Dr. Richard Berger on Hand Problems

This Medical Edge Weekend episode features Mayo Clinic orthopedic surgeon, Dr. Richard Berger, answering questions on hand and wrist problems. 

Medical Edge Weekend 11-13-10

Here’s a couple of videos of Dr. Berger talking about wrist pain diagnosis and treatment:

We look forward to hearing from you on Saturday.

3 Comments

  1. Katherine De Dios
    Posted November 10, 2010 at 12:16 pm | Permalink

    Ive been having this pain in my wrist for quite a while now. Sometimes I cant sleep at night due to the aching pain. I typed the whole day at work and once I get home Im still in front of a computer, I thought that was the reason of my wrist pain. What advice could you give me? I tried pressing where indicated on the video and sure enough it hurts, doubling the pain. Thank you in advance!

  2. jstreed
    Posted November 12, 2010 at 3:07 pm | Permalink

    Katherine,

    Dr. Berger supplied the following reply:

    Thank you for posting your question. You are not alone with these complaints, and you are quite right – the painful wrist can interfere not only with activities during the day, but also can interfere with a good night’s sleep.

    There are just a couple of conditions that can cause the tenderness described by the “fovea sign” maneuver that you self administered. One is a massive disruption of ligaments known as a “foveal dissociation”. There is usually a clear history of trauma (injury) with this and the diagnosis is narrowed by the demonstration of instability in the joint. Unfortunately, it is not possible to test this on yourself – you need a doctor trained in this to do the maneuver correctly. If this is present, it usually requires surgery to repair or reconstruct the ligament attachments.

    The other condition is what we have called the “UT ligament split tear”. This condition is caused by a partial split of the ligament down its length. It does not cause instability of the joint, just pain. It does not progress to anything else, so if the pain isn’t too bad, you can treat it with splints, sometimes cortisone injections and time. If, however, the pain gets to be too much, this condition has a good response to arthroscopic surgery. Again, the diagnosis is best confirmed by a doctor trained to treat these injuries.

    I hope this information is helpful. As you have already discovered, there are some on-line resources to help illustrate the conditions. Just use the search terms “ulnar-sided wrist pain” or “UT split tear” and you should have a good choice of links to learn from.

  3. Lisa Olson
    Posted March 26, 2011 at 11:31 pm | Permalink

    I underwent a radial carpal fusion on Jan. 19, 2011. My right wrist was crushed in oct. of last year. The first repair with plates and pins collapsed. I have excruciating pain in the region you are talking about. When I ask my Dr. about the pain he wont answer me or tell me why it is so painful. The whole purpose of the fusion was to alleviate some pain and the pain is multiplied x 10 since before the surgery. Could the UT ligament be the problem?


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