastics?

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The best person to speak to regarding your daughter's surgery is her surgeon. He or she is best placed to answer specific questions and discuss what will be done. In general, however, surgery is only done if 1) the doctor is absolutely sure it is dorsal wrist impingement and 2) corticosteroid injections have been tried and helped somewhat, but no longer work.




Arthroscopic Surgery for Dorsal Wrist Impingement

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Dorsal wrist impingement is an injury where the back of the radius (one of the forearm bones) hits against the wrist bones and traps the nerves. It's a common injury, particularly in sports like gymnastics, where the gymnasts place a lot of force on their wrists with hand springs and walk overs. However, it can also occur from a minor injury.




Treatment of Wrist Deformity Caused by Advanced Rheumatoid Arthritis

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Rheumatoid arthritis is one of the many diseases that fall under the umbrella of arthritis. It is one of the most outwardly obvious arthritis types because of the way it can deform the joints, often the fingers and wrists. Rheumatoid arthritis is an inflammatory disease in which the joints become inflamed and swollen, and quite painful. Eventually, as the inflammation gets worse and the shape of the joint is changed, patients can find it more and more difficult to use the joint.




How do doctors diagnose Kienbock disease?

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If you go to the doctor complaining of wrist pain, your doctor will examine your wrist and ask you questions about your medical history and any recent injuries or trauma to your arm. Following that, it's very likely you will go for an x-ray. If your doctor isn't sure, you may be referred for a more specialized test called a magnetic resonance imaging scan (MRI), which allows the doctor to see the joint and the tissues more clearly.




I had a lot of pain in my wrist for quite a while. I was bowling a couple of times a week in a league so I thought I just over did it. When I went to the doctor, he said I had Kienbock disease where the bones in my wrist were dying. Can this spread? What is going on? He said the only way to deal with it was to do a surgery that would cut out part of the bone.

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The pain from Kienbock disease is very easily mistaken for a sprained or injured wrist at first. The difference is, usually the injured wrist stops hurting after a while, while Kienbock disease won't and it does start to make the wrist less bendable. It can also affect the strength in the hand.




Our 16-year-old daugher has injured her wrists in two separate accidents. Both occurred while she was skateboarding. The first one seemed to heal up just fine. But something just isn't right about this new injury on the other side. What should we do?

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Wrist injuries are common in skateboarders. A fall on an outstretched hand can put a lot of force through that area. And there are many possible injuries that can occur. There are numerous ligaments in the wrist holding everything together.




Diagnosis and Treatment of Perilunate Dislocations

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In this article, physicians from the University of Medicine and Dentistry of New Jersey (UMDNJ) bring us up to date on perilunate discloations. A perilunate dislocation is a wrist injury that occurs when there is enough force through the wrist to tear the ligaments and displace the lunate. The lunate is one of several wrist bones.





*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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