Wrist & Hand Treatments Santa Rosa
Redwood Orthopaedic Surgery Associates provides a full scope of orthopaedic services of the wrist and hand including:
CMC and Thumb Arthritis
Carpometacarpal (CMC) and thumb arthritis is a painful, chronic condition that can seriously affect your everyday life and prevent you from performing simple tasks. Thumb CMC arthritis causes pain, swelling, and stiffness throughout the wrist and hand.
Since arthritis is a chronic condition, treatment focuses on reducing pain and improving function in the hand. Treatment consists of splints, hand therapy, and corticosteroid injections. Surgery may be required for patients that do not respond to non-surgical treatments.
Dupuytren’s Contracture Treatment
Dupuytren’s contracture is a hand deformity caused by the gradual shortening and thickening of the connective tissues (palmar aponeurosis) within the palm.
Dupuytren’s contracture is a genetically inherited disorder. The exact mechanism as to how Dupuytren’s contracture occurs is unknown; however, it is known that there are multiple genes that are involved. This characteristic makes its presentation and behavior different in every individual.
For many people, Dupuytren’s contractures present as thickening of the palmar aponeurosis tissue, are non-progressive, and true contractures do not occur. Observation is recommended for these patients.
In other cases, Dupuytren’s contractures are progressive. In these situations, invasive intervention is recommended. This can be done with injectable medication, collagenase (Xiaflex), or by surgical release/removal of affected tissue.
Distal Radius Fracture Treatment
Also known as a broken wrist or a Colles’ fracture, the distal radius fracture is the most commonly broken bone. Wrist fractures frequently occur in children or in older adults. In children they occur during playground-related activities. In older adults they occur after simple falls. Symptoms of a Colles’ fracture may include pain, bruising, and swelling of the wrist.
The diagnosis of a distal radius fracture is made by x-ray examination. Fractures in children are usually treated by simple splinting or casting. Occasionally they need to be reset. Rarely do they need surgery. For adults, the treatment is different. These fractures are occasionally treated with casts. Many distal radius fractures in adults have to be treated with surgery because the bone is weak and the fractures tend to move with time. Many times fractures in adults are more severe than those seen in children. Every broken wrist varies in severity, and a patient’s care will be customized to their activity level and fracture pattern.