Intrinsic Wrist problems are problems due to anatomic injuries in the wrist. The wrist is made of the joint were the radius and ulnar (forearm bones meet). In addition, the wrist joint is made up where the carpal (hand bones) meet the forearm bones. In the joint is cartilage. Surrounding the joint are ligaments and tendons.

Wrist arthritis:
can be treated with steroid injections and braces. Unfortunately there is presently no great surgeries for this condition except for occasionally chelectomy (removal of some bone spurs) or fusion.

Dequarvaine’s tenosynovitis:
is a condition due to overuse of the thumb ligaments, specifically the extensor pollicus brevis and abductor pollicis longus. This condition can be managed by injections, braces and surgical release.

Dorsal Ganglion Cysts:
this condition is due to “ballooing out” of the synovial lining of the joint in the hand. On rare occasions a steroid injection may help. The usual treatment is with surgery, with resultant imobilzation in a brace or cast for several months. Even with surgery there is at least a 30% reoccurrence of this condtion.

Carpal Tunnel syndrome:
is a condition due to narrowing of the canal that the MEDIAN nerve goes through in the wrist. This can result in pain and weakness of your hand. It SHOULD usually be confirmed by an EMG (nerve study) to check the severity of the condition. It can be treated by braces, steroid injections, occasionally PT manipulations. However, cases that are not treated successfully require release, either by an open surgery or endoscopic release.

Guyon Canal syndrome:
is a condition due to narrowing of the canal that the ULNAR nerve goes through in the hand. This can result in pain and weakness of your hand. It SHOULD usually be confirmed by an EMG (nerve study) to check the severity of the condition. It can be treated conservatively, but usually requires surgery.

Triangular cartilage injury:
is an injury of the cartilage at the pinkie area of your risk. This usually requires surgery.

Keinbock’s syndrome:
is avascular necrosis of one of the bones in the hand called the lunate. This condition is either treated conservatively or surgically based upon the severity o the condition.