Wrist Surgery

Understanding the Wrist

The wrist is a complex joint that connects the hand to the forearm. It is composed of eight small bones known as carpal bones, which are arranged in two rows. These bones are connected by ligaments and tendons, allowing for a wide range of motion. The wrist plays a crucial role in many daily activities, from typing to lifting objects.

When Surgery Becomes Necessary

Wrist surgery becomes necessary when non-surgical treatments fail to alleviate pain or restore function. Conditions that may require wrist surgery include carpal tunnel syndrome, Dupuytren's contracture, wrist tendon injuries, and complications from previous wrist surgeries such as the need for surgical pin removal.

Overview of the Surgical Procedure

Wrist surgery can involve various techniques, depending on the condition being treated. It may involve decompression surgery, fasciectomy, arthroscopy, tendon repair, or surgical pin removal. The primary objective is to alleviate pain, restore function, and prevent further damage.

Surgical Procedures Explained

• Carpal Tunnel Syndrome Decompression Surgery: This procedure involves cutting the ligament that forms the top of the carpal tunnel to relieve pressure on the median nerve.
• Palmar Fasciectomy (Dupuytren's Contracture Release Surgery): This surgery involves removing the thickened and contracted part of the fascia, a band of tissue beneath the skin in the palm.
• Keyhole Wrist Surgery (Wrist Arthroscopy): This minimally invasive procedure uses a small camera and instruments to diagnose and treat various wrist conditions.
• Wrist Tendon Repair Surgery: This procedure involves repairing a torn or damaged tendon in the wrist.
• Wrist Surgical Pin Removal: This procedure involves removing pins that were previously inserted to hold the wrist bones in place during healing.

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Related Concerns

Wrist conditions that require surgery can lead to chronic pain, reduced mobility, and decreased quality of life. If left untreated, these conditions can lead to permanent damage and disability.

Causes of the Issues

The causes of wrist conditions can vary. Carpal tunnel syndrome is often caused by repetitive hand and wrist movements, while Dupuytren's contracture is thought to be related to genetic factors. Wrist tendon injuries can occur due to trauma or overuse, and complications from previous wrist surgeries may necessitate further surgical intervention.

Treatment Approaches

Treatment for wrist conditions can range from conservative approaches such as physical therapy and medication to surgical interventions. The choice of treatment depends on the severity of the condition, the patient's overall health, and their personal preferences.

Service Overview

Wrist surgery can provide significant relief from pain and improve function in patients with various wrist conditions. The specific surgical procedure will depend on the underlying condition, but all aim to restore normal function and improve the patient's quality of life.

Step-by-Step Guide to Wrist Surgery

1. The patient is given anaesthesia.
2. The surgeon makes an incision in the wrist.
3. Depending on the procedure, the surgeon may repair or remove damaged tissue, release pressure on a nerve, or remove surgical pins.
4. The incision is closed with stitches.
5. The wrist is immobilised with a splint or cast to allow for healing. ### Conditions Warranting Wrist Surgery Wrist surgery is recommended for conditions such as carpal tunnel syndrome, Dupuytren's contracture, wrist tendon injuries, and complications from previous wrist surgeries. Lifestyle considerations, such as occupations or hobbies involving repetitive wrist movements, can also influence the need for surgery. ### Benefits of Wrist Surgery Wrist surgery can alleviate chronic pain, restore function, and prevent further damage. It can also improve the quality of life by enabling patients to resume their normal activities. ### Risks of Wrist Surgery Like any surgical procedure, wrist surgery carries potential risks, including infection, nerve damage, and complications from anaesthesia. There may also be a risk of reduced wrist mobility or strength. ### Preparation for Surgery Patients may be advised to stop taking certain medications before surgery. They may also need to arrange for help at home during the recovery period. ### Pre-surgery Procedures and Checks At the hospital, patients will undergo a physical examination and possibly additional tests to ensure they are fit for surgery. They will also discuss the procedure with the surgeon and anaesthetist. ### Postoperative Care After surgery, patients will receive instructions on wound care, pain management, and when to resume normal activities. They will also have follow-up appointments to monitor their recovery. ### Recovery and Rehabilitation Recovery times vary depending on the specific procedure. Physical therapy and exercises may be recommended to restore strength and mobility to the wrist. ### Alternatives to Surgery Non-surgical treatment options may include physical therapy, medication, and lifestyle modifications. The effectiveness of these treatments will depend on the specific condition and its severity. ## References Please list the sources used along with their intext reference citation numbers in one list.

• American Academy of Orthopaedic Surgeons
• Mayo Clinic
• WebMD