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hand and wrist

The Elgeadi Clinic team is specialist in endoscopy and wrist arthroscopy in Madrid. Both techniques are minimally invasive used by the best specialist traumatologists, thus allowing the patient to return to their usual activities without any pain.

Main injuries and pathologies of the hand and wrist

Wrist arthroscopy

Explanation of hand and wrist arthroscopy surgery

In this video you can see how the surgical procedure of wrist arthroscopy is carried out. This technique allows the team of specialists to visualize and act on the structures of the wrist such as tendons, ligaments or nerves, producing minimal discomfort for the patient.
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Our patients' experience

Endoscopy and arthroscopy of the hand and wrist

The wrist joint is responsible for hand movements and is involved in common day-to-day activities.

The team led by Prof. Dr. Elgeadi has hand and wrist specialist traumatologists. Endoscopy and wrist arthroscopy are techniques performed by pioneering professionals at a national and international level.

Resolving doubts…

Fractures and sprains are common hand and wrist injuries that can occur due to trauma, falls, or sudden movements. Fractures can affect the bones of the hand and wrist, while sprains refer to the strain or rupture of ligaments.

Common symptoms of these injuries include severe pain, swelling, deformity, or difficulty moving the affected fingers, wrist, or hand. Diagnosis is made through x-rays or other imaging studies to evaluate the severity of the injury and determine the best treatment approach.

In terms of treatment, fractures may require immobilization with splints or casts to allow the bones to fuse properly. Additionally, pain and inflammation medications may be prescribed to control symptoms. Physical therapy can also be helpful in regaining mobility and strengthening the muscles around the hand and wrist.

In more severe cases, when there is a displaced fracture or significant ligament tear, surgery may be necessary to repair the fractured bones or damaged ligaments. The surgeon may use techniques such as internal fixation with plates and screws or ligament reconstruction to restore stability and proper function.

Nerve entrapment in the hand and wrist can occur when nerves become compressed or trapped in surrounding structures, such as ligaments, tendons, or bones. This may cause pain, numbness, weakness, or tingling sensations in the hand and fingers.

Common symptoms of this condition include pain radiating to the fingers, a feeling of numbness or loss of sensation, muscle weakness, and difficulty grasping objects. Two of the most well-known nerve entrapments are carpal tunnel syndrome, which involves compression of the median nerve at the wrist, and compression of the ulnar nerve, which occurs at the elbow.

Treatment of nerve entrapment may involve changes in hand activity or position to reduce pressure on the nerves. Additionally, wrist splints or splints can be used to keep the wrist in a neutral position and relieve tension. Anti-inflammatory and analgesic medications may also be prescribed to relieve pain and inflammation.

Physiotherapy plays an important role in the treatment of nerve entrapment. Stretching and strengthening exercises help improve hand and wrist mobility while reducing pressure on the nerves. In more severe cases, when symptoms persist or worsen, surgery may be considered to relieve nerve compression and restore normal function.

Pathologies of the flexor and extensor tendons of the hand and wrist may include tendinitis, tenosynovitis, ruptures or tears. These injuries can be caused by repetitive movements, trauma, or inflammatory diseases.

Common symptoms of these conditions include pain in the wrist or fingers, difficulty moving the fingers or hand, swelling, weakness, and tenderness in the affected area. Diagnosis is made through clinical evaluation, which may include imaging tests, such as ultrasound or MRI, to assess the severity of the injury.

Initial treatment of flexor and extensor tendon pathologies generally involves rest and protection of the affected wrist through the use of splints or splints. Anti-inflammatory and analgesic medications may be prescribed to relieve pain and reduce inflammation.

Physiotherapy is essential in the rehabilitation process for these injuries. Specific exercises help strengthen affected muscles and tendons, thereby improving function and reducing the chance of future injuries.

In more severe cases, when there is a complete rupture of the tendon, surgical intervention may be necessary to repair or reconstruct the damaged tendons. Surgery may involve suturing the ends of the tendon or using grafting techniques to restore normal function.

Hand and wrist contractures refer to the loss of complete motion due to abnormal contraction or stiffness of muscles, tendons, or connective tissues. They can be caused by injuries, chronic illnesses, prolonged immobilization, or inflammatory conditions.

Common symptoms of contractures include stiffness in the hand and wrist, difficulty moving the fingers, limitation in range of motion, pain, and muscle weakness. The contracture can affect both the flexor and extensor muscles of the hand and wrist.

Treatment of contractures may involve physical therapy with specific stretching and strengthening exercises to improve mobility and flexibility of the hand and wrist. The use of splints or splints may also be necessary to maintain proper hand position and prevent further contracture.

Additionally, occupational therapy plays an important role in the management of contractures. Occupational therapists can work with patients to improve function in daily activities and recommend routine adaptations to avoid positions that aggravate contractures.

