Arthroscopic Surgery for Dorsal Wrist Impingement Buckhannon WV
Medical School: Univ Of Toronto, Fac Of Med, Toronto, Ont, Canada
Graduation Year: 1981
Hospital: St Josephs Hospital, Buckhannon, Wv; United Hospital Center, Clarksburg, Wv
Group Practice: St Josephs Physicians Group Db A Upshur Medical Management S
Medical School: Duke Univ Sch Of Med
Year of Graduation: 1966
Accepting New Patients: Yes
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Physical Medicine & Rehabilitation, Orthopedic Trauma
Medical School: Univ Del Noreste, Esc De Med, Tampico, Tamaulipas, Mexico
Graduation Year: 1984
Hospital: United Hospital Center, Clarksburg, Wv; Monongalia County General Hosp, Morgantown, Wv; W V University Hospital -Ruby, Morgantown, Wv; Fairmont Gen Hosp, Fairmont, Wv; Healthsouth Mountainview Reg, Morgantown, Wv
Group Practice: University He
New Martinsville, WV
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1966
Medical School: Meharry Med Coll Sch Of Med, Nashville Tn 37208
Graduation Year: 1984
Adult Reconstructive Orthopaedic Surgery
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...