Disorders of the Wrist
Dr. Wahby GhalibCABO FJMC MRCS
Radial club hand
Absence of whole or part of radiusHand is in radial deviation
Isolated or associated other anomalies (cardiac, blood, vertebral, GI)Rx : manipulation + splintage
surgeryMadelung deformity
Congenital or posttraumaticLower radius curves forward & medially
Rx : if function affected osteotomyKienbock disease
= crushing osteochondritis of lunate
It is AVN of lunateCause : unknown
May be : relatively short ulnaCF: wrist pain & weak grip
XR: bone densitycollapse
OA
Rx : splintage
shortening of radius
arthrodesis
De Quervain`s disease
Tenosynovitis of the compartment of APL & EPBCause : overuse
CF : middle aged femalepain & swelling over radial styloid
Finkelstein t.
Rx : NSAIDS
steroid injectionsurgery
Ganglion
Commonest swelling in the wristPathology : myxoid degeneration in a ligament or capsule
It is a cyst that contains mucoid materialCF : painless swelling
Rx : removal if troublesome or unsightly