Wrist osteoarthritis

From greek.doctor
  • Epidemiology
    • Usually affects people in working age, unlike other OA
  • Etiology
    • Vibration work
      • Miners, roadworkers, etc.
    • Fracture of distal radius
    • Scaphoid fracture
      • In that case: fix the scaphoid fracture with a screw
  • Clinical symptoms
    • Pain
    • Restricted ROM
  • Treatment
    • Wrist arthrodesis with plate and screws
      • Unlike arthrodesis for knee and hip joint (which is never performed anymore), wrist arthrodesis is still performed
      • This is because wrist prosthetic replacement is not as good as hip or knee replacement
    • Wrist prosthetic replacement
      • Good only for mild movements and light lifting
      • For these reasons, wrist replacement is not good for non-elderly