Wrist disorders

Disorders of the Wrist

Dr. Wahby Ghalib
CABO FJMC MRCS

Radial club hand

Absence of whole or part of radius

Hand is in radial deviation

Isolated or associated other anomalies (cardiac, blood, vertebral, GI)

Rx : manipulation + splintage

surgery

Madelung deformity

Congenital or posttraumatic

Lower radius curves forward & medially

Rx : if function affected  osteotomy

Kienbock disease

= crushing osteochondritis of lunate

It is AVN of lunate

Cause : unknown

May be : relatively short ulna

CF: wrist pain & weak grip

XR:  bone density

collapse
OA
Rx : splintage
shortening of radius
arthrodesis

De Quervain`s disease

Tenosynovitis of the compartment of APL & EPB

Cause : overuse

CF : middle aged female
pain & swelling over radial styloid
Finkelstein t.

Rx : NSAIDS

steroid injection
surgery

Ganglion

Commonest swelling in the wrist

Pathology : myxoid degeneration in a ligament or capsule

It is a cyst that contains mucoid material

CF : painless swelling

Rx : removal if troublesome or unsightly

Recurrence is common

thanks