my wrist.....?

Question

both of my wrists keep playing up and it has been for a year or more more now and i never thought of anythin of it till i got pregnant but its when i move it usually it clicks all the time and then starts gettin sore then i have 2 put a bandage on usually i wear a support grip for my wrist because bandages get lost in our house but yea do u think i should get it seen 2 by a doctor or something

Answer 1

The symptoms that you describe are similar to two different problems associated with the wrist. (1)Those caused by damage to the triangular fibrocartilage complex (TFCC) which is a small meniscus resting on the ulna or side of the wrist opposite the thumb. The complex serves as a site of connection of ligaments as well as a spacer or cushion between the carpal bones (wrist bones) and the end of the forearm. It is analogous to the meniscus within the knee and can be injured in a similar fashion when the complex is compressed and then a shearing force is applied to it. As the wrist is not a weight bearing joint, the discomfort and functional limitations are