Scaphoid Fracture: Orthopedic Carrollton

by Administrator 27. March 2017 06:25

Scaphoid is one of the eight carpal bones and is present on the thumb side of the wrist. It is responsible for motion as well as stability of the wrist joint. A sudden blow to the wrist may cause this bone to break and the condition is referred to as Scaphoid Fracture.

Types of Scaphoid Fractures -

  • Non-Displaced Fracture - Minor fracture in which the bones have not moved from their original position.
  • Displaced Fracture - Bones misalign and gap may be seen. Overlapping of bones may also be witnessed in certain cases.

Causes -

  • Falling with an outstretched hand , with weight landing on the palm
  • While playing sports or during a vehicle collision

Symptoms -

  • Pain and swelling on the thumb side of the wrist
  • Minor affliction that feels like a sprain
  • Tenderness over the scaphoid

Diagnosis -

The doctor may look for symptoms such as swelling, bruising, loss of motion etc. To have a clear opinion about a scaphoid fracture, he may recommend the following imaging tests:

  • X-Ray tests – This test may help to visualize the extent of damage caused by a fracture.
  • MRI Scan  - It provides a clearer view of the tissue damage. A minor Scaphoid Fracture may sometimes become visible via an MRI scan than an X-ray.
  • CT-Scan - This test can show whether the bones have been displaced or not. Result of the CT scan may be used to decide the treatment plan.

Treatment -

Non Surgical Treatment
Depending upon the position of the fracture, the doctor may ask patients to wear casts or splints. If the fracture is near the thumb, it may heal within one or two weeks. Thhe blood supply is less in the area closer to the wrist,  if the fracture occurs at this position, it may take a longer duration to heal.

Surgical Treatment

  • Reduction – In this surgery, the orthopedic surgeon may try to manipulate the damaged bone with direct manipulation. He may give anesthesia to the patient and make a small incision at the affected area.
  • Internal Fixation – The surgeon may make an incision at the front or back surface of the wrist. He may use metal plates, screws and wires to reposition the displaced bone.
  • Bone Graft – A bone graft may be taken from patient's forearm or thigh bone and placed along the damaged bone. This graft acts as a support on which the broken bone regrows and heals.

Dr. Neagle is a board certified hand surgeon serving patients across Carrollton, TX. For treatment of Scaphoid Fracture, schedule an appointment by calling at (972) 492 – 1334.

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Orthopedic Treatment For Wrist Fracture

by Administrator 26. October 2016 08:27

The wrist is the joint that connects the hand to the arm. It comprises of eight smalls sized bones which are linked to the radius and the ulna (two bones in the forearm). Break or cracking any of these bones is medically termed as a wrist fracture. The radius is most likely to break in this joint. Wrist fractures can be classified as stable and unstable fractures.

  • Unstable Fracture- the bone may break into two or more pieces and even after these pieces have been put back in their anatomical place with a cast to secure them, these may again slip out. It makes the joint pretty unstable and difficult to manage
  • Stable Fracture- the broken pieces of bones do not move out of their place and can be easily treated with a simple cast

Some fractures may be so severe that a piece of the broken bone may cut through the skin and cause a wound. Such injuries (also known as open fractures) pose a high risk of infections and take a lot of time to heal.

Causes

  • Falling on an outstretched hand may cause the wrist to break
  • Vehicular accidents may severely impact the wrist joint as high force is applied against the hand
  • People suffering from osteoporosis tend to develop weak bones and supporting soft tissue structures. They are at a higher risk of fractures

Symptoms

  • Pain around the wrist, hand, fingers and forearm especially when moved
  • Swelling may occur immediately after the injury
  • Tenderness and redness around the wrist or lower arm
  • Loss of motion in the hand, fingers and lower arm
    Numbness may be experienced
  • Visibly deformed wrist

Diagnosis

  • The doctor will conduct a thorough physical check of the injured hand to assess the severity of injury
  • X-ray imaging is required to study the location of the broken bone and the ones around it
  • MRI and CT scan reveal soft tissue and nerve injuries besides minor cracks in the bones
  • Assessment of the mode of injury, patient’s medical history, lifestyle, age and overall health condition is made
  • The doctor will also check for neurovascular damages and loss of sensation in the injured hand

Treatment

  • Minor fractures and dislocations can be treated by wearing a soft splint for a few weeks. It helps in pain relief as well as aligns the broken bones
  • In case of major fractures (unstable), immobilization using a cast is recommended
  • Pain killers and anti inflammatory medicines may be given
  • Manual reduction may be an option if a bone has been partially displaced or broken
  • Camera guided arthroscopic surgery may be conducted to reposition the broken bone and it may be fixed internally using metal screws and wires
  • Bone graft is a surgical process that is conducted if there are spaces created between the bones once they have been realigned
  • Physical therapy is highly recommended post treatment to prevent loss of sensation of function in the hand

Patients in Carrollton, TX, can visit Dr. Neagle for treatment of various orthopedic conditions of the hand and wrist. To schedule an appointment, call at (972) 492 – 1334.

