Arthroscopic Surgery for Dorsal Wrist Impingement Kailua Kona HI

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Mark Masunaga, DDS
(808) 326-7333
76-6225 Kuakini Hwy Ste B101
Kailua Kona, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Walter Bellatti, MD
(808) 322-8866
PO Box 268
Kealakekua, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1982

Data Provided By:
Barry Blum, MD
(808) 322-6004
79-7540 Mamalahoa Hwy Ste H
Kealakekua, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1965

Data Provided By:
Dean James Foster, MD
(858) 569-8100
82-5961 Wakida Dr
Captain Cook, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1976

Data Provided By:
Major Susan N Ishikawa, MD
(901) 759-5509
1400 Pensacola St Apt 1404
Honolulu, HI
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Frank Albert Ferren, MD
(808) 329-7086
75-367 Hualalai Rd
Kailua Kona, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Miami Sch Of Med, Miami Fl 33101
Graduation Year: 1966

Data Provided By:
John W Bellatti
(808) 322-8866
81-958 Halekii St Bldg 5c
Kealakekua, HI
Specialty
Orthopedic Surgery

Data Provided By:
Barry Blum
(808) 322-6004
79-7540 H Mamalahoa Hwy
Kealakekua, HI
Specialty
Orthopedic Surgery

Data Provided By:
Richard Alfred Mengato, MD
(808) 432-0000
Hawaii Permanente Med Grp 3288 Moanalua Rd
Honolulu, HI
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1985

Data Provided By:
Thomas Bird Grollman, MD
(808) 245-4824
PO Box 1607
Lihue, HI
Specialties
Orthopedics, Legal Medicine
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med, Los Angeles Ca 90024
Graduation Year: 1965

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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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