Система Orphus

Symptoms of disease - pain in the wrist

Wrist - department of the upper extremity between the bones of the forearm (radiation and the elbow and wrist bones (pastern), formed by eight bones. The bones of the wrist are located in two rows, the bones of the distal work together with a number of wrist bones, the bones of the proximal - with radiation bone.



Which diseases there is pain in the wrist

The main causes of pain in the wrist.

1. Acute injury of the wrist include fractures (most of the navicular and the crescent of the bones), sprains and strains. These injuries may be the result of a fall or a direct hit on the wrist. Depending on the nature and severity of the damage symptoms can range from the obvious deformation and pain to mild discomfort and swelling. Fractures of the bones of the wrist are often incorrectly diagnosed as stretching, because the symptoms may be severe. Unidentified or incorrectly treated fractures can have such serious consequences, as the loss of mobility in the wrist.

2. Stretch bracelets - this is stretching or rupture of ligaments around the wrist.
Stretch bracelets usually affect either the ligaments that hold together the lower ends of the two bones of the forearm, radiation and elbow, or bundles that combine the bones of the wrist.
The Reason:
- sharp, strong flexion of the hand ago.
Symptoms:
acute pain in the wrist,
- swelling,
- limiting the range of movements,
"the instability of the joint.

3. Damage to her wrists from the excessive use of, for example, tendinitis, developed gradually from the repeated stress, frequent sudden movements capture, bending of the wrist (golf, tennis, rowing).
Tendinitis wrists are especially due to the narrowness of membranes, through which pass the tendons in this area. Even a slight irritation of the tendons causes of the seal casings and a symptom of tendonitis as crackling sound when feeling the crackling in the tendon.
The most frequent tendinitis wrists, emerging from an inflammation of the two flexor tendons, which pass through the wrist to the hand and fingers.
The reasons may be repeated bending and straightening of the wrist in a large range of movements (frequent swinging subject).
Symptoms:
- the beginning of the gradual,
pain in the wrist is aggravated by activity,
- the feeling of crackling in the joints,
- difficult grasping of objects.

4. Stenosing tenosinovit (tendonitis), illness de Quervaine, is found exclusively in adults, especially women, flows with the pain and disability. The disease is localized in general tendon vagina long abductor thumb (m. abductor pollicis longus) and short extensor thumb (m. extensor pollicis brevis) at the level of subulate process of x-ray bone. In contrast to other forms of tenosinovit when stenosing tenosinovit veils over subulate outgrowth inflamed, with time, they are subjected to scarring, stenosing. Crackling sound when the movements of the fingers missing.
When long-running trial of subulate the outgrowth of the beam or under him, and sometimes on both sides of the subulate process appears thick swelling, reminiscent of a bone orange - a thickening of the scarring general of the tendinous vagina mentioned above muscles. There are four pathognomonic symptoms of stenosis tenosinovit:
- passive chest rotating brush, clenched into a fist, causing pain in the wrist in the field of subulate process, sometimes the pain gives the tip of his thumb or up to elbow joints;
- passive extension of the big toe painless;
- limited pain occurs when a pressure of 1- 1.5 cm distantly the end of the subulate process;
- tenosinovit occurs when unusual, excessive movements of the thumb (at the piano, tailors, the telephone, the twisting of the wet linen).

5. Tunnel syndrome or carpal tunnel syndrome - is a pain in the hands, especially in the brush of the right hand, caused by a long work behind the computer. It acquired the status of a professional diseases of computer scientists (programmers, engineers, and people are constantly working on the computer).
The reason tunnel syndrome.
The cause of the pain in the tunnel syndrome is a pinched nerve in the carpal tunnel. Jamming can be caused by swelling of the tendons passing in close proximity to the nerve, as well as swelling of the nerve.
The reason for pinched nerve in tunnel syndrome is a constant static load on the same muscle, which may be caused by a large number of repetitive movements (for example, when working with a computer mouse) or uncomfortable position of her hands, while working with the keyboard, in which the wrist to be in constant voltage.
The symptoms of the tunnel syndrome.
With the development of the tunnel syndrome occurs constant pain and discomfort in the wrists, weakness and numbness of the hands, especially the palms of the hands.
It should be noted that the pain in the hands can be caused not only jamming carpal nerve, but also damage the spine (osteochondrosis, hernia of intervertebral disks) in which the damaged nerve, coming from the spinal cord.

