MANUAL MINORS
The wrist is a complex structure composed of various bones, ligaments, and tendons, making it prone to a variety of injuries. Below are the most common wrist injuries we treat in emergency settings:
Category | Description |
|---|---|
Fractures | |
Distal Radius Fracture (Colles) | A common wrist fracture, typically caused by a fall onto an outstretched hand. It displaces the radius upwards and backwards. |
Scaphoid Fracture | A fracture of the scaphoid bone in the wrist. It can be difficult to detect initially and may require follow-up or MRI for diagnosis. |
Carpal Bone Fractures | Fractures of other wrist bones such as the lunate or trapezium. Less common and require specific treatment. |
Sprains and Strains | |
Ligament Sprain | Stretching or tearing of ligaments. Classified by degrees, from mild to severe, and may require immobilisation or surgery. |
Ligament Complex Injuries | Involves multiple ligaments and may require immobilisation, physiotherapy, or surgery depending on severity. |
Tendon Injuries | |
Tendinitis and Tenosynovitis | Inflammation of tendons due to overuse or repetitive injury. Evaluated based on symptoms and treated conservatively. |
Tendon Rupture | Rupture of important tendons, causing inability to move the wrist or fingers. Surgery may be required. |
Nerve Injuries | |
Carpal Tunnel Syndrome | Compression of the median nerve, causing pain, numbness, and weakness in the hand. May require conservative treatment or surgery. |
Radial or Ulnar Nerve Injuries | Traumatic injuries that can cause motor or sensory deficits. |
Dislocations | |
Wrist Dislocation | Dislocation of wrist bones, usually due to severe trauma. Requires reduction and immobilisation. |
Management Protocol
Step | Details |
Initial Assessment | Quick assessment to determine the severity, presence of open fractures, and any vascular or neurological compromise. |
Diagnostic Imaging | X-rays are used to assess fractures. Sometimes, CT scans or MRIs are necessary for more detailed evaluation. |
Initial Treatment | Includes immobilisation with a splint, pain management, and limb elevation. |
Surgical Intervention | Necessary for displaced fractures, severe ligament injuries, or unstable fractures. |
Follow-up and Rehabilitation | Physiotherapy to restore function and prevent long-term stiffness or weakness. |
Management Protocol
Initial Assessment: A quick assessment is performed to determine the severity of the injury, the presence of any open fractures, and signs of vascular or neurological compromise.
Diagnostic Imaging: X-rays are essential to evaluate fractures. Sometimes, CT scans or MRIs are required for more detailed evaluation.
Initial Treatment: This may include immobilisation with a splint, pain management, and elevation of the limb.
Surgical Intervention: In cases of displaced fractures, severe ligament injuries, or unstable fractures, surgical intervention may be necessary.
Follow-up and Rehabilitation: Physiotherapy is crucial for restoring function and preventing long-term stiffness or weakness.
Each case is unique, and treatment should be tailored based on clinical assessment and diagnostic test results.
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