Wrist

Arthritis

Arthritis occurs when cartilage is damaged or decreased over time. Cartilage is the smooth covering over bones that allows joints to glide. This covering can become damaged due to traumatic injury or can just degenerate over time.

With severe and untreated arthritis the joint becomes inflamed and extra bone can form as your body attempts to protect the joint which causes even more pain.

Types

Arthritis in the wrist causes the wrist joint to become more narrow. There are different types of arthritis. The primary reason for arthritis is “wear and tear,” and is caused over time. This is osteoarthritis. Other types of arthritis can occur due to trauma or illness such as rheumatoid arthritis or septic arthritis. Systemic psoriasis or lupus can also cause joint degeneration.

Symptoms:

  • Pain
  • Loss of motion
  • Loss of strength
  • Grinding
  • Clicking
  • Pain with daily activities and motion

Diagnosis

  • Exam by your surgeon
  • X-rays
  • Possible MRI
  • Possible CT/CAT scan

Possible Treatment: Non-operative

  • Physical Therapy
  • Anti-inflammatory Medication
  • Injections
  • Nutritional Supplements

Possible Treatment: Operative

  • Fusion or excision of hand bones
  • Removal of cartilage fragments

Fractures

Wrist fractures can include a break in one of the forearm bones or the carpal bones. This usually occurs after trauma like a fall onto your outstretched hand.

Symptoms:

  • Pain
  • Bruising
  • Loss of motion
  • Deformity

Diagnosis:

  • Exam by your surgeon
  • X-rays
  • Possible further imaging

Possible Treatment: Non-operative:

  • Cast for 6 or more weeks
  • Physical therapy after cast removal

Possible Treatment: Operative:

  • Setting or reduction of the bone (manually putting the bones back in place)
  • Wires
  • Plate and screws

Inflammation

Tendonitis

Overuse is a common cause of tendonitis. Tendons attach the muscles to bone and become inflamed and painful. Microscopic tears in the tendons of your hand occur and when your body is unable to repair them fast enough and the tears exceed your capacity to heal, inflammation occurs. Occupations that require repetitive movement can lead to tendonitis in your wrist. Baseball players and athletes that play racquet sports are also at risk for tendonitis.

Symptoms:

  • Pain
  • Swelling

Diagnosis:

  • Exam by your surgeon
  • X-ray
  • MRI

Possible Treatment: Non-operative:

  • Rest
  • Modification of activity
  • Anti-inflammatory medication
  • Physical Therapy

Possible Treatment: Operative:

  • Removal of soft tissue or bone spurs

Wrist Instability

Wrists can become unstable due to a fall on an outstretched hand or other trauma. Instability occurs when ligaments that connect the bones in your wrist move out of place.

Symptoms:

  • Pain in back of the hand
  • Weakness when grasping objects
  • Clicking

Diagnosis:

  • Exam by your surgeon
  • X-ray
  • Possible MRI
  • Wrist scope

Possible Treatment: Non-operative:

  • Splint
  • Brace
  • Avoiding painful activities

Possible Treatment: Operative:

  • Ligament repair

Tears

Triangular Fibrocartilage Complex (TFCC) Tear

TFCC injuries often happen during trauma such as a fall on an outstretched hand or an injury where the wrist is twisted. Athletes who play baseball and racquet sports are at risk for this injury.

Symptoms:

  • Pain in the wrist
  • Clicking
  • Loss of strength
  • Inability to grip objects

Diagnosis:

  • Exam by your surgeon
  • Possible X-ray

Possible Treatment: Non-operative:

  • Physical Therapy
  • Splint or brace
  • Anti-inflammatory Medication
  • Injections
  • Immobilization

Possible Treatment: Operative:

  • Debridement
  • Reattaching of the TFCC with suture and small anchors

Office Location

Gitelis Orthopedics office

Hoffman Estates

1800 McDonough Road
Suite 202
Hoffman Estates, IL 60192

Located in the Ashton Center for Day Surgery building.

(847) 807-7770
fax: (847) 807-7771

Download Patient Forms


Barrington

27401 W. Hwy 22
Suite #6
Barrington, Il. 60010

Second office near Good Shepherd Hospital in Barrington, Il.

(847) 807-7770
fax: (847) 807-7771

Download Patient Forms