6. Peritendinit mainly affects the extensor tendons of the hand and wrist joint, often tendons wrist extensor (m. extensor carpiradialis) and long muscles,which emphasizes the big toe (m. abductor pollicis longus). Peritendinit of these muscles is localized in the lower part of the rear of the forearm. Rarely comes disease tendons general extensor fingers and tendons extensor index finger.
The main symptom of peritendinit are a pain in the wrist. In case of changes in the underside of the forearm sometimes in the course of the tendon visible swelling. Pressing a finger in the zone of destruction causes of pain, and with the active movements of your fingers you can find a tender crepitus ("suede" screech), feel it, and sometimes hear.

7. Osteoarthritis (hypertrophic osteoarthritis) wrist joint is rather common disease, in other joints of the wrist and hand it is rare. The most common cause of osteoarthritis ankle joint is asymphytous fracture of the navicular bone. Fractures of the distal end of x-ray bone, penetrating into radiocarpal joint, rarely cause it the degenerative changes. The symptoms of osteoarthritis in radiocarpal joint - pain with a voltage, restriction of mobility and painful sensitivity when pressure is applied on the area of the wrist joint.
Osteoarthritis lower radioulnar joint occurs when the wrong accrete the turn of x-ray bone in a typical place, with bone fractures of the forearm with a break lower radioulnar joints and the dislocation of head ulna (plus-version of the ulna).
Symptoms radioulnar of osteoarthritis - pain in the wrist when movements of the forearm, the painful sensitivity when pressure is applied on the back surface of the area of the lower radioulnar joint.

8. Rheumatoid arthritis (atrophic osteoarthritis) is the manifestation of the generalized system diseases of connective tissue. Involved in chronic inflammation of the connective tissue is not only the joints, but also many other places, in particular the skin, muscles, skeleton, heart, and, probably, of the lungs. Normal tissue structures are destroyed and replaced by granulation tissue in the affected areas is developing reparative fibrosis.
Rheumatoid arthritis is a disease mainly of middle age between 25 and 55 years. Usually runs chronically; the inflammatory process, beginning in the joints of fingers of hands and feet, spread centripetal order, taking the elbow, knee, shoulder and hip joints.
Meets rheumatoid arthritis also in early childhood, in which his the modified age peculiarities of a patient. In children the beginning of the disease is more often sharp and in addition to the joints of the extremities are involved in chronic inflammation of the joints of the cervical spine.
The joints in rheumatoid arthritis take spindle-shaped form. Rapidly developing flexion arthritic contractions and deformations difficult to correction. If not promptly take precautionary measures, the affected joints may develop subluxations and dislocations. In severe cases of rheumatoid polyarthritis brush rejected in elbow side. Deformation of fingers in rheumatoid arthritis are two main reasons. The first reason is the destruction of the capsule and ligaments deprives the joints of sustainability, and the thrust of the tendons leads to the development of strains - fingers rejected in elbow side, there are subluxations, thus limiting unbending. As a result of the fingers, the affected polyarticular rheumatoid arthritis, there are flexor-extensor contracture. The second cause deformities of the fingers are "spontaneous" tendon rupture. Involved in the rheumatoid process tendons are destroyed, infiltrated granulation tissue and in those places, where they are subject to pressure and abrasion, tearing. Most often torn tendons long extensor thumb (m. extensor poll. longus) at the level of elbow of the tubercle and individual tendons general extensor fingers (m. extensor digitorum longus) at the level of radioulnar joint. The break is usually preceded by pain in the wrist joint.

9. Avascular necrosis of the bones of the wrist. Lunate bone (lunatomalacia, morbus Kienbeck). The navicular bone (morbus Preiser). Avascular necrosis of the semilunar bone causes softening of the bone tissue, leading to the development of the deformation. The same changes, i.e., avascular necrosis may appear in of the navicular bone. Occurs avascular necrosis in adults at a young age, often in men than in women. In the clinical picture of the disease is possible to distinguish four stages:
- the first stage (the beginning) often appears after the damage flowing from pain within one-two weeks;
- the period of remission lasts for a few months;
- the active period of the disease with symptoms, stretching several years, and
- osteoarthritis ankle joint with persistent, continuous pain.
Pain in the wrist, at first a moderate rise in manual work. Painful sensitivity appears when pressure is applied on the affected bone, as well as effleurage finger on the head of the third tarsal bone at the lunatomalatsii and on the head of the first phalanx of the thumb in the defeat of the navicular bone.



Which doctor should I contact if there is a pain in the wrist

  • Rheumatologist
  • Traumatologist


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Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.