The Wrist

Clinical Assesment
• Symptoms
- Pain - Deformity
- Stiffness - Loss of Function
- Swelling - Clicks
• Signs
• Look
• Feel
• Move
• Tes Profokasi
Imaging
• X-Ray
• Arthrography
• CT-Scan
• MRI
• Radionuclide scan
• Fluoroscopy
• Arthroscopy
Congenital Anomalies of the wrist and hand
• Embriologi
• General Considerations
- Initial Consultation
- Clinical Examination
- Indications for Operative treatment
1. Function
2. Progression of deformity
3. Appearance
4. Pain
• Classification
1. Failure of Formation of Parts
2. Failure of differentiation of parts
3. Duplication
4. Overgrowth
5. Undergrowth
6. Contriction Band
7. Generalized Skeletal Abnormalities
1. Failure of Formation of Parts
A. Transverse Arrest
B. Longitudinal Arrest
- Radial Dysplasia
- Ulnar Dysplasia
- Displasia Central
- Displasia intercalary segmental
2. Failure of differentiation of parts
A. Sindaktili
B. Synostosis
C. Camptodactyly
D. Clinodactyly
3. Duplication
Polidactily
4. Overgrowth
Macrodactily
5. Undergrowth
Brachydactyly
6. Contriction Band
Clubb foot
7. Generalized Skeletal Abnormalities
A. Madelung deformation
B. Congenital clasped tumb
Congenital trigger thumb
Symphalangism
AMC
Acquired Deformities Of The Wrist
1. PHYSEAL INJURY
2. FOREARM FRACTURES
RHEUMATOID DEFORMITIES
Drop wrist
Chronic Instability Of The Wrist
1. INSTABILITY OF THE DISTAL RADIO-ULNAR JOINT
2. LONGITUDINAL INSTABILITY OF THE RADIUS AND ULNA
3. DISORDERS OF THE TRIANGULAR FIBROCARTILAGE COMPLEX
a. Traumatic disruption
b. Ulno-carpal impaction and TFCC degeneration
4. CHRONIC INSTABILITY OF THE RADIO-CARPAL AND INTERCARPAL
JOINTS
KIENBÖCK’S DISEASE
PREISER’S DISEASE
TUBERCULOSIS
RHEUMATOID ARTHRITIS
OSTEOARTHRITIS OF THE WRIST
1. Radio-carpal Osteoarthritis
2. Distal Radio-ulnar Arthritis
3. Carpo-metacarpal Osteoarthritis
4. Scaphoid-trapezium-trapezoid (Stt) Arthritis
TENOSYNOVITIS AND TENOVAGINITIS
1. De Quervain’s Disease
2. Intersection Syndrome
3. Other Sites Of Extensor Tenosynovitis
4. Flexor Tendinitis
5. Occupational Pain Disorders
SWELLINGS AROUND THE WRIST
1. Ganglion Cysts
2. Extensor Tenosynovitis
3. Carpo-metacarpal Boss
4. Compound Palmar Ganglion
CARPAL TUNNEL SYNDROME
NOTES ON APPLIED ANATOMY