Oakland Regional Hospital Hand and Wrist Surgeons that can improve your lifestyle:
Keoni (Troy) Williams, M.D.
Our Hand Surgeons have extensive experience in treating hand and wrist conditions of all types. Their outstanding success rate has made our team the physicians of choice for professional athletes, the severely injured and those with common hand and wrist ailments from around the world.
Common Wrist Conditions and Treatments:
Sudden (acute) injury
An acute injury may occur from a direct blow, a penetrating injury, or a fall, or from twisting, jerking, jamming, or bending a limb abnormally. Pain may be sudden and severe. Bruising and swelling may develop soon after the injury. Acute injuries include:
- Bruises. After a wrist injury, bruising may extend to the fingers from the effects of gravity.
- Injuries to ligaments.
- Injuries to tendons.
- Injuries to joints.
- Pulled muscles (strains).
- Broken bones (fractures).
- Crushing injury, which can lead to compartment syndrome.
Overuse injuries occur when too much stress is placed on a joint or other tissue, often by "overdoing" an activity or repeating the same activity. Overuse injuries include the following:
Carpal tunnel syndrome is caused by pressure on a nerve (median nerve) in the wrist. The symptoms include tingling, numbness, weakness, or pain of the fingers and hand.
Tendon pain is actually a symptom of tendonitis, a series of very small tears (microtears) in the tissue in or around the tendon. In addition to pain and tenderness, common symptoms of tendon injury include decreased strength and movement in the affected area.
De Quervain's disease can occur in the hand and wrist when tendons and the tendon covering (sheath) on the thumb side of the wrist swell and become inflamed.
Carpal Tunnel Syndrome
Carpal tunnel syndrome describes an irritation of the synovial membranes around the tendons in the carpal tunnel. This inflammation results in pressure on the median nerve. The median nerve travels from the forearm into the hand through a 'tunnel' in your wrist. The bottom and sides of this tunnel are formed by wrist bones and the top of the tunnel is covered by a strong band of connective tissue or ligament. This tunnel also contains nine tendons that connect muscles to bones and bend your fingers and thumb. These tendons are covered with a lubricating membrane called synovium which may enlarge and swell under some circumstances. If the swelling is sufficient it may cause the median nerve to be pressed up against this strong ligament which may result in numbness, tingling in your hand, clumsiness or pain, all classic signs of carpal tunnel syndrome.
Some common causes include:
Repetitive grasping with the hands
Repetitive bending of the wrist
Increases in the intensity and duration of exercise (racket sports are common) Improper and ill-fitted equipment
Broken or dislocated bones in the wrist which produce swelling
Arthritis, especially the rheumatoid type
Thyroid gland imbalance
Hormonal changes associated with menopause
A lunate dislocation is an injury to the wrist. One of the small wrist bones, called the carpal bones, shifts out of position. A lunate dislocation is usually a severe injury causing pain, swelling, and numbness. Treatment of a lunate dislocation requires the bone to be brought back into normal position.
Information about wrist tendonitis, a common problem that can cause pain and swelling around the wrist. Wrist tendonitis is due to inflammation of the tendon sheath. Treatment of wrist tendonitis usually does not require surgery.
Wrist sprains are common injuries to the ligaments around the wrist joint. Wrist sprains can cause problems by limiting the use of our hands.
Wrist arthritis is a problem that can cause pain and difficulty performing normal activities. There are several causes of wrist arthritis, and fortunately there are a number of treatments for wrist arthritis.
Wrist ganglion cysts are lumps around the wrist and hand. Wrist ganglion cysts are benign collections of synovial fluid that arise either from a joint or tendon sheath.
Carpal bossing is a condition that causes a lump of bone to form on the back of the wrist. Treatment of a carpal boss may require surgery to remove the bump.
A wrist fracture is a common orthopedic injury. Patients who sustain a broken wrist may be treated in a cast, or they may need surgery for the fracture.
Scaphoid (Navicular) Fracture
A navicular fracture is caused by a fall or a direct blow to the wrist. This bone has an unusual blood supply which can cause healing problems.
A Galeazzi fracture is a variant of a radius fracture of the forearm. In addition to the fracture of the radius, these patients also have an injury of the distal radio-ulnar joint of the wrist. Treatment of a Galeazzi fracture is with surgery to repair the radius fracture.