crystal clinic orthopaedic center summit hand

Wrist

Conditions

  • Arthritis of The Wrist

    Arthritis of The Wrist

    The wrist contains many small joints which are lined by smooth cartilage that helps the bones glide over each other.

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  • Wrist Sprains

    Injuries caused due to stretching or tearing of the ligaments in the wrist are called wrist sprains. These injuries are usually caused by a fall during daily activities or sports activities.

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  • Wrist Fractures

    Wrist Fractures

    The wrist is comprised of two bones in the forearm, the radius and ulna, and eight tiny carpal bones in the palm.

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  • Colles' Fracture

    Colles' Fracture

    A Colles’ fracture is a fracture of the radius bone of the forearm near its end at the wrist with the broken fragment tilted upwards. It is commonly caused by falling on an outstretched arm.

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  • Ganglion Cyst

    Ganglion Cyst

    Ganglion cysts are swellings that most commonly develop along the tendons or joints of wrists or hands.

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  • Hypothenar Hammer Syndrome (Ulnar Artery Aneurism)

    The hypothenar eminence is a muscular protrusion on the palm below the little finger. Trauma to this area can lead to thrombosis or aneurysm of the ulnar artery which can reduce blood supply to the fingers and cause pain and abnormal sensations in the hand.

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  • Carpal Fractures

    Carpal bones are the bones of the wrist, a joint which is frequently injured. There are 8 carpal bones arranged in two rows and held together by multiple short ligaments.

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  • Carpal Dislocations

    The wrist is made up of two rows of small bones called carpal bones. Dislocation of the carpal bones can occur with high-impact injuries.

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  • Scaphoid Fracture and Nonunion

    Scaphoid Fracture

    The scaphoid bone is a small, boat-shaped bone in the wrist, which, along with 7 other bones, forms the wrist joint. It is present on the thumb side of the wrist causing it to be at a high risk for fractures.

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  • De Quervain's Disease

    The muscles and bones of the hand are connected by thick flexible tissue called tendons. Tendons are covered by a thin soft sheath of tissue known as synovium.

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  • Ulnar Side Pain

    The ulna is the bone of the forearm that lines up with the little finger. Pain on this side of the wrist can result from damage to tendons, ligaments, cartilage or bones.

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  • TFCC Tears

    The triangular fibrocartilage complex is soft tissue (ligament and cartilage) present near the junction of the ulna bone of the forearm and the wrist bones. It helps with movement and stability of the wrist joint and may be damaged by trauma or fall on an outstretched arm causing pain on the ulnar side of the wrist.

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  • DRUJ Instability

    The radius and ulna are bones of the forearm. The DRUJ (distal radioulnar joint) is a joint between the ends of these bones near the wrist. Injury to these bones can result in instability of the joint causing pain, swelling and difficulty rotating the wrist.

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  • Scapholunate Ligament Tear (SL Tear)

    The wrist is a complex joint that connects the forearm to the hand enabling movement. It consists of 8 small bones called carpals that articulate with two long bones of the forearm (radius and ulna).

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  • Wrist Pain

    Wrist Pain

    The wrist is a commonly seen injured joint in the body. Problems include sprains and strains as well as fractures which can occur with lifting and carrying heavy objects...

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  • Wrist Tumors

    Wrist Tumors

    A tumor is a lump or abnormal growth formed due to unregulated cell division. Wrist tumors can occur on or underneath the skin.

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  • Kienbock Disease

    Kienbock's disease is a condition in which the lunate, one of the small bones of the wrist loses its blood supply leading to death of the bone.

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  • Carpal Tunnel Syndrome

    Carpal Tunnel Syndrome

    Carpal Tunnel Syndrome is a common, painful, progressive condition that is caused by compression of the median nerve at the wrist area.

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  • Ulnar Nerve Entrapment

    Ulnar Nerve Entrapment

    Cubital Tunnel Syndrome is a condition characterized by compression of the ulnar nerve in an area of the elbow called the cubital tunnel.

