Wrist / Hand

Carpal Tunnel Syndrome

About Carpal Tunnel

This condition is a result of median nerve compression at the wrist. The median nerve is an important nerve that supplies sensory and motor function to the hand. Often, as a result of repetitive overuse, trauma, pregnancy, diabetes, thyroid disease and other medical conditions the nerve can become compressed within the carpal canal. When the nerve is compressed symptoms will result and include pain in the wrist, hand and forearm which can be aggravated with use, numbness or tingling in the hand and weakness or clumsiness of the hand. Initial treatment for this condition is a wrist splint, anti-inflammatory medications, steroid injection and activity modification. In cases that do not respond to medical treatment or in cases where the nerve compression is severe the recommended treatment is a surgical procedure to decompress the median nerve.

Dequervains Disease

About Dequervains Disease

This condition is related to tendonitis of the abductor pollucis longus (APL) and extensor pollucis brevis (EPB). These tendons are located over the radial aspect of the wrist and control function of the thumb. These tendons pass through a fibro-osseous tunnel where they can become entrapped, damaged and chronically inflamed. This is typically encountered as an overuse injury. Initial treatment is oral anti-inflammatory medications, steroid injections, bracing, activity avoidance and exercises. In cases that do not resolve with medical treatment surgery is recommended.

Trigger Finger Release

About Trigger Finger Release

This condition is caused by chronic inflammation of the flexor tendons of the fingers. A single finger or multiple fingers can be affected. As a result of the inflammation the tendon and tendon sheath can become scarred resulting in an impediment for the tendon to glide through the sheath.

The Symptoms

The symptoms that result are pain in the palm and fingers and/ or 'locking' or 'triggering' of the digits. Initial treatment is typically an oral anti-inflammatory medication, steroid injection and splinting. In cases that persist surgical correction is recommended.

Ganglion Cyst Exision

About Ganglion Cyst Exision

This condition typically presents as a 'mass' or 'lump' in the vicinity of the wrist or hand. It may be painful or painless in nature. In cases where the cyst is large, complex and/or located adjacent to vital structures such as the radial artery, recommended treatment is surgical excision.


About Fractures

The wrist and hand is a common area of the body to sustain a fracture. This is often related to the protective mechanisms of our body to use our hands to shield us from injury. Typical fractures the wrist and hand include the distal radius, metacarpals and phalanges. The most common is a fracture of the distal radius. This is often the result of a fall onto the outstretched hand. The symptoms associated with this type of injury are pain and swelling. Treatment of this injury is cast immobilization for a non-displaced fracture or a displaced fracture that does not exceed the limit what is considered to be acceptable for restoration of normal function to the hand. Displaced fractures are treated surgically.

Hand Arthritis

About Hand Arthritis

Arthritis can affect the hand in the same way that it can affect the weight bearing joints such as the hip and knee. The type of arthritis may be inflammatory or degenerative. Arthritis is a condition where the cartilage surface of the joints become damaged and deteriorate over time resulting in the loss of the cushioning material between the bones.

The Symptoms

Symptoms associated with this condition are pain in the small joints of the hand or wrist, stiffness and weakness. The most commonly affected joints are the base of the thumb and the distal interphalangeal joints of the fingers. Treatment for this condition if it is mild or moderate typically is activity modifications and oral medications for inflammation. Sometimes temporary bracing is also employed to relieve stress on the joints. If these methods fail a steroid injection can be administered into the joint under fluoroscopic navigation. In many cases this can help alleviate symptoms substantially. If the pain is resistant to nonsurgical treatment and the arthritis is advanced surgical correction is recommended. The Procedure- Surgical treatment of this condition is varied depending on the location of the problem. Joint replacement or interpositional arthroplasty or fusion are typically employed.

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