Osteoarthritis of the wrist.
Osteoarthritis of the wrist is one of the most common conditions encountered by hand surgeons. It may result from a nonunited or malunited fracture of the scaphoid or distal radius; disruption of the intercarpal, radiocarpal, radioulnar, or ulnocarpal ligaments; avascular necrosis of the carpus; or a developmental abnormality. Whatever the cause, subsequent abnormal joint loading produces a spectrum of symptoms, from mild swelling to considerable pain and limitations of motion as the involved joints degenerate. A meticulous clinical and radiographic evaluation is required so that the pain-generating articulation(s) can be identified and eliminated. This article reviews common causes of wrist osteoarthritis and their surgical treatment alternatives.
Weiss
Krista E
KE
Harvard College, Cambridge, MA, USA.
Rodner
Craig M
CM
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001174:Arthrodesis / Q000379:methods; D019643:Arthroplasty, Replacement; D002348:Carpal Bones / Q000601:surgery; D006801:Humans; D007103:Immobilization; D010003:Osteoarthritis / Q000175:diagnosis / Q000628:therapy*; D010808:Physical Examination; D011859:Radiography; D013165:Splints; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000601:surgery*
D000894:Anti-Inflammatory Agents, Non-Steroidal