In more severe cases, when the contracture significantly limits function and causes persistent discomfort, the option of surgery may be considered. Surgery may involve releasing the connective tissues and structures causing the contracture, allowing for greater mobility and function in the hand and wrist.

Congenital anomalies of the hand and wrist are conditions present from birth that involve structural deformities or malformations. They may include missing fingers, fused fingers, bone malformations, or muscle imbalances.

Symptoms and treatment vary depending on the specific abnormality. In some cases, birth defects may not cause significant problems and may not require treatment. However, in other cases, when the abnormality affects function or causes discomfort, medical intervention may be necessary.

Treatment of congenital anomalies of the hand and wrist may involve reconstructive surgery to correct the deformity and improve function. Surgery may include techniques such as soft tissue reconstruction, tendon transfer, or bone correction.

Additionally, occupational therapy plays an essential role in the management of congenital anomalies. Occupational therapists work with patients to improve function and adapt daily routine to specific needs, using assistive devices if necessary.

Chondral and intra-articular wrist injuries refer to damage to the articular cartilage and internal structures of the wrist joint. They can be caused by traumatic injuries, chronic wear and tear, or degenerative diseases.

Common symptoms of these injuries include wrist pain, swelling, limitation in movement, a clicking or locking sensation in the joint, and weakness. Diagnosis is made through clinical evaluations and imaging tests, such as x-rays, MRI, or arthroscopy, to assess the extent of the damage.

Treatment of chondral and intra-articular injuries of the wrist may include rest and limiting activities that cause pain or worsen symptoms. Immobilization with splints or splints may be recommended to protect the wrist and allow healing.

Additionally, physical therapy plays an important role in the management of these injuries. Specific exercises help strengthen the muscles around the wrist, improve stability, and prevent stiffness.

In more severe cases, when there is extensive cartilage damage or the joint is severely compromised, surgery may be necessary. Surgical procedures may involve repairing damaged cartilage, cleaning the joint, or reconstructing the wrist using techniques such as arthroscopy or arthroplasty.

Traumatic nerve and tendon injuries in the hand and wrist can occur as a result of penetrating wounds, deep cuts, or direct trauma. These injuries can affect the normal function of nerves and tendons, causing loss of movement, sensation, or strength.

Common symptoms of these injuries include sharp pain, loss of sensation in the fingers, muscle weakness, and difficulty moving the hand or wrist. Diagnosis is made through clinical evaluations and imaging tests, such as electromyography or magnetic resonance imaging, to evaluate the extent of the injury and determine the best treatment approach.

Treatment of traumatic nerve and tendon injuries may require surgery to repair damaged tissues. Tendons may be sutured or reconstructed, and nerves may require repair or grafts. Post-surgery rehabilitation, including physical therapy and occupational therapy, is crucial to regaining function and improving mobility of the hand and wrist.

It is important to note that these descriptions are only a general overview and that the specific management and treatment of each condition may vary depending on the individual case. If you experience any symptoms or injuries to your hand and wrist, it is advisable to seek appropriate medical care for an accurate diagnosis and personalized treatment plan.

wrist sprain

Wrist sprain injuries arise as a result of injury to the ligaments that surround the joint due to excessive stretching or tearing of the ligaments. The most common symptoms are pain, stiffness, redness in the area or noise in the wrist when moving.

How long does it take to heal a sprained wrist?

Recovery time will depend on the type of wrist sprain, as there are different types of severity.

Types of wrist sprains

  • Grade 1 wrist sprain

In this degree, no breakage usually occurs, but rather minor injuries to the wrist. The recovery time in these cases will be shorter, and the most common thing is for the patient to rest completely for a few days.

  • Grade 2 wrist sprain

The ligaments are partially torn or torn. As in the previous case, recovery will be quick, but rest will last for a few weeks.

  • Grade 3 wrist sprain

This type of sprain is the most serious, where the ligaments are completely torn and surgical intervention can be used for treatment. In this case, the recovery period after a sprained wrist operation will be longer, since after surgery the patient must rest completely, and his subsequent rehabilitation must be assisted.

De Quervain's tendonitis

It's about a type of wrist tendonitis, which affects the extensor tendons on the side of the thumb, which are responsible for carrying out the movements of extending or separating the thumb. Tendonitis causes inflammation or irritation in the area.

Causes and symptoms of de Quervain's tendinitis

The causes of this hand tendinitis are usually due to repetitive hand or wrist movements, although it can also occur due to the practice of some sports such as golf or tennis.

The most common symptoms usually caused by de Quervain's tendonitis are inflammation or swelling on or near the thumb, stiffness when moving the fingers or wrist, and pain when twisting the wrist.

