The wrist is an important joint that gives us the ability to grasp, hold, release and touch. The ligaments, tendons and bones working in unison in the hands and wrists are subject to overuse (chronic) and sudden (traumatic) injuries. Athletes involved in contact sports are at the greatest risk for sustaining traumatic injury to the hands or wrists, but they may also succumb to chronic issues. There are many common wrist injuries that can occur in athletes and non-athletes, and knowing what they are, why they happen and when to seek medical attention is something everyone needs to know.
Tendonitis
Injury to, or overuse of, the tendons is called tendonitis. The symptoms typically include inflammation, tenderness, and mild to severe pain due to micro tears in those tendons. Tendonitis results from repetitive motion in performing a task. It’s most prevalent in people over the age of 40 and may or may not require a visit to the doctor. Tendonitis is treated with rest, ice and elevation. Over-the-counter pain relievers ease the pain.
Tendon Tear
A tendon tear in the hand most often occurs in the ring finger when an object being held is ripped out of the grasp, which forces the finger to overextend, tearing the tendon. This type of injury often requires surgery, so it is strongly advised that a physician be consulted as soon as possible.
Stress Fracture
People who experience a stress fracture (also known as hairline fracture) in the wrist are most often athletes like gymnasts who place a lot of pressure on their wrists. The tendons and ligaments are stretched so tight that the bone can no longer support the pressure, causing the bone to fracture. A visit to the doctor is called for to develop an appropriate treatment plan, which may include casting and surgery.
Fracture of the Wrist
A fracture of the wrist can occur when a person falls on an outstretched arm and hand. It happens to athletes and non-athletes alike. Movement of the wrist is painful and characterized by severe pain at the bottom of the thumb where it meets the wrist. Consultation with a physician is crucial. An exam can include X-rays or a CT scan, casting and possibly surgery.
Ligament Tear
The wrist is susceptible to tears in the ligaments that occur when the wrist is twisting or hit hard enough to twist it. This type of injury is found in non-athletes and athletes. Pain when trying to rotate the hand to grip an object is a key symptom. A trip to the doctor is suggested so that the extent of the tear can be determined.
Jammed Finger
When an extended finger takes a direct hit on its tip, the joint feels as if “jammed” into the hand. This is frequently seen in contact sports, but can also occur in non-contact sports or during a fall. Tenderness, pain, joint swelling and discomfort when moving the joint are typical symptoms. Unless the pain is excruciating, or the entire finger is swollen and discolored, a trip to the doctor isn’t necessary. Follow R.I.C.E. procedures (rest, ice, compression and elevation) to alleviate pain and swelling.
Dislocated Finger
A dislocation occurs when a force on the finger is significant enough for the joint to slip out of place. The dislocation is immediately visible (the finger shape is distorted) and is very painful. Dislocation of a finger can be caused by a variety of contact sports and non-contact sports. A dislocated finger can be put back into place by a physician. It may require an X-ray for clarification and possible local anesthesia. On rare occasions, surgery is necessary.
Wrists and hands are a perfect example of strength and vulnerability. When you need a physician to assess and treat your wrist injury, Orthopedic Specialty Institute is here. Same day appointments are now available. Call us at 954-866-9699.