The wrist is a highly complex joint connecting the hand to the forearm. It is a collection of multiple bones and joints. The bones making up the wrist involve the distal ends of the radius and ulna, 8 carpal bones, and the proximal portions of the 5 metacarpal bones.
The wrist has three primary joints, allowing it more stability than if it had only one joint. It also provides your wrist and hand with a broad range of movement.
The wrist joints help your wrist move your hand up and down, like when you lift your hand to wave. These joints enable you to bend your wrist forward and backward, side to side, and rotate your hand.
Three main joints of the wrist are the following:
The eight carpal bones which make up the wrist are the following:
The major soft tissues found in the wrist include:
Arthroscopy allows your surgeon to see and work inside your shoulder joint through small incisions. A long thin, light instrument called an Arthroscope is used. During surgery, the arthroscope sends live video images from the inside of your joint to the monitor. Using these images the surgeon can diagnose and treat your shoulder problem.
Surgery is recommended when the patient is diagnosed with an injury based on the MRI results and physical examination and has failed conservative management such as physical therapy, anti-inflammatory medication, and joint injections. Conservative treatment has not resulted in a return to pre-injury status.
The healing process varies per patient and depends on the thickness/degree/location of the tears, age, and how active the patient is. The majority of patients heal within the first month after surgery. It’s imperative for patients to follow post-operative protocol such as attending physical therapy sessions and performing at-home exercises explained in the office to increase the range of motion and strength.
A cortisone injection consists of steroid medication and a numbing medication to help with the inflammation and pain. The injection helps by providing the medication directly to the area with inflammation to reduce the pain and swelling. The medication usually sets in within a few minutes. The effect of steroid injections is variable, in some patients, the effect is very short-lived and in other patients, it can last up until three months.
Symptoms are often first treated with non-surgical techniques, but there are many advanced procedures that can be utilized when necessary.
Muscle strains, injuries, and infections are typical causes, but spinal conditions may also be the culprit.
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