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Risk Factors For Wrist Pain

by Administrator 18. September 2015 13:41

The wrist joint comprises of bones connected with various ligaments, tissues and tendons. An injury or trauma to any of these structures can cause wrist pain. The condition can lead to difficulty in lifting objects, visible deformity, stiffness, numbness, reduced range of motion, swelling, numbness and bruising. Wrist pain is usually treated with medication, rest and ice packs. By following certain precautions and taking regular breaks, one can prevent wrist pain. However, certain lifestyle, genetic, age related and occupational risk factors increase the probability of suffering from the condition.   

Here are some risk factors of wrist pain:

  • Sports: Sports activities such as bowling, golf, gymnastics, tennis, racquetball, handball etc. that involve repetitive movements of the wrist increase the risk of experiencing pain. It is imperative to follow the right technique, stance and sports equipment to protect the wrist from any injury or stress.
  • Repetitive Work: Activities involving repetitive motion of the hand and wrist such as typing, knitting, driving for long hours can lead to wrist pain. It is advisable to wear a wristband if you are in occupation that requires constantly working on a computer.
  • Medical Conditions: Diabetes, obesity, Rheumatoid Arthritis, Hypothyroidism, pregnancy or menopause can increase the risk of develop Carpal Tunnel Syndrome which causes wrist pain. It is advisable to seek proper treatment for these conditions to prevent wrist pain.
  • Increasing Age: Elderly people are prone to suffer from conditions such as Osteoporosis, which may lead to wrist pain. Seniors should avoid falls and slips to prevent a wrist injury.
  • Lifting Weights: Heavy weight lifting can put pressure on the wrist and cause pain. Improper lifting technique and not wearing the proper equipment can also lead to wrist pain.
  • Injuries/Trauma: Any injury, direct impact or fall can cause wrist pain. The intensity of pain varies with the nature of injury. Severe damage to the wrist can cause recurring pain, which must be treated in time.
  • Other Factors: Certain driving and sleeping positions can also contribute to wrist pain. Using only your thumb and index finger to hold objects can also put strain on the wrist and cause pain.

For treatment of wrist pain, you can visit Dr. Neagle. To schedule an appointment with the hand and wrist specialist in Carrollton, TX, call at (972) 492 – 1334.

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Wrist Pain: Orthopedic Treatment In Carrollton, TX

by Administrator 18. June 2015 05:22

Wrist consists of ends of the Radius and the Ulna, 8 carpal bones and parts of 5 metacarpal bones. It also includes various muscles, tendons and ligaments. An injury or stress to any of these structures can cause discomfort or pain in the wrist. Wrist pain is a common problem and can occur to anyone at any age, but people who are more active in sports or have jobs related to lifting heavy objects are susceptible to this problem.

Causes

  • Sprains and strains: Injuries like sprains or strains to the muscles of the wrist can cause severe pain and inability in moving the joint. They can be caused by sudden application of force on the joint or due to accidents like falling on an outstretched hand.
  • Overuse and stress: Repetitive activities including the wrist can overstress the joint. Prolonged hours of writing or leaning on the wrist while sitting can overstrain the joint and cause pain.
  • Fractures: Severe accidents can cause injuries like fractures which can lead to sharp pain in the wrist. Such injuries may also result in stiffness and reduce the movement the joint.
  • Arthritis: It occurs with overuse of the joint and is a major cause of pain, swelling and stiffness in the wrist joint.
  • Other conditions: Other health conditions like Carpal Tunnel Syndrome, Gout, Ganglion Cysts, Kienbock's Disease, Pseudogout etc. can also cause pain and discomfort in the wrist joint.

Symptoms

  • Sharp pain
  • Swelling in the joint or fingers
  • Warm sensation around the site of pain
  • Numbness and tingling feeling
  • Weakness
  • Inability to move the wrist
  • Pain increases during activities like gripping

Diagnosis

The orthopedic doctor may diagnose wrist pain by asking the patient about his medical history. He may inquire about onset of pain and factors that affect its severity. The doctor may also examine the wrist by bending and moving it. He may also order certain imaging tests like X-rays, MRI scans or CT scans to confirm the diagnosis and rule out other possible causes of pain.

Treatment

  • Rest: The doctor may suggest the patient to rest the affected joint. The patient may also be asked to wear a cast to restrict the movement of hand and wrist.
  • Exercise: Exercising can help to reduce tenderness, swelling and stiffness in the joint. It can also build muscle strength and decrease pain in the wrist.
  • Ice and heat: The doctor may advise the patient to apply heat or ice packs to reduce inflammation in the joint. This may soothe the constricted nerves and reduce pain.
  • Medications: The doctor may also prescribe some anti-inflammatory medications to minimize pain and inflammation.

