Dislocated Wrist - Carrollton, TX
Dr. Neagle is a board certified hand and wrist surgeon serving patients across Carrollton, TX. He specializes in the treatment of a wide range of orthopedic conditions including Wrist Dislocation, hand fracture, TFCC Tear, Mallet Finger etc.

Dislocated Wrist

The wrist connects the forearm to the hand and is made up of eight small bones referred to as the carpal bones. These are the Capitate, Hamate, Ezium, Scaphoid, Lunate, Triquetrum, Trapezoid and the Pisiform. This joint enables different movements of the hand such as lateral tilt, pronation, abduction, supination and flexion.

Dislocated Wrist is the condition which occurs when one or more of these constituent bones move out from their anatomical positions. The injury may also damage the tendons, ligaments and nerves that support the joint. In severe cases, Dislocated Wrist may result in permanent damage to the joint resulting in disability. In most cases, the lunate bone has been observed to be more prone to dislocation.

Causes Of Dislocated Wrist

  • Falling on the hand may stress the wrist joint
  • Sports, particularly those which involve physical combat may cause dislocation
  • Vehicular accidents
  • Lifting heavy weight
  • Falling on a slippery surface
  • Physical combat involving forceful twisting or turning of the hand

Symptoms Of Dislocated Wrist

  • Visibly deformed wrist
  • Pain which can be severe and increases when the hand is moved
  • The pain may reduce when the hand is held above the shoulder
  • Limited range of motion
  • A tingling sensation and numbness in the thumb or the fingers
  • Inability to flex the fingers or hand
  • Forming a grip for writing or painting may be difficult
  • Blood clotting may cause discoloration of the fingers/hand and lead to bruising

Diagnosis Of Dislocated Wrist

Detailed clinical evaluation of the injured hand, cause of injury and previous medical conditions may be taken into consideration
The patient may be asked to move the hand and fingers in different directions to check for severity of injury, damage to the nerves and loss of motion

Palpation may be done to check for inflammation

  • X-ray may be required to rule out fracture and diagnose the extent of dislocation
  • MRI and CT scan may reveal nerve damage, hairline fractures, blood clots and soft tissue injuries
  • Blood tests may be required if signs of infection are detected    

Treatment For Dislocated Wrist

  • The patient may be advised to apply ice packs within the first 24-72 hours to reduce inflammation and pain
  • Anti-inflammatory medicines may also be prescribed for pain relief
  • The wrist should be rested on a pillow or cushion for support
  • Immobilization of the hand for a few weeks to allow the bones and soft tissues to heal
  • Specific physical therapy exercises that focus on strengthening the forearm, hand and wrist may be recommended
  • The doctor may manually relocated the displaced bone and then cast the wrist in a sling for a few weeks
  • Surgical reduction of the joint may be performed in case of severe injury that involves multiple bones and fractures. The joint may be stabilized using plates, rods, pins and screws.

For treatment of Dislocated Wrist, visit Dr. Neagle. To schedule an appointment with the hand and wrist surgeon in Carrollton, TX, you can call at (972) 492 – 1334.