Hand and Wrist Care

Injuries or disorders of the hand and wrist can have a major impact on the ability to perform everyday functions. Detroit Medical Center orthopedic surgeons use some of the latest procedures to expertly treat your hand and wrist issues and help you get back to living your life to the fullest.

Types of Hand and Wrist Injuries and Disorders

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is a condition that occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed as it passes through an opening from the wrist to the hand. This narrow and rigid passageway of ligament and bones at the base of the hand is called the carpal tunnel.

The median nerve provides sensory and motor functions to the thumb and three middle fingers. Pain and numbness occur when the lining of irritated tendons or other swelling narrows the tunnel and compresses the median nerve. People with carpal tunnel syndrome may also experience one or a combination of any of the following symptoms:

  • Difficulty making a fist
  • Difficulty in gripping objects with one or both hands
  • Pain and/or numbness in one or both hands
  • The feeling of being pricked with “pins and needles” in the fingers
  • Swollen feeling in the fingers
  • Burning or tingling in the fingers, especially the thumb, index and middle fingers
  • Pain and/or numbness in one or both hands that gets worse at night, causing sleep interruptions

Treatments for carpal tunnel syndrome should begin as early as possible, under the direction of an orthopedic hand specialist. Early diagnosis and treatment are important to avoid permanent damage to the median nerve. If caught early, carpal tunnel syndrome can be treated without surgery.

Nonsurgical & Surgical Carpal Tunnel Treatments

  • Splinting of the hand - prevents wrist movement and decreases nerve compression
  • Oral or injected anti-inflammatory medications - reduces swelling
  • Ergonomic interventions such as keyboard modification
  • Occupational therapy
  • Surgery - relieves compression on the nerves in the carpal tunnel

Surgery can be performed either through traditional open manner or endoscopically, which is minimally invasive. During both procedures, the transverse carpal ligament is cut to release the pressure on the median nerve and relieve carpal tunnel symptoms.

DMC Huron Valley-Sinai Hospital is one of the first hospitals in Michigan to offer SX-One MicroKnife Treatment, a unique, less-invasive treatment for carpal tunnel syndrome.

Learn more about Carpal Tunnel Procedure

Ganglion Cyst Removal

A ganglion cyst is a tumor or swelling on top of a joint. It appears as a fluid-filled lump that changes in size and may appear after injury. Other symptoms include:

  • Swelling that may appear over time or suddenly. It may get smaller in size, and may even go away, only to come back after a period of time
  • Non-stop or aching pain that is made worse by joint motion when the cyst is connected to a tendon
  • A sense of weakness in the affected finger

Treatment Options

  • Splinting of the wrist
  • Exercises to strengthen wrist and improve range of motion
  • Aspiration
  • Surgical removal - recommended when the mass is painful, interferes with daily function or when numbness or tingling of the hand or fingers occurs

Wrist Fracture Repair

A fracture is a partial or complete break in the bone. When a fracture occurs, it is classified as either open or closed.

  • Open fracture - the bone exits and is visible through the skin or where a deep wound exposes the bone through the skin
  • Closed fracture - the bone is broken but the skin is intact

Fractures occur when there is more force applied to the bone than the bone can absorb. Bones are weakest when they are twisted. Breaks in bones can occur from falls, trauma or because of a direct blow or kick to the body and may have one of or a combination of the following symptoms:

  • Pain in the injured area
  • Swelling in the injured area
  • Obvious deformity in the injured area
  • Difficulty using or moving the injured area in a normal manner
  • Warmth, bruising or redness in the injured area

Treatment Options

Wrist fractures may be treated by casting, surgical repair and/or physical therapy or rehabilitation.

Types of Hand Surgery

Depending on your injury or underlying problem, it may be determined that surgery is the best option. An orthopedic hand surgeon may perform several types of surgical hand procedures, including:

  • Fracture repair to fix bones in the hand or fingers
  • Joint replacement, also called arthroplasty, in people with severe arthritis of the hand
  • Nerve repair
  • Surgical drainage to remove a collection of pus if there is an abscess in the hand
  • Tendon repair

Who Is at Risk for Hand and Wrist Disorders?

  • Sports such as gymnastics and contact sports, such as basketball, can put stress and strain on your wrists
  • Activities that require repetitive motions such as typing on a keyboard, working on an assembly line or using power tools such as a drilling equipment
  • Having underlying medical conditions such as rheumatoid arthritis

Orthopedic Hand and Wrist Care at the DMC

Don’t let your hand and wrist pain control your life. Our orthopedic hand and wrist specialists are dedicated to providing quality and compassionate care as they treat a wide variety of conditions including:

  • Rheumatoid arthritis - an autoimmune disease that causes pain, swelling, stiffness and loss of functions in the joints. It can also affect the eyes, mouth and lungs
  • Carpal tunnel syndrome
  • Tendinitis – inflammation of the tendon
  • Wrist injuries
  • Cubital tunnel syndrome – occurs when the ulnar nerve or funny bone nerve is stretched, compressed or irritated where it crosses the elbow. The ulnar nerve is one of the nerves that supplies sensory and movement to the arm and hand
  • Sports injuries to the hand or wrist
  • Trigger finger – a condition that affects the ability of the finger or thumb to bend and can result in a clicking sensation
  • Wrist pain

Why See a Hand Surgeon?

If you experience pain in your fingers, hands, wrists or arms, one of our experienced hand doctors may be able to help. While hand surgery may be a consideration, nonsurgical treatments, such as physical and occupational therapy, are also options that can help to restore movement and reduce or eliminate your pain.

If you experience any of the symptoms mentioned in this article such as constant pain and numbness in your hands, seek medical help immediately.

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