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Wrist Injuries

Significant pain and/or swelling after trauma to the wrist injuries. Osseous and ligamentous injury that may lead to instability must be carefully investigated and ruled out before the injury is classified as a wrist sprain.

Neuropathy Entrapment Wrist InjuriesWrist Injuries:Initial Diagnosis and Management

    • History and physical examination.
    • Radiography
    • A six view wrist trauma series should be ordered including posteroanterior, lateral, right and left oblique and PA in radial and ulnar deviation with a clenched fist.
    • Treatment is based on the specific injury
    • If no gross fx or instability is noted but significant pain and swelling is present, proceed with immobilization and reexamine in 2 weeks.
    • Appropriate restrictions of activity.

Wrist Injuries:Ongoing Management and Objectives

  • Immobilization should be utilized if needed.
  • Ice compression if needed
  • Flexibility and strengthening assessments

Wrist Injuries:Indication a profile is needed

  • Any limitations that affect strength, range of motion, and general efficiency of upper arms.
  • Slightly limited mobility of joints, muscular weakness, or other musculo-skeletal defects that may prevent hand-to-hand fighting and disqualifies for prolonged effort.
  • Defects or impairments that require significant restriction of use

Wrist Injuries:Specifications for the profile

  • Week 1-4
  • No upper body PT requiring flexion or extension at the wrist
  • No lifting or pushing with affected wrist
  • No low crawl
  • No stretcher duty with affected wrist(s)
  • Motor vehicle driving only with splint and with caution