Wrist Problems Solved at Nebraska Hand and Shoulder Institute

Your Wrist

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Don't ignore a bum wrist! Get help!

There are a number of common problems that can occur in a person’s wrists; for example, arthritis (degenerative, rheumatoid, lupus, gout).  A simple fall on the wrist can tear a ligament, the triangular fibrocartilage (TFCC), or break 1 of 10 or more bones (eight specifically within the wrist, end of the radius and the ulna bones of the forearm, or the metacarpals just beyond the wrist).  The main artery to the wrist can clot from using the hand to pound on things especially if you are a smoker (hypothenar hammer syndrome) and small clots can drift off from this to the fingertips causing little ulcers and extreme pain.  Pressure on the median nerve at the wrist can result in carpal tunnel syndrome and can cause pain, numbness, tingling, clumsiness or other symptoms while pressure on the ulnar nerve on the small finger side of the wrist results in ulnar tunnel syndrome causing pain, numbness in the small and ring finger side of the hand, and weakness.  Loss of blood supply to the main bone in the wrist (scaphoid) comprises Preiser’s syndrome, a painful situation on the thumb side of the wrist.  Loss of blood supply to the lunate on the small finger side of the wrist results in pain from Kienböck’s “disease”, and the most common bone of the wrist to be broken is the scaphoid which is often times hard to confirm in the first three weeks of breaking it.  On the top side of the wrist ganglion can protrude and pinch the posterior interosseous nerve (PIN) resulting in local pain in the top, not numbness- that is probably from a nerve problem- and on and on.  

With minimally invasive techniques, Dr. Ichtertz has a great track record for eliminating pain and suffering, keeping people on the job and returning them to the job if displaced by wrist or hand dysfunction.  

Contact us for an evaluation which may include x-ray, nerve conduction study and measurement of grip and pinch, etc.  We will help you identify and solve your problem.  

CTRC a Division of NHSI, PC

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