C.S.I. Reference Articles

Common Wrist Problems

Ganglion Cyst - A cystic mass that arises on the ulnar side of the radial scaphoid joint where a collection of mucopolysaccharide fluid forms a cystic mass. It is usually not fixed to the connective tissues of skin and usually is not painful unless quite large in size.

Bicycler’s Palsy - Ulnar nerve that is compressed in cyclist while in racing position. The primary treatment is rest until symptoms resolve followed by adjusting the handlebars and use of padded gloves. If pain persists immobilize wrist for two weeks and institute a strengthening program for the wrist.

Carpal Tunnel Syndrome - Since the carpal tunnel has a fibrous roof and bony walls, any swelling or faulty biomechanics can cause a median nerve compression. Manipulation of the carpal bones, splinting or taping the wrist during the night will help to eliminate symptoms. Follow this with a strengthening and daily stretching program for the wrist and forearm.

Epiphysitis - Most commonly seen in younger athlete such as gymnasts, golfers and weight lifters. The wrist is often quite tender with direct palpation over the distal radius epiphysis. Radiographs may show sclerosis about the epiphysis. This injury should be treated as a Salter I fracture if the symptoms are severe, and thumb spica casting for three weeks is sometimes needed to resolve the symptoms.