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Wrist Pain
file:Wrist pain.jpg, 300px, An illustration of wrist pain Wrist pain or open wrist is a type of syndrome that prevents the patient using their hand due to a painful wrist. The pain may be sharp, sometimes steadily increasing after trying to apply force. Typically pain is caused after exerting too strong a demand on the wrist, as is the case with weight lifters, Sportsperson, athletes in general, or with any weight-bearing activity to the wrist. Remedies and causes * After applying hot or cold pads in the first moments, if there is no inflammation, the use of a simple leather or neoprene wrist brace (or even a steel-reinforced one), is recommended in order to rest the wrist. Wrist pain can be caused by one or more of a number of different disorders, such as: *Carpal tunnel syndrome *Wrist osteoarthritis *Kienbock's disease *Scaphoid fracture *Scapholunate dissociation *Carpal boss *Ganglion cyst *Ulnar nerve entrapment, sometimes due to wrist or elbow abnormalities such as Guyon's ...
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Wrist Pain
file:Wrist pain.jpg, 300px, An illustration of wrist pain Wrist pain or open wrist is a type of syndrome that prevents the patient using their hand due to a painful wrist. The pain may be sharp, sometimes steadily increasing after trying to apply force. Typically pain is caused after exerting too strong a demand on the wrist, as is the case with weight lifters, Sportsperson, athletes in general, or with any weight-bearing activity to the wrist. Remedies and causes * After applying hot or cold pads in the first moments, if there is no inflammation, the use of a simple leather or neoprene wrist brace (or even a steel-reinforced one), is recommended in order to rest the wrist. Wrist pain can be caused by one or more of a number of different disorders, such as: *Carpal tunnel syndrome *Wrist osteoarthritis *Kienbock's disease *Scaphoid fracture *Scapholunate dissociation *Carpal boss *Ganglion cyst *Ulnar nerve entrapment, sometimes due to wrist or elbow abnormalities such as Guyon's ...
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Carpal Boss
Carpometacarpal bossing (or metacarpal/carpal bossing) is a small, immovable mass of bone on the back of the wrist. The mass occurs in one of the joints between the carpus and metacarpus of the hand, called the carpometacarpal joints, where a small immovable protuberance occurs when this joint becomes swollen or bossed. The joint between the index metacarpal and the capitate is a fibrous non-mobile joint. Some people have a gene that leads to this growth. It looks like arthritis (bone spurs on each side of the joint) on X-ray. It looks like a ganglion on the hand, but more towards the fingertips. Clinical significance The carpometacarpal joint is usually found at the base of the second and third metacarpal bones at the point where they meet the small bones of the wrist. Bosses are usually painless and will never cause more than a slight ache. They tend to be of manageable size, but on occasion the extensor tendons can slide over the bump, which can be annoying. Sometimes t ...
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Wrist Brace
A wrist brace is a supportive garment worn around the wrist to reinforce and protect it against strains and sprains during strong use, or as a splint to help healing. Wrist braces are common accessories in injury rehabilitation processes involving the wrist. They immobilize the joint and provide heat and compression to the wrist bones and ligaments. Currently, they are made with a rigid tissue nylon fabrics or neoprene that allows limited mobility of the hand and wrist and are usually fixed with Velcro, some times with extensions to ensure they cover part of the hand adhering around thumb. In severe cases, they incorporate metal "spines" to better immobilize the joint. Uses They are indicated for wrist trauma with and without fracture, immobilization of the joint, postoperative synovitis, recurrent degenerative sprains or articulation inflammations, among many other cases. In rehabilitation to immobilize the wrist into a neutral position, which "theoretically minimizes stres ...
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Sprained Ankle
A sprained ankle, also known as a twisted ankle or rolled ankle, is an injury where sprain occurs on one or more ligaments of the ankle. It is the most common injury to occur in ball sports, such as basketball, volleyball, football, and racquet sports. Signs and symptoms Knowing the symptoms that can be experienced with a sprain is important in determining that the injury is not really a break in the bone. When a sprain occurs, hematoma occurs within the tissue that surrounds the joint, causing a bruise. White blood cells responsible for inflammation migrate to the area, and blood flow increases as well. Along with this inflammation, swelling and pain is experienced. The nerves in the area become more sensitive when the injury is suffered, so pain is felt as throbbing and will worsen if there is pressure placed on the area. Warmth and redness are also seen as blood flow is increased. Also there is a decreased ability to move the joint. Image:Freshspraininbrace.JPG, Right foot, ...
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Tendonitis
Tendinopathy, a type of tendon disorder that results in pain, swelling, and impaired function. The pain is typically worse with movement. It most commonly occurs around the shoulder (rotator cuff tendinitis, biceps tendinitis), elbow (tennis elbow, golfer's elbow), wrist, hip, knee ( jumper's knee, popliteus tendinopathy), or ankle (Achilles tendinitis). Causes may include an injury or repetitive activities. Less common causes include infection, arthritis, gout, thyroid disease, diabetes and the use of quinolone antibiotic medicines. Groups at risk include people who do manual labor, musicians, and athletes. Diagnosis is typically based on symptoms, examination, and occasionally medical imaging. A few weeks following an injury little inflammation remains, with the underlying problem related to weak or disrupted tendon fibrils. Treatment may include rest, NSAIDs, splinting, and physiotherapy. Less commonly steroid injections or surgery may be done. About 80% of patients reco ...
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Wrist Sprain
In human anatomy, the wrist is variously defined as (1) the carpus or carpal bones, the complex of eight bones forming the proximal skeletal segment of the hand; "The wrist contains eight bones, roughly aligned in two rows, known as the carpal bones." (2) the wrist joint or radiocarpal joint, the joint between the radius and the carpus and; (3) the anatomical region surrounding the carpus including the distal parts of the bones of the forearm and the proximal parts of the metacarpus or five metacarpal bones and the series of joints between these bones, thus referred to as ''wrist joints''. "With the large number of bones composing the wrist (ulna, radius, eight carpas, and five metacarpals), it makes sense that there are many, many joints that make up the structure known as the wrist." This region also includes the carpal tunnel, the anatomical snuff box, bracelet lines, the flexor retinaculum, and the extensor retinaculum. As a consequence of these various definitions, fr ...
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Wrist Fracture
A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. Symptoms include pain, bruising, and rapid-onset swelling. The ulna bone may also be broken. In younger people, these fractures typically occur during sports or a motor vehicle collision. In older people, the most common cause is falling on an outstretched hand. Specific types include Colles, Smith, Barton, and Chauffeur's fractures. The diagnosis is generally suspected based on symptoms and confirmed with X-rays. Treatment is with casting for six weeks or surgery. Surgery is generally indicated if the joint surface is broken and does not line up, the radius is overly short, or the joint surface of the radius is tilted more than 10% backwards. Among those who are cast, repeated X-rays are recommended within three weeks to verify that a good position is maintained. Distal radius fractures are common, and are the most common type of fractures that ...
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Cubital Tunnel Syndrome
Ulnar nerve entrapment is a condition where the ulnar nerve becomes physically trapped or pinched, resulting in pain, numbness, or weakness, primarily affecting the little finger and ring finger of the hand. Entrapment may occur at any point from the spine at cervical vertebra C7 to the wrist; the most common point of entrapment is in the elbow (Cubital tunnel syndrome). Prevention is mostly through correct posture and avoiding repetitive or constant strain (e.g. "cell phone elbow"). Treatment is usually conservative, including medication, activity modification, and exercise, but may sometimes include surgery. Prognosis is generally good, with mild to moderate symptoms often resolving spontaneously. Signs and symptoms In general, ulnar neuropathy will result in symptoms in a specific anatomic distribution, affecting the little finger, the ulnar half of the ring finger, and the intrinsic muscles of the hand. The specific symptoms experienced in the characteristic distribution d ...
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Guyon's Canal Syndrome
Ulnar tunnel syndrome, also known as Guyon's canal syndrome or Handlebar palsy, is caused by entrapment of the ulnar nerve in the Guyon canal as it passes through the wrist. Symptoms usually begin with a feeling of pins and needles in the ring and little fingers before progressing to a loss of sensation and/or impaired motor function of the intrinsic muscles of the hand which are innervated by the ulnar nerve. Ulnar tunnel syndrome is commonly seen in regular cyclists due to prolonged pressure of the Guyon's canal against bicycle handlebars. Another very common cause of sensory loss in the ring and pink finger is due to ulnar nerve entrapment at the cubital tunnel near the elbow, which is known as cubital tunnel syndrome. Causes While being idiopathic in some cases, causative factors of the ulnar tunnel syndrome include tumors, ganglion cysts, repetitive use, anatomical variations, and diseases of the neighboring blood vessels (thrombosis or aneurysm of the ulnar artery). Dia ...
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Ulnar Nerve Entrapment
Ulnar nerve entrapment is a condition where the ulnar nerve becomes physically trapped or pinched, resulting in pain, numbness, or weakness, primarily affecting the little finger and ring finger of the hand. Entrapment may occur at any point from the spine at cervical vertebra C7 to the wrist; the most common point of entrapment is in the elbow (Cubital tunnel syndrome). Prevention is mostly through correct posture and avoiding repetitive or constant strain (e.g. "cell phone elbow"). Treatment is usually conservative, including medication, activity modification, and exercise, but may sometimes include surgery. Prognosis is generally good, with mild to moderate symptoms often resolving spontaneously. Signs and symptoms In general, ulnar neuropathy will result in symptoms in a specific anatomic distribution, affecting the little finger, the ulnar half of the ring finger, and the intrinsic muscles of the hand. The specific symptoms experienced in the characteristic distribution d ...
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Ganglion Cyst
A ganglion cyst is a fluid-filled bump associated with a joint or tendon sheath. It most often occurs at the back of the wrist, followed by the front of the wrist. Onset is often over several months, typically with no further symptoms. Occasionally, pain or numbness may occur. Complications may include carpal tunnel syndrome. The cause is unknown. The underlying mechanism is believed to involve an outpouching of the synovial membrane. Risk factors include gymnastics activity. Diagnosis is typically based on examination with light shining through the lesion being supportive. Medical imaging may be done to rule out other potential causes. Treatment options include watchful waiting, splinting the affected joint, needle aspiration, or surgery. About half the time, they resolve on their own. About three per 10,000 people newly develop ganglion of the wrist or hand a year. They most commonly occur in young and middle-aged females. Presentation The average size of these cysts is 2.0 ...
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Scapholunate Dissociation
The scapholunate ligament is a ligament of the wrist. Rupture of the scapholunate ligament causes scapholunate instability, which, if untreated, will eventually cause a predictable pattern of wrist osteoarthritis called scapholunate advanced collapse (SLAC). Anatomy The scapholunate ligament is an intraarticular ligament binding the scaphoid and lunate bones of the wrist together. It is divided into three areas, dorsal, proximal and palmar, with the dorsal segment being the strongest part. It is the main stabilizer of the scaphoid. In contrast to the scapholunate ligament, the lunotriquetral ligament is more prominent on the palmar side. Instability Complete rupture of this ligament leads to wrist instability. The main type of such instability is dorsal intercalated segment instability (DISI) deformity, where the lunate angulates to the posterior side of the hand. A ''dynamic scapholunate instability'' is where the scapholunate ligament is completely ruptured, but secondary sc ...
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