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Any movement of the thumb and wrist causes the patient pain, inflammation and swelling. The presence of anomalous or variant muscles in the fourth compartment may result in chronic dorsal wrist pain, a condition known as the fourth compartment syndrome. [4] Intersection syndrome can be caused by direct trauma to the second extensor compartment.
The physical exam may show tenderness by palpation over the scapholunate ligament on the back of the wrist, immediately below the radius. [1] [4] Swelling and deformities are the two clinical signs associated with arthritis. The wrist is clinically tested by slight flexion while the physician feels the back of the wrist with the thumb. [4]
A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. [1] Symptoms include pain, bruising, and rapid-onset swelling. [1] The ulna bone may also be broken. [1] In younger people, these fractures typically occur during sports or a motor vehicle collision. [2]
This syndrome may be clinically tested by flexing the patients long finger while the patient extends the wrist and fingers. Pain is a positive finding. The chief complaint of this disease is usually pain in the dorsal aspect of the upper forearm, and any weakness described is secondary to the pain.
Examination may identify limited passive wrist motion, pain at the extremes of wrist motion, tenderness at the radioscaphoid joint, and dorsal radial prominence. [2] Activities that use forceful wrist extension such as rising from a chair or push-ups may be painful.
Symptomatic alleviation (palliative treatment) is provided mainly by splinting the thumb and wrist. Pain medications such as NSAIDs can also be considered. [4] [6] Steroid injections are commonly used, but are not proved to alter the natural history of the condition. [7] Surgery to release the first dorsal component is an option. [4]
Dorsal intercalated segment instability (DISI) is a deformity of the wrist where the lunate bone angulates to the dorsal side of the hand. [2] [3] Causes
Pain management can be achieved during the reduction with procedural sedation and analgesia or a hematoma block. [5] A year or two may be required for healing to occur. [2] About 15% of people have a Colles' fracture at some point in their life. [3] They occur more commonly in young adults and older people than in children and middle-aged ...