Wrist Injury

Wrist Injury
May 30, 2016

wrist-injuryWith shoulder and hand division at Max Healthcare, as the present forte of deliverance of treatment, Dr. Gupta calmly states that, “Wrist is a complex structure which is made of bones, ligaments and muscles. There are two bones radius and ulna which join the wrist to the forearm and eight carpal bones in the wrist that govern its functionality and acts as a support system. It is relatively easy to sustain an injury in the wrist by a mere fall or playing sports which result in sprains, fractures or torn ligaments.”

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“Swelling, pain, tenderness, deformity and limited movement enforce the presence of injury to the wrist and it is essential that medical attention be sought if the debilitating signs do not subside within 24 hours. It is essential that wrist injury be properly diagnosed and treated effectively to avoid long term stiffness and persistent backdrop pain in it”, explains Dr. Gupta.
25 years of experience at AIIMS, The Medanta Medicity and more than 6000 surgeries are enough to mark his credentials. He believes in Restore-Rejuvenate principle and has been awarded numerous times as the introducer of international painless techniques in the field of upper extremity.

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“Wrist injuries are often wrongly interpreted as one condition is subtly related to another. Once they are diagnosed, the treatment depends on their severity and nature. The surgeon undertakes the best suitable technique. Mild sprains are splinted and severe tears or fractures are taken up by surgical release. Though rehabilitation and recovery in strength and mobility is a long process of patience and regular checkups with prescribed precautions”, winds up Dr. Gupta.


FAQ – Wrist Injury

The wrist comprises of two forearm bones i.e. the radius and the ulna and eight carpal bones. When sprain, break in one or multiple carpal bones/ forearm bones or a tear in ligaments causes pain in the wrist region, it is referred to as wrist injury.
Sprain causes wrist injury by affecting the ligaments that connect the bones together. There is no clinical evidence of a break in any bone when there is a wrist sprain except partial or complete tearing of the ligaments. Sprain also tears muscles that surround the bones thereby causing injury.
An injury to the wrist can be caused due to a traumatic fall on the outstretched hand, repetitive use of the wrist or weak bones resulting in osteoporosis.
Just Pain and limited movement of the wrist does not signify an injury. The signs of wrist injury include pain, swelling, inability to move the wrist, tenderness in the wrist region, visible paleness and deformity are symptoms that point towards the wrist having incurred an injury.
If there is intense pain and swelling in the wrist along with visible deformity it is advisable to seek medical attention immediately as the wrist might have sustained a fracture and the patient might have displaced a bone or multiple bones. The patient can wait for a day or so if there is just mild pain with no other significant factor associated with it.
The first step to diagnosing an injury to the wrist is ascertaining through normal questions the mechanism of injury. A physical examination is conducted thereof to deduce any other subtle cause for the pain. The orthopedics will especially analyze anatomical snuffbox, an area in the wrist to check whether the patient might have sustained scaphoid fracture. Once the physical examination is complete the orthopedics would recommend X-ray, MRI, Arthrography or bone scan whichever seems adequate to be conclusive.
In case of mild sprains or non displaced fractures the wrist is put in a splint. The severity of the pain and swelling determines whether the wrist will be immobilized in a plastic or a velcro splint. Along with this, the patient might be prescribed oral anti inflammatory drugs and gentle exercises. If the injury is severe in the form of ligament tear and fracture then the orthopedic surgeon might take up surgical release technique. These techniques depend on the type of fracture or tear, location and the severity. General surgical techniques though undertaken to relieve the patient comprise of Arthroscopy(keyhole surgery), pain relieving magnets, fixation through metal hardware, replacement or open surgery.
Only mild natured injuries can be treated at home immediately with applying RICE which signifies Rest, Ice application, Compression of swelling by bandage and Elevation of the wrist to immobilize it. In cases of severe injury it is advisable to seek medical attention after this home first aid.
Wrist injuries in lieu of sprains or fractures are often a result of careless falls or injury sustained during sports. The only way to prevent them is walking carefully on slippery and wet floors and wearing protective guards around the wrist and hands while playing sports.
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