Arthroscopic Surgery for Dorsal Wrist Impingement Arnold MO

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Robert A Shively, MD
(314) 652-4100
915 N Grand Ave
Saint Louis, MO
Business
Washington University Orthopedics
Specialties
Orthopedics

Data Provided By:
James G Schaus, DDS
(636) 464-3020
4051 Jeffco Blvd
Arnold, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert Ian Markenson, MD
(314) 849-5414
12152 Tesson Ferry Rd Ste 2
Saint Louis, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1979

Data Provided By:
John Baldwin Weltmer
(314) 849-5414
12152 Tesson Ferry Rd
Saint Louis, MO
Specialty
Orthopedic Surgery, Foot & Ankle Surgery

Data Provided By:
Dennis A Dusek
(314) 849-0311
12639 Old Tesson Rd
Saint Louis, MO
Specialty
Orthopedic Surgery

Data Provided By:
Sidney Herbert Herr, DDS
(636) 296-6332
937 Jeffco Blvd
Arnold, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
George D Bankhead, DDS
(314) 843-5553
3890 S Lindbergh Blvd Ste 115
Saint Louis, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.David Haueisen
(636) 349-0311
12639 Old Tesson Rd # 115
Saint Louis, MO
Gender
M
Education
Medical School: Case Western Reserve Univ Sch Of Med
Year of Graduation: 1980
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 4, reviews.

Data Provided By:
Stanley L Librach
(314) 842-3565
10004 Kennerly Rd
Saint Louis, MO
Specialty
Plastic Surgery / Reconstructive Surgery, Hand Surgery

Data Provided By:
Bruce Stewart Schlafly, MD
(314) 842-2200
10004 Kennerly Rd Ste 259B
Saint Louis, MO
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1980
Hospital
Hospital: Jefferson Memorial Hospital, Crystal City, Mo; St Anthonys Med Ctr, Saint Louis, Mo
Group Practice: Hand Surgery Assoc

Data Provided By:
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Arthroscopic Surgery for Dorsal Wrist Impingement

Dorsal wrist impingement is an injury where the back of the radius (one of the forearm bones) hits against the wrist bones and traps the nerves. It's a common injury, particularly in sports like gymnastics, where the gymnasts place a lot of force on their wrists with hand springs and walk overs. However, it can also occur from a minor injury.

When a patient has a dorsal wrist impingement, there is usually pain on the top of the wrist, especially when the hand is bent back towards the shoulder, as when pushing a door open. Usually, the first treatment for the problem is injections of a corticosteroid to the painful area and rest. Unfortunately, not all cases respond to this and then surgery may be necessary.

There is no specific test to diagnose dorsal wrist impingement. It's not seen on x-ray or imaging, for example. So doctors have to rely on the patient's history of the injury and by ruling out other problems that may be causing the wrist pain. Dorsal wrist impingement has specific location of pain and this pain can be brought on by certain wrist movements. Also, if it truly is dorsal wrist impingement, corticosteroid injections should have helped relieve the pain somewhat - perhaps relieving up to 70 percent of the pain, for several weeks. So, in order to decide on surgery, the patient should have been treated with at least one or two corticosteroid injections and have rested the wrist for at least three months.

Patients who should not have this surgery are those for whom dorsal wrist impingement can't be absolutely diagnosed, as well as those who are in poor health, if a patient isn't compliant with treatments, or has an infection.

Following surgery, the wrist isn't braced or casted. In fact, wrist movement is encouraged and the goal is to have full range of motion of the wrist within two to three weeks of surgery. Strength rehabilitation begins once range of motion is full and patients generally are able to return to office-type work wit...

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