In severe cases of, surgery may also be recommended in order to treat the condition that is causing the wrist pain.

Dr. Neagle in Carrollton, TX, provides complete diagnosis and treatment for various wrist conditions. To schedule an appointment with the hand surgeon, call at (972) 492 - 1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

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Tips To Prevent Wrist Pain

by Administrator 20. November 2014 07:23

There are a number of tasks we perform in our daily lives that can be a cause of wrist pain. Repetitive strenuous movements of the writs an often lead to or aggravate many orthopedic conditions like Trigger Finger and Carpal Tunnel Syndrome. To prevent such problems, as well as to prevent hand and wrist pain, here are some easy tips that you must follow in your daily routine.

  • Stretching: A lot of our daily activities such as driving, texting and typing require the wrist to be held in awkward and stiff positions. In order to neutralize this, try stretches that can help loosen up your strained muscles in the wrists, palms and fingers.
  • Drink lots of water: Loss of electrolyte and dehydration can also be a cause of muscle cramps. Keeping yourself properly hydrated can prevent painful cramps, particularly if it is due to rigorous exercise.
  • Take potassium and Vitamin D: Lack of important nutrients from the diet can also lead to wrist pain. Improving the intake of vitamin D and potassium can prevent cramps in the wrist.
  • Take short breaks: One of the most important tips to prevent wrist injury is to take short breaks after regular time gaps. Whether you are typing, sewing or playing a sport, give some time for your hands to rest and avoid any pain in the wrist.
  • Hold your wrists right: You must remember that whatever you do – playing piano, typing, chopping vegetables, using the mouse, you should always hold the wrist in a straight position. While typing, do not rest the hands on any surface. When you are not doing anything, rest your hands with the palm side up.
  • Exercise in the correct way: wrist pains can also be caused due to improper posture while cycling, pushups, lifting weights or yoga. Make sure you are doing the exercises properly to avoid any pain afterwards.
  • Wear protective gloves: These can help to keep the wrist in the appropriate position. The gloves and splints can be worn while you are typing or even during sleep.

Wrist pain can lead to many serious conditions if not prevented and treated at an earlier stage. For more information about wrist pain and its related medical conditions, you can consult Dr. Neagle, a renowned hand surgeon in Carrollton, TX. To schedule an appointment, call at (972) 492-1334 or visit 4780 North Josey Lane, Carrollton, Texas 75010.

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Lunate Dislocation: Causes, Symptoms & Treatment

by Administrator 21. August 2014 08:37

Lunate dislocation is a wrist injury that involves displacement of a small bone called the carpal bone in the wrist. The bone dislocates from its normal position and may occur due to falling from a height or an accident.

Causes

Some of the main causes of Lunate dislocation include

  • Trauma to the wrist due to falling on an outstretched hand
  • Severe wrist sprain
  • A malformed joint called congenital abnormality is more susceptible to dislocation
  • Sports that involve stress on wrist and hand
  • Repeated injury
  • Poor strength and flexibility of wrist

Symptoms

Major symptoms of Lunate dislocation are

  • Pain
  • Numbness
  • Tingling of fingers
  • Inflammation in the wrist and hand
  • Limited movement of the wrist and hand

Diagnosis

Regular X-ray is helpful in determining Lunate dislocation however it is not possible to get clear x-rays if the injuries are severe. The orthopedic doctor can also recommend a CT scan or MRI for the diagnosis of the condition.

Treatment

It is important to treat the Lunate dislocation as soon as possible. The patient should immediately consult a wrist and hand surgeon, who will evaluate the damage and the extent of the injury. The surgeon can use non-surgical or surgical methods to realign the Lunate bone so that it is properly oriented. Orthopedic doctors try to reposition the bone non-surgically and to reduce pain and swelling the doctor often prescribes some non-steroidal anti-inflammatory medicines. They may also suggest hot and cold therapy to reduce pain and inflammation. In case the symptoms still persist and the patient experiences pain and inflammation in wrist, then surgery is required to offer relief to the patient. In some cases a minor surgery is required to stabilize the bone so that it can heal properly. Surgeons may use pins through the skin to hold the dislocated bone which are removed later on. After surgery, the patient may take up to six months to recover completely. Physician often recommend certain strengthening and stretching exercises to regain strength and motion of the wrist.

In case of accidents however, Lunate Dislocation can occur along with fracture and ligament tears. The dislocated bone may press on the nerve that passes through the joint and may cause Carpel Tunnel Syndrome. Thus, surgeons may have to carry out additional surgeries to treat fractures, broken ligaments and Carpel Tunnel Syndrome. It is advisable to seek prompt medical assistance as immediate treatment may eliminate the chances of wrist arthritis and instability of wrist joint, etc.

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