Wrist Dislocation; Causes, Symptoms, Treatment

Causes

• Fall on an outstretched hand
• Sports injuries
• Vehicular accidents
• Physical combat
• Direct hit on the wrist with a ball while playing or any other object may cause dislocations and fractures
• Past injuries or hand fractures make the wrist prone to dislocations
• Workplace accidents

Symptoms

• Severe pain
• Visibly deformed wrist joint
• Swelling and stiffness
• The joint may feel tender when touched
• In case of nerve damage, a tingling sensation in the thumb or the fingers may occur
• Bruising
• Range of motion may be affected

Diagnosis

• Detailed observation of the injured hand by an orthopedic doctor
• Palpation may be used to check for exact point of dislocations and swelling
• The mode and time of injury may be taken into consideration besides the symptoms, past medical records and injuries, if any
• X-ray imaging may be required to assess the damage to the bone structure
• MRI scan may be required in some cases for a better view and if damage to nerve or ligaments is suspected
• Neurovascular examination of the joint may be done

Treatment

• Application of ice packs may help to reduce swelling
• Pain killers may be prescribed
• Use of a soft bandage for compression and support may be helpful
• Splinting the wrist and fingers
• The injured hand should be rested on an elevated surface
• Simple bracing and cast may be used to reduce the dislocated bones and restore functionality of the joint in case of minor injuries
• Surgical reduction (putting the displaced bone back in place) may be carried out and the process may involve use of pins, wires and screws to hold the bone in place
• The hand may be secured using a cast for a few weeks
• The surgical procedure may be followed by a physical therapy plan to promote strength, stability and restore range of motion
• Some changes at the work place may be suggested by an occupational therapist for recovery and prevention of future damage to the joint