Symptom >> Surgical >> General Surgery

Blood in the wrist and limited mobility

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction The humerus and ulnar styloid fractures are mainly characterized by local swelling, pain, tenderness and bone rubbing. Blood stasis under the skin, heavy blood in the wrist joint, limited wrist activity.

Cause

Cause

Causes of blood accumulation and limited mobility in the wrist:

The disease is mainly caused by traumatic factors. When the fall, the palm of the hand touches the ground, and the impact force acts on the lower end of the humerus through the scaphoid bone to cause a transverse fracture of the styloid process of the humerus. There are also direct impacts, such as the car shaker counterattack and the injured. In addition, the wrist joint is strong and the collateral ligament is strongly pulled, causing the avulsion fracture of the sacral styloid process.

Examine

an examination

Related inspection

Bone and joint MRI joint examination

The disease mainly manifests as local swelling, pain, tenderness and bone rubbing. Blood stasis under the skin, heavy blood in the wrist joint, limited wrist activity.

The diagnosis of this disease is mainly based on the history of trauma, clinical manifestations, and X-ray findings.

Inspection prompt

1. Red: seen in pathological bleeding of puncture injury or hemophilia, such as hemophilia pigmented villonodular synovitis.

2. Milky white: seen in tuberculous arthritis, acute gouty arthritis or lupus erythematosus.

3. Green: seen in septic arthritis, chronic rheumatoid arthritis, gout.

Diagnosis

Differential diagnosis

Hemorrhage and activity limitation in the wrist joint should be differentiated from the following symptoms:

1. When the wrist joint is skewed to the ulnar side, there is a severe pain in the temporal side of the sacral styloid fracture. The ulnar deviation test is positive when the wrist joint is skewed to the ulnar side.

2. Pain in the temporal part of the wrist joint The degenerative change of the finger joint is manifested in the Heberden"s nodule of the distal interphalangeal joint, which occurs in the middle finger and the index finger, and the Bouchard's nodule of the proximal interphalangeal joint is less likely to occur. Often mistaken for rheumatoid nodules, degenerative changes in the first metacarpophalangeal joint can cause pain in the temporal side of the wrist, and other metacarpophalangeal joints are rarely involved.

3. Wrist contusion When the person falls and hands on the ground, the wrist joint is the joint that first receives and transmits external force to the proximal end of the limb. Therefore, the wrist joint is susceptible to injury, such as improper treatment after injury, can cause changes in the relationship between the carpal bones, the so-called wrist instability.