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  • SLAC Wrist

    The scaphoid and lunate are two small adjacent bones in the wrist which are held together by a ligament called the scapholunate ligament. Injury to this ligament can lead to instability causing arthritis and collapse of the wrist joints (scapholunate advanced collapse) characterized by pain, stiffness and weakness.

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  • SNAC Wrist

    The scaphoid is a small bone in the wrist which is commonly fractured. Chronic nonunion of a scaphoid fracture can lead to arthritis and collapse of the wrist joints (scaphoid nonunion advanced collapse) characterized by tenderness, stiffness and weakness.

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  • Gout and Pseudogout

    Gout is a very common, painful form of arthritis which causes swelling, redness and stiffness of the joints.

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  • Osteoarthritis

    Arthritis or joint inflammation can affect the bones and joints in the hand. Osteoarthritis is a type of arthritis where inflammation is produced as cartilage at the joint surface wears away or is injured.

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  • Rheumatoid Arthritis

    Rheumatoid arthritis is an autoimmune condition which means that the body’s immune system attacks its own tissues. It affects the lining of joints resulting in pain, swelling, bone loss and deformity and can affect other tissues as well.

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  • Psoriatic Arthritis

    Psoriatic arthritis (PsA) is an autoimmune disease that includes both psoriasis and a related form of arthritis.

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  • AIN Palsy

    The anterior interosseous nerve (AIN) is a branch of the median nerve which supplies the forearm and hand with motor functions. Pressure on this nerve can affect hand movements (palsy).

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  • DRUJ Arthritis

    The radius and ulna are bones of the forearm. The DRUJ (distal radioulnar joint) is a joint between the ends of these bones near the wrist. Injury, overuse or aging can result in wearing off cartilage at the joint causing inflammation or arthritis.

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  • Extensor Carpi Ulnaris Tendonitis

    The extensor carpi ulnaris tendon runs along the outer side of the forearm and is attached to the base of the little finger. It helps extend the wrist backwards and outwards and can get irritated and inflamed with overuse injuries such as racket sports.

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  • Extensor Carpi Ulnaris Subluxation (Snapping ECU)

    The extensor carpi ulnaris tendon passes through a groove on the ulna bone of the forearm where it is held in position by a sheath of connective tissue. Deficiency of this sheath can lead to dislocation or subluxation of the tendon causing pain and snapping with wrist movement.

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  • Ulnar Abutment (Impaction) Syndrome

    Injuries to the wrist can cause a change in anatomy increasing the load on the joint between the ulnar bone of the forearm and the carpal bones of the wrist. This can result in wrist pain which increases with certain wrist movements and with weight bearing.

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  • Hook of Hamate Fracture

    The hamate is one of the small bones on the outer side of wrist which has a hook-shaped protuberance that can easily fracture with a direct blow or while playing golf or baseball. Hook of hamate fractures are associated with wrist pain and decreased grip strength.

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  • Ulnar Styloid Impaction

    The ulnar styloid is a bony projection from the ulnar bone of the forearm near its end at the wrist. An elongated styloid or increased ulnar height relative to the radius can cause the styloid to impact against a bone in the wrist called the triquetrum causing pain, swelling and limited range of motion.

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  • Preiser's Disease (Scaphoid AVN)

    The scaphoid is one of the bones in the wrist close to the base of the thumb. Preiser’s disease is avascular necrosis of the scaphoid bone which can lead to wrist pain.

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  • Gymnast's Wrist (Distal Radial Physeal Stress)

    Gymnast’s wrist is a condition that usually affects young gymnasts due to weight bearing stresses on the wrist joint. It causes pain on the thumb side of the wrist and decreased range of motion and can affect bone growth.

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  • Wrist Ligament Tears & Instability

    Injuries caused due to stretching or tearing of the ligaments in the wrist are called wrist sprains. These injuries are usually caused by a fall during daily activities or sports activities.

