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Disorders of the Wrist

Disorders of the Wrist. Dr. Wahby Ghalib CABO FJMC MRCS. Radial club hand. Absence of whole or part of radius Hand is in radial deviation Isolated or associated other anomalies (cardiac, blood, vertebral, GI) Rx : manipulation + splintage surgery.

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Disorders of the Wrist

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  1. Disorders of the Wrist Dr. Wahby Ghalib CABO FJMC MRCS

  2. Radial club hand • Absence of whole or part of radius • Hand is in radial deviation • Isolated or associated other anomalies (cardiac, blood, vertebral, GI) • Rx : manipulation + splintage surgery

  3. Madelung deformity • Congenital or posttraumatic • Lower radius curves forward & medially • Rx : if function affected  osteotomy

  4. Kienbock disease • = crushing osteochondritis of lunate • It is AVN of lunate • Cause : unknown • May be : relatively short ulna

  5. CF: wrist pain & weak grip • XR:  bone density collapse OA • Rx : splintage shortening of radius arthrodesis

  6. De Quervain`s disease • Tenosynovitis of the compartment of APL & EPB • Cause : overuse • CF : middle aged female pain & swelling over radial styloid Finkelstein t.

  7. Rx : NSAIDS steroid injection surgery

  8. Ganglion • Commonest swelling in the wrist • Pathology : myxoid degeneration in a ligament or capsule • It is a cyst that contains mucoid material • CF : painless swelling

  9. Rx : removal if troublesome or unsighty • Recurrence is common

  10. thanks

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