Wrist involvement with arthritis is relatively common. This article discusses wrist discomfort and its treatment when due to arthritis.The wrist is a
complicated joint. It includes the ends of 2 long bones: the radius and the ulna, two rows of carpal bones with each row containing 4 bones each, and the bottom ends of the hand bones- called the metacarpals. The bones are connected to each other by a complicated series of ligaments.
The entire wrist joint is confined within an envelope of tissue called the synovial capsule. The bones within the wrist are covered with cartilage and a thin layer of joint fluid functions as a lube to allow smooth sliding. Several tendons glide along the leading and the bottom of the wrist. These tendons come from in muscles and are linked to the bones within the hand to allow movement of the wrist up and wear as well as side to side.Arthritis triggers inflammatory modifications to develop within the wrist. This causes damage of cartilage, swelling of the synovial lining, and resultant weakening of ligaments and tendons. The types of arthritis that can impact the wrist consist of rheumatoid arthritis, psoriatic arthritis, osteoarthritis, gout, pseudogout, and a few others.This swelling causes discomfort, limited series of movement in the wrist, and a decrease in grip strength. Sometimes if the swelling in the wrist becomes noticable, there can be pressure on other structures such as nerves. This can result in conditions such as carpal tunnel syndrome which is due to press on the median nerve at the wrist.The treatment requires a particular medical diagnosis. Your rheumatologist will want
to check blood tests, imaging treatments such as x-rays, ultrasound, and magnetic resonance imaging(MRI ). The treatment will depend upon the diagnosis. Nevertheless, certain procedures might be helpful regardless
of diagnosis.Non-steroidal anti-inflammatory drugs( NSAIDS ), splints to rest the wrist, and glucocorticoid injections may be handy.
Physical treatment might also be beneficial.Arthroscopic debridement of the joint( entering into the wrist with a small telescope and utilizing little cutting tools to eliminate broken and diseased tissue)is likewise an option.For patients with severe disease, surgery may be needed.Ulnar resection where completion of the long bone on the little finger side of the wrist is surgically shortened is often provided for arthritis.Fusion is performed if the arthritis has actually advanced to the point where movement is gone but discomfort stays. Combination is precisely what it seems like -combination of all the bones to alleviate pain.Joint replacement is done at a few select centers around the nation.
Wrist implant surgical treatment -as this is called-is finest done in patients who don’t place a lot of stress on the wrist. Implants last about ten to fifteen years.