Wrist arthroscopy is a minimally invasive surgery, in which small incisions are made approximately 3 millimeters below the hand. Through these incisions, an arthroscope (instrument for visual exploration of the affected area, through a highly technological lighting system) is introduced for correct observation of the area affected by the injury.

Both the arthroscopy such as wrist endoscopy allow the wrist area to be inspected, including cartilage, tendons, ligaments and nerves. This allows the tissues of the wrist or hand to be repaired without the need to intervene in an open operation of which, in general, the recovery time and wrist pain after the operation is usually much longer than if it is resorted to. to a hand arthroscopy or endoscopy.

How long does a wrist arthroscopy last?

The wrist operation through arthroscopy, lasts approximately between 15 and 60 minutes. It must be remembered that this time will depend on the pathology to be treated and the severity that each case may have.

Usually, local anesthesia is administered, so the patient will not feel any pain in the wrist during the approach. The patient is discharged a few hours after the intervention as long as it has been recommended by the traumatologist in charge of his case.

Recovery after wrist arthroscopy

The Recovery after wrist arthroscopy is quick. Normally, the patient is prescribed analgesic treatment, with the aim of relieving possible pain. As it is a minimally invasive surgery, the patient usually regains mobility a few days after the intervention.

On some occasions, it will be recommended that the patient carry out rehabilitation treatment supervised by a specialist physiotherapist, with the aim of strengthening the joint and regaining mobility.

Advantages of wrist arthroscopy

Wrist arthroscopy has multiple benefits compared to open surgery. Firstly, there is minimal tissue damage, which reduces the risk of infections.

Additionally, arthroscopy provides a direct view of the joint, making it easier to diagnose and treat injuries. Recovery is faster than after open surgery.

It is important that this technique be carried out by a specialist traumatologist. Dr. Elgeadi's team has traumatologists specialized in hand and wrist, who master endoscopy and arthroscopy techniques.

This technique helps the surgeon to examine the internal parts of the joint, ligaments and cartilage that are affected, making it easier to determine the type of existing pathology.

Arthroscopy is usually performed when an injury or trauma has occurred that causes pain, swelling or any other type of symptom.

Some of the most common injuries and pathologies that require hand or wrist arthroscopy are: 

Wrist osteoarthritis

This pathology arises as a consequence of a deterioration in the cartilage belonging to the wrist, producing pain, difficulty in movement, wrist deformity and joint stiffness.

Wrist synovitis

Synovitis is caused by a inflammation in the synovial layer, place where the synovial fluid is located that allows lubrication of the joint, thus avoiding friction during movement and pain). One of the most characteristic symptoms is noticing a swollen wrist or pain in the area.

Wrist cartilage injuries

Injuries to the cartilage of the wrist are frequently caused by a distal radius joint fracture. The symptoms that characterize it are intense pain, loss of strength or swelling of the wrist.

Fractures or loose joint bodies

Wrist fracture is one of the most common pathologies in terms of trauma. The most common symptoms are swelling, tenderness and pain in the affected area.

Tendon or nerve entrapments

This nerve entrapment can occur as a result of hand tendonitis (excessive inflammation of the tendons) or arthritis. The symptoms that characterize it are numbness, tingling and a sensation of a numb hand.

Scaphoid pseudoarthrosis

The scaphoid is part of the carpal bones of the wrist. This pseudarthrosis It occurs when a fracture has not healed within a period of 6 months.

Wrist fractures

They occur when one or more bones in the wrist are fractured, usually caused by trauma. People who suffer from osteoporosis have more fragile bones, so they are more susceptible to suffering from these wrist fractures or cracks.

Rhizarthrosis of hand

They occur due to an injury to the ligaments of said joint. These sprains can cause a partial or total tear of the ligaments.

Thumb sprains

They happen when a ligament tear occurs in the thumb. The most common symptoms are pain and swelling in the affected area.

The main difference between both techniques is that the endoscopy is performed inside the joint, an area in which there are no previous cavities. On the other hand, arthroscopy consists of a technique similar to endoscopy only that the joints observed have previous cavities, such as the knee, shoulder, hip, ankle and wrist.

Both the Arthroscopy such as wrist endoscopy allows the area of the wrist to be inspected, including cartilage, tendons, ligaments and nerves.. This allows the tissues of the wrist or hand to be repaired without the need to intervene in an open operation for which, in general, the recovery time and wrist pain after the operation is usually much longer than if we resort to a hand arthroscopy or endoscopy.

Hand and wrist endoscopy is mostly known as endoscopic carpal canal surgery.

Endoscopy is usually used in pathology related to the carpal tunnel syndrome. The condition appears due to excessive pressure on the median nerve in the wrist, whose main function is to allow movement and sensitivity in the wrist. This causes tingling, weakness in the area or muscle damage in the patient.

Specialists in endoscopy and wrist arthroscopy

Make an appointment with our team and get a professional diagnosis of your doll

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