Wrist pain

Introduction Wrist pain caused by wrist injuries, arthritis, tendinitis and other diseases. Wrist sprains, with a significant history of trauma. After the injury, the wrist is weak and the wrist is not active. Minor injuries, generally no obvious swelling, pain is not very good, only when there is a large movement of the wrist joints began to have pain. Severe sprains may cause swelling of the wrist, severe pain, and increased pain when the wrist or movement is not active. During the examination, the wrist joint is flexed and the pain is on the dorsal side, which indicates that the dorsal ligament of the wrist and the wrist extensor tendon are damaged; otherwise, the ligament of the wrist or the flexor tendon of the wrist is damaged. If the wrist joint is deflected to the ulnar side, and the pain occurs in the styloid process of the humerus, the collateral ligament injury is caused; otherwise, the ulnar collateral ligament is damaged. If there is pain in the movements of the wrist in all directions, and the activity is obviously limited, it means a composite injury of ligaments, tendons and the like. There is tenderness in the lesion or abnormal changes in the tissue of the tendon. Wrist injuries should be treated promptly to prevent ischemic necrosis of the wrist scaphoid and wrist and lunate bone.

Cause

Causes of wrist pain:

The cause of this disease is mostly unknown. One possibility is tenosynovitis, which usually occurs in the wrist, and it is necessary to exclude finger dysfunction caused by cervical spondylosis (individually, it may be caused by cervical disc disease). Most of the patients are middle-aged and elderly, and often cause major damage due to poor blood supply to the tendon and repeated minor trauma. Repeated or severe trauma (incomplete fracture), strain, overwork (due to incompatibility), etc., are the most common causes of illness. Certain systemic diseases (common in rheumatoid arthritis, progressive systemic sclerosis, gout, Reiter's syndrome, and amyloidosis) and elevated blood cholesterol (type II hyperlipidemia) can also be affected Tendon sheath. In younger adults, especially women, disseminated gonococcal infection can cause migratory tenosynovitis with or without localized synovitis.

an examination

Related inspection

Wrist triangle cartilage extrusion test fork deformity bone palpation bone and joint MRI examination

Examination and diagnosis of wrist pain:

Depending on its clinical performance and physical examination, it is often used to palpate the tendon:

Palpation of tendon: palpation of the wrist muscles are mainly the radial flexor digitorum, palmar long muscle, ulnar wrist flexor; the wrist muscles are mainly the temporal wrist length, short extensor muscle and ulnar wrist extensor; palpation The finger muscles were examined in turn for the total extensor tendon, the extensor tendon of the index finger, and the extensor tendon of the little finger. Then, the thumb long muscles, the short extensor muscles, and the long extensors of the thumb were palpated. Pay attention to whether the muscle tension changes, whether there is tenderness, and the movement is barrier-free.

Auxiliary examination: less use, but X-ray examination showed that the tendon and its tendon sheath have calcium deposition, which is also helpful for the diagnosis of this disease.

Differential diagnosis

Differential diagnosis of wrist pain: This disease needs to be differentiated from ganglion cyst.

The ganglion cyst is more common in the clinic and occurs in the foot. It is more common in young adults. Cysts generally develop slowly. Except for local lumps, there are few symptoms and occasional local soreness. Individual cysts occur in the carpal tunnel or fistula, which can compress the nerve to cause the corresponding symptoms.

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