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Persistent Wrist Pain.

Biswas S - Eplasty (2015)

View Article: PubMed Central - PubMed

Affiliation: Department of Trauma and Acute Care Surgery, Allegheny Health Network, PA, USA.

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A 48-year-old manual laborer presented with persistent, severe painful wrist progressively getting worse... He was actively involved in sports for more than 35 years, which often resulted in him landing on his wrists repeatedly on hard grounds... Osteoarthritis can develop due to normal “wear and tear” in the wrist, particularly with a significant family history of arthritis... It may also develop as a result of a traumatic injury, such as fractured wrist bone or a wrist sprain... Scapholunate advanced collapse accounts for a significant number (∼55%) of degenerative wrist arthritis... Wrist OA usually involves 4 patterns that determine the treatment option for each. (a) Scaphoid, trapezoid, and trapezium (STT) joint arthritis: Arthritis develops in the joint at the base of the thumb between the 3 carpal bones. (b) Scapholunate advanced collapse pattern of arthritis: Chronic scapholunate ligament injury causes scaphoid flexion and lunate extension resulting in abnormal force distribution across the midcarpal and radiocarpal joints... Radioscaphoid joint is affected first, followed by capitolunate joint. (c) Scaphoid nonunion advanced collapse pattern of arthritis: An unhealed scaphoid fracture may alter the biomechanics of the wrist joint resulting in “scaphoid nonunion advanced collapse. ” (d) Pancarpal arthritis Arthritis involving majority of the wrist joint... Surgery for STT arthritisi... Excision of distal scaphoid with or without replacement: Usually indicated for isolated STT arthritis... Surgery for scapholunate advanced collapse or scaphoid nonunion advanced collapse pattern of arthritisi... Total wrist replacement: Performed in patients with arthritis in both wrists but with relatively low manual demands... The operation results in good pain relief and a functional range of movement. iii... Wrist denervation: In this procedure, nerve branches that take sensations from the wrist to the brain are cut, which will reduce pain perception and improve symptoms temporarily.

No MeSH data available.


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Persistent Wrist Pain.

Biswas S - Eplasty (2015)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522145&req=5

View Article: PubMed Central - PubMed

Affiliation: Department of Trauma and Acute Care Surgery, Allegheny Health Network, PA, USA.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

A 48-year-old manual laborer presented with persistent, severe painful wrist progressively getting worse... He was actively involved in sports for more than 35 years, which often resulted in him landing on his wrists repeatedly on hard grounds... Osteoarthritis can develop due to normal “wear and tear” in the wrist, particularly with a significant family history of arthritis... It may also develop as a result of a traumatic injury, such as fractured wrist bone or a wrist sprain... Scapholunate advanced collapse accounts for a significant number (∼55%) of degenerative wrist arthritis... Wrist OA usually involves 4 patterns that determine the treatment option for each. (a) Scaphoid, trapezoid, and trapezium (STT) joint arthritis: Arthritis develops in the joint at the base of the thumb between the 3 carpal bones. (b) Scapholunate advanced collapse pattern of arthritis: Chronic scapholunate ligament injury causes scaphoid flexion and lunate extension resulting in abnormal force distribution across the midcarpal and radiocarpal joints... Radioscaphoid joint is affected first, followed by capitolunate joint. (c) Scaphoid nonunion advanced collapse pattern of arthritis: An unhealed scaphoid fracture may alter the biomechanics of the wrist joint resulting in “scaphoid nonunion advanced collapse. ” (d) Pancarpal arthritis Arthritis involving majority of the wrist joint... Surgery for STT arthritisi... Excision of distal scaphoid with or without replacement: Usually indicated for isolated STT arthritis... Surgery for scapholunate advanced collapse or scaphoid nonunion advanced collapse pattern of arthritisi... Total wrist replacement: Performed in patients with arthritis in both wrists but with relatively low manual demands... The operation results in good pain relief and a functional range of movement. iii... Wrist denervation: In this procedure, nerve branches that take sensations from the wrist to the brain are cut, which will reduce pain perception and improve symptoms temporarily.

No MeSH data available.