De Quervain's Tenosynovitis

WRIST CONDITIONS

WHAT CONDITIONS CAN AFFECT THE WRIST?

There are several types of conditions that can cause pain in the wrist. These include:

  • Osteoarthritis
    Osteoarthritis, also known as degenerative arthritis, causes the cartilage that surrounds the bone to wear away, decreasing the protective space between the bones. This causes stiffness, swelling and pain, and is most common in people over the age of 50.
  • Rheumatoid arthritis
    Rheumatoid arthritis is a chronic disease that affects joints in various parts of the body including the hands, wrists, knees and shoulders. The disease causes the lining of the joints to swell and then break off, causing pain and stiffness.
  • Post-traumatic arthritis
    Post-traumatic arthritis occurs after an injury, such as a dislocation or fracture.
  • Trauma
    Trauma to the wrist such as falling and landing on the wrist or having something strike the wrist can cause fractures of the bones around the wrist joint or sparins of the ligaments.
  • De Quervain's tenosinovitis of the extensor tendons
    This condition affects the tendons in the thumb, namely the abductor pollicis longus (APL) and the extensor pollicis brevis (EPB) .

WHAT ARE THE SYMPTOMS OF WRIST CONDITIONS?

Symptoms of wrist related conditions include:

  • Wrist joint pain
  • Wrist stiffness
  • Deformity
  • Swelling of the wrist

HOW ARE WRIST CONDITIONS DIAGNOSED?

Like any other medical condition problems around the wrist are diagnosed through a thorough clinical and radiological assessment. As part of the clinical assessment orthopedic surgeons look for swelling, bruising, decreased movement and pain in the wrist. The radiological battery of tests may include XR, ultrasound and or MRI scans depending on the suspected condition.

WHAT ARE THE TREATMENT OPTIONS

Non operative treatment consists of rest and splintage, antiinflamatory medication cortison injections and rehabilitation.

If that fails, Dr. Pirjol will recomend surgery ccording to the latest and most successful techniques, such as the arthroscopic surgery.

DR GABRIEL PIRJOL

Dr Gabriel Pirjol is an orthopaedic surgeon based in Kwazulu Natal at St Augustine’s Hospital in Durban. He also consults and operates from Gateway Hospital in Umhlanga, Westville Hospital and Malvern Medicross.

CONTACT

Telephone: +27 31 202 5463

Email: gpirjol@gmail.com / lisacbauerschmidt@gmail.com

Address : Suite 24 Chelmsford Medical Centre
St Augustine's Hospital
107 J B Marks Road
Berea, 4001