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  • Intersection Syndrome

    Intersection syndrome is a condition characterized by pain and inflammation in a region at the back of the wrist where two wrist tendons rub against two muscles that connect at the thumb. It commonly affects weightlifters and skiers who perform repeated wrist movements.

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  • Wattenberg’s Syndrome (Cheiralgia Parasthetica)

    Wattenberg’s syndrome also called cheiralgia parasthetica is caused by compression of a branch of the radial nerve in the forearm near the wrist. It is characterized by pain and abnormal sensations at the back of the hand.

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  • Acute Compartment Syndrome Hand and Forearm

    Compartment syndrome is a condition in which pressure develops within muscle tissue obstructing the flow of blood which carries oxygen and nutrients. A severe injury to the hand and forearm may cause an acute form of this condition which can result in permanent muscle damage if not treated emergently.

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  • Ulnar Tunnel Syndrome

    Ulnar tunnel syndrome is caused by compression of the ulnar nerve as it passes through the wrist. It is characterized by numbness and tingling in the ring and little finger as well as decreased pinch or grip strength.

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  • Wrist Masses

    A wrist mass is an abnormal growth of tissue in the wrist and is also called a tumor. It can develop on any of the tissues in the wrist and may be benign or malignant.

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Procedures

  • Endoscopic Carpal Tunnel Release

    The carpal tunnel is a narrow passageway on the palm side of your wrist. Small wrist bones known as carpals form the bottom and sides of the carpal tunnel and a strong band of connecting tissue, known as the transverse carpal ligament, covers the top of the carpal tunnel.

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  • Open Carpal Tunnel Release

    The carpal tunnel is a narrow passageway on the palm side of your wrist. Small wrist bones known as carpals form the bottom and sides of your carpal tunnel and a strong band of connecting tissue, known as the transverse carpal ligament, covers the top of the carpal tunnel.

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  • Ulnar Nerve Decompression at The Wrist

    The ulnar nerve may get compressed by other structures as it passes through the wrist, affecting sensory and motor functions to the hand. Ulnar nerve decompression is a procedure to take pressure off the nerve.

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  • Partial and Full Wrist Fusion

    Arthrodesis is the surgical immobilization of a joint by the fusion of the adjacent bones.

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  • Total Wrist Replacement (Arthroplasty)

    Wrist joint replacement surgery, also referred to as total wrist arthroplasty, involves replacement of a severe arthritic wrist joint with an artificial joint made of metal and plastic components.

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  • Capitate Resurfacing

    The capitate is a small bone in the wrist. When arthritis of the wrist involves the capitate bone, it may be resurfaced with a prosthetic implant or an osteochondral (bone and cartilage) graft. Capitate resurfacing is usually performed along with carpectomy, a procedure to remove some of the wrist (carpal) bones.

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  • Ganglion Cyst Excision

    Ganglion cysts are fluid-filled lumps that most commonly develop along the tendons or joints of wrists or hands.

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  • Percutaneous Scaphoid Fracture Care

    The scaphoid is a wrist bone that is commonly fractured. If the fracture fragments are only slightly displaced, repair may be accomplished with a minimally invasive procedure using a screw passed through the skin to enter and stabilize the fracture fragments.

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  • Repair of Non-union of Scaphoid

    The scaphoid is a bone in the wrist close to the base of the thumb which is commonly fractured. Nonunion of a scaphoid fracture can occur due to damage to the blood supply.

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  • SL Ligament Repair and Reconstruction

    The scaphoid and lunate are small bones in the wrist. The scapholunate ligament between these bones contributes to wrist stability.

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  • Wrist Arthroscopy

    Wrist Arthroscopy

    Your wrist is a complex joint made up of eight small bones called carpal bones. These bones are supported by connecting ligaments.

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  • TFCC Repair

    The triangular fibrocartilage complex (TFCC) is a complex of tissues - cartilage and ligaments - located near the outer region of the wrist, below the little finger.

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  • DRUJ Stabilization

    The distal radioulnar joint, the joint between the forearm bones near the wrist, may become unstable following a wrist injury. Stability may be improved by immobilization, ligament repair and pinning of the joint.

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  • Tendon Transfers

    Tendon transfer surgery is a surgery to restore the lost functions of the hand by shifting functioning tendon from its initial attachment to the new one.

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  • Nerve Transfers

    A nerve injury can result in loss of sensation and function of the hand and wrist. A nerve transfer procedure involves using nerves with less important functions to restore crucial functions of damaged nerves.

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  • DRUJ Replacement

    The distal radioulnar joint, the joint between the forearm bones (radius and ulna) near the wrist, may undergo degeneration due to arthritis. This can be treated by resecting the wrist end of the ulna bone in the joint and replacing it with a prosthesis.

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  • Distal Ulna Resection

    The radius and ulna are bones of the forearm. When the height of the radius relative to the ulna is reduced, it can result in pain and arthritis at the wrist. This can be treated by resection of the end of the ulna bone at the wrist.

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  • ECU Sheath Repair and Reconstruction

    The extensor carpi ulnaris (ECU) is a tendon at the back of the hand and wrist that is enclosed in a sheath. The sheath can get damaged with overuse of the wrist leading to injury and dislocation of the tendon. The ECU sheath may be surgically repaired with sutures or reconstructed using a graft depending on the nature of the injury.

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  • Proximal Row Carpectomy

    The wrist consists of two rows of small bones called carpal bones which may undergo degeneration resulting in decreased wrist movement and grip strength. This may be treated by proximal row carpectomy, a surgical procedure which involves removal of the row of bones closer to the forearm.

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  • Vascularized Bone Grafting

    Vascularized Bone Grafting

    A vascularized bone graft is transplanted bone tissue which has a blood supply. It may be used in the wrist to treat nonhealing fractures or avascular necrosis, especially of the scaphoid and lunate bones.

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  • Ulnar Shortening Osteotomy

    Ulnar shortening osteotomy is a procedure which involves removal of part of the ulnar bone in the forearm and reattachment of the bone with a metal plate. It is usually performed to relieve pain and arthritis in the wrist due to shortened height of the radius.

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  • Wrist Denervation

    Wrist denervation is a procedure to reduce pain and disability of the wrist due to arthritis. It involves dividing the nerves responsible for the transmission of nerve signals.

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  • Wrist Ultrasound

    Wrist ultrasound is a therapy that uses heat generated by high-frequency ultrasound waves to heal the injured tissues and improve joint function. The heat produced reduces pain and spasms and helps stretch the tissues.

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  • Revision Carpal Tunnel and Cubital Tunnel Surgery

    Carpal and cubital tunnel syndromes are caused due to compression of nerves by surrounding structures and produce symptoms such as pain, tingling and weakness. Severe symptoms may be treated by surgery to release the nerves, but the condition can recur due to the formation of scar tissue.

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  • Arthroscopic TFCC Repair and Debridement

    The arthroscopic technique is a less invasive procedure where 2 to 3 incisions of about 5 mm each are made in the wrist, through which a telescope (arthroscope) and other surgical instruments are passed. Repair is based on the damage caused to the ligament and cartilage.

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  • Arthroscopic Assisted Scaphoid Fixation

    Fractures of the scaphoid bone in the wrist are usually unstable and difficult to treat without surgery. An arthroscopic technique may be used to reposition and fixate the scaphoid fracture fragments.

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  • The American Board of  Orthopaedic Surgery
  • Allegheny General Hospital
  • University of Pittsburgh  Medical Center
  • University of Cincinnati College of Medicine
  • American Society for Surgery of the Hand
  • American Association for Hand Surgery: AAHS
  • Alpha Omega Alpha