Arthroscopic Surgery for Dorsal Wrist Impingement Saint Louis 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:
Charles Alan Goldfarb, MD
(314) 747-4705
Campus Box 8233 660 S Euclid
Saint Louis, MO
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1996
Hospital
Hospital: Barnes Jewish Hosp, Saint Louis, Mo
Group Practice: Barnes Hosp/Washington Univ

Data Provided By:
Joseph Borrelli Jr, MD
(314) 747-4715
One Barnes Jewish Hospital Plaza Ste 11300 West Pa
Saint Louis, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of South Fl Coll Of Med, Tampa Fl 33612
Graduation Year: 1988

Data Provided By:
Nirav R Shah
(314) 362-5000
One Barnes-Jewish Hospital Plaza
Saint Louis, MO
Specialty
Orthopedic Surgery

Data Provided By:
Michael Whitney Peelle, MD
(314) 747-2589
Ste 11300 West Pavilion
Saint Louis, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 2000

Data Provided By:
Jacob Maciej Buchowski
(314) 747-2500
4921 Parkview Pl
Saint Louis, MO
Specialty
Orthopedic Surgery

Data Provided By:
Lawrence Gerald Lenke, MD
(314) 747-2535
One Barnes-Jewish Hospital Plaza Ste 11300 W Pavil
Saint Louis, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1986

Data Provided By:
John Joseph Phillips, MD
(314) 837-5555
1150 Graham St Ste 102
Saint Louis, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1962

Data Provided By:
Jerome Julius Gilden, MD FACS
(314) 747-2563
One Barnes Jewish Hosp Plaza Ste 11300 West Pavili
Saint Louis, MO
Gender
Male
Education
Medical School: Washington (st. Louis)
Graduation Year: 1952

Data Provided By:
Dr.ROBERT Barrack
(314) 747-2500
4921 Parkview Place
Saint Louis, MO
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
2.5, out of 5 based on 1, reviews.

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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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