Wrist osteoarthritis

• 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