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:
Richard Hugh Gelberman, MD
(314) 747-2531
One Barnes Hospital Plaza Ste 11300 W Pavilion
Saint Louis, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1969

Data Provided By:
Douglas Harry Rediger, DDS
(636) 282-0550
3876 Vogel Road
Saint Louis, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
William Michael Ricci
(314) 747-2550
4921 Parkview Pl
Saint Louis, MO
Specialty
Orthopedic Surgery

Data Provided By:
Damion Y Walker
(314) 577-8850
3635 Vista Ave
Saint Louis, MO
Specialty
Orthopedic Surgery

Data Provided By:
Jeffrey Einer Johnson, MD
(314) 747-4705
660 S Euclid Ave # 8233
Saint Louis, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1980
Hospital
Hospital: Barnes Jewish Hosp, Saint Louis, Mo; Barnes West County Hosp, Saint Louis, Mo
Group Practice: Washington Univ Sch Of Med Barnard Cancer Ctr Wohl Hosp

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

Data Provided By:
Derek Purcell, MD
(314) 747-2589
Ste 11300 West Pavilion
Saint Louis, MO
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Martin I Boyer
(314) 747-2500
4921 Parkview Pl
Saint Louis, MO
Specialty
Orthopedic Surgery

Data Provided By:
John Donald Kenney, MD
(314) 577-8641
PO Box 15250
Saint Louis, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1961

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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