Hand and Wrist Injuries

Injuries to the hand and wrist are among the most common orthopaedic problems we see at EOG. Because people use their hands at work, play and everyday life, these frequent injuries are inconvenient and often incapacitating. Rehabilitation and recovery can also be a challenge. The diagnosis, treatment and guidance of our professional staff will help you regain as much function as possible with the least discomfort and inconvenience.

Common hand and wrist injuries

 

Carpal tunnel syndrome

Many people suffer from carpal tunnel syndrome as a result of repeated hand motion in their job, hobby, exercise or other activities. It occurs when excessive pressure is placed on a nerve that passes through the wrist. People with carpal tunnel syndrome experience pain, numbness and tingling in their hand, which can be debilitating. While it can be effectively treated in its early stages, it can also be progressive, creating permanent nerve damage in some cases. Anti-inflammatories, splinting and ceasing the repetitive motion are primary treatments. If the case is severe, surgery may be necessary to alleviate the problem. Preventing the condition by adjusting hand motions, resting, conditioning exercises and minimizing repetition is highly recommended.

Arthritis

Arthritis in the wrist, hand and fingers afflicts many people, especially as they grow older. There are many causes of arthritis in these appendages, ranging from trauma and repetitive motion to heredity and disease. In many cases, the pain and loss of function can negatively affect quality of life. Fortunately, there are a range of treatments that typically produce excellent results. Heat, braces, anti-inflammatories and therapy can reduce symptoms and make the condition manageable. In more extreme cases, surgery may be required.

Tendonitis

Athletes and people who work with their hands often experience tendonitis, especially in their wrists. This inflammation of the tendon sheath is painful and debilitating, but it is also quite treatable. Rest, anti-inflammatories, therapy and braces typically resolve the problem. Surgery is rarely needed for this tendonitis.

Finger sprains and dislocations

The fingers are vulnerable to sprains and dislocations in many activities, from sports and exercise to work activities. While they are painful and inconvenient, treatment is very effective. For sprains – the straining or tearing of ligaments – rest, splinting and anti-inflammatories are recommended. Dislocations are more severe and need greater care. A physician should realign the affected finger and evaluate the damage to the ligaments and joint capsule. Treatment is similar, though surgery may be necessary to repair the structures.

Broken bones

Falls and other trauma are the typical causes of broken bones in the hands and wrists. They are usually very painful, with swelling and bruising. A physician should evaluate and treat a suspected fracture. Setting and casting or splinting is utilized for less severe breaks, while surgery may be necessary for bad breaks.

Mallet (baseball) finger

This condition occurs when the finger is “jammed,” forcing it to bend too far at the last knuckle, causing the tendon to overstretch and break. Mallet finger is common among people who play baseball, softball, football, soccer or take part in other activities that may expose the fingers to trauma. Treatment in most cases is special splinting for six weeks or longer, which allows the tendon to heal. Surgery is rarely needed to correct this condition.