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Wrist pain- causes

Wrist pain- causes

Radial –scaphoid fracture most common carpal fractures fall on an outstretched hand with wrist dorsiflexed and radially deviated tenderness over the anatomical snuff box , dorsoradial aspect of the wrist or scaphoid tubercle , pain with axial pressure on the 1st metacarpal bone + wrist may be swollen proximal pole of the scaphoid is relatively avascular and at high risk of nonunion and avascular necrosis combination of snuffbox swelling can be missed initially on clinical & radiological examination further assessment with CT / MRI can be helpful

Scaphoid non union patient may not recall the traumatic event can present with persistent wrist pain or new onset wrist pain

First carpo-metacarpal thumb arthritis - 2nd most common jt involved in wrist OA after DIP jt pain and swelling at the base of thumb reduced pinch & grip strength

Other causes - Scapho- lunate instability -ligamentous injury due to disruption of the mechanical linkage between the scaphoid and lunate de Quervain's disease other fractures as radial styloid , trapezium , base 1st MC, trapezoid post-trauma arthroses

Triangular fibrocartilage complex tear - frequent wrist injuries which involve the cartilaginous meniscus between the radius & ulna TFCC complex stabilises the wrist at the distal...

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