Wrist Injuries

By Bruce Steinberg, MD

Dr. Bruce Steinberg Explains Common Wrist Injuries in this Video.

This video explains the anatomy of the hand and wrist. Dr. Steinberg explains how the wrist can be injured in sports and how these injuries are treated. An evaluation early on is very important for a good outcome. Dr. Steinberg is a hand and wrist orthopedic specialist at the JOI San Marco location.

Dr. Bruce Steinberg

Image of Dr. Bruce Steinberg

Anatomy of the Wrist

The wrist has 8 carpal bones that are linked to the forearm bones by a series of ligaments.  There are 2 forearm bones. These bones and connections allow for 6 planes of motion that include:

  1. Wrist Flexion
  2. Wrist Extension
  3. Radial Deviation
  4. Ulnar Deviation
  5. Wrist and Forearm Pronation
  6. Wrist and Forearm Supination

How Sports Injuries Happen in the Wrist?

Sports Injuries can happen for several reasons.

  • Trauma – Trauma during sports can come from a fall or direct impact
  • Repetitive Stress – Repetitive stress injuries happen when a movement is performed repeatedly. An example is serving a ball in tennis.
Wrist pain

Wrist Pain

Types Of Wrist Injuries

A wrist injury can be a simple sprain. If an injury occurs, the best initial treatment is usually Rest and immobilization in a splint.

Early evaluation is important with a wrist injury.  The longer that the injury is not addressed, the more the risk of long term issues.

Is Clicking and Popping a Problem in the Wrist?

Clicking and popping in any joint in the body is no necessarily an issue. However, if the clicking and popping in a joint is associated with pain, then there may be an underlying issue. In that case. It is important to be evaluated by a wrist specialist.

Do You Have to Have Surgery for a Wrist Injury?

Most injuries to the wrist do not require surgery.  But, it the injury is severe, surgery may be needed to correct the issue. Surgery may be needed if there is a severe fracture that is displaced. Surgery is also needed with some tendon injuries and tears in the wrist.

What are the Types of Wrist Splints?

The most common wrist splints are simple off the shelf splints that immobilize the wrist and hand.

After surgery, or with complex injuries to the wrist, a custom splint may be needed. A custom splint can be made by a skilled hand therapist or occupational therapist.  They are typically made with a moldable plastic and custom fit for the patient. Velcro straps are added to hold the splint in place.

How Are Wrist Fractures Treated?

Most wrist fractures are treated with immobilization. This may involve a hard cast or splint. In some cases, an ActivArmor cast is used.

Active Armor for Fracture

Image of Active Armor for Fracture

Activarmor is new technology that allows clinicians to scan the forearm, wrist and hand. A hard plastic, breathable cast is then created using 3D Printing technology. The hard plastic custom ActivArmor cast allow for immobilization of the wrist, but allows the patient to get it wet with showering or under water.

Related Articles: Wrist and Hand Pain and Hand and Wrist Doctors.

ActivArmor is used with injuries or fractures of other body parts as well.  Call 904-858-7045 for JOI Rehab and ActivArmor.

Finally, to schedule an appointment with Dr. Bruce Steinberg at the Jacksonville Orthopaedic Institute, call (904)JOI-2000, schedule online, or click the link below. 

Book An Appointment with a JOI Physician

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