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Hand & Wrist Services
Hands and wrists are prone to injuries such as fractures and tendon ruptures. They are often affected by overuse conditions such as carpal tunnel and tendinitis. Degenerative joint arthritis are also a frequent cause of pain and disability.
At The Orthopedic Center our providers are fellowship trained in wrist and hand surgery. They are versed in the treatment of common conditions as well as complex reconstructive procedures for wrist and hand arthritis.
Common Wrist And Hand Conditions We Treat:
- Carpal tunnel syndrome
- Cubital tunnel syndrome
- Guyon canal syndrome
- Wrist and hand fractures
- Snapping finger correction (trigger finger)
- Palmar fasciitis (Dupuytren’s contracture)
- Tendonitis, and tendon repairs and releases.
- Wrist and hand arthritis
- Wrist and hand ganglion cysts and growths
Carpal Tunnel Syndrome
Carpal tunnel syndrome is a common condition that will cause pain, tingling and numbness to the hand. If left untreated it can progress to weakness and loss of fine motor control in the hand.
Carpal tunnel syndrome is cause by the progressive compression of the median nerve as it crosses the wrist to enter the hand. The carpal tunnel is a fairly rigid structure that not only contains the median nerve, but also nine hand tendons.
The diagnosis of this syndrome can be made by history and physical examination. Sometimes electrodiagnostic (EMG) testing is needed to further assess the severity.
Initially conservative management is attempted and it works well in early and mild cases, especially if the cause can be identified and eliminated. This consists of bracing, stretches and at times a corticosteroid injection may be given.
Surgical decompression of the nerve is necessary if there is no improvement with conservative measures, the compression is severe and if muscle weakness and atrophy are occurring. It is an outpatient procedure that carries a very high success rate.
Wrist Fractures
Wrist fractures are a common injury. They usually occur after a fall, a motor vehicle collision or a sports injury.
A number of different bones in your forearm and wrist can be involved. However, the most common one is the distal portion of the radius, a forearm bone.
Treatment of wrist fracture may include a number of options. From simple immobilization in a splint, to a cast or surgical repair if the pieces are too displaced or unstable. It is important that the bones be place in optimal alignment. It will take approximately 6 weeks to heal.
Surgeons at The Orthopedic Center have many years of experience treating simple and complex injuries to the wrist and hand. Make an appointment today for a consultation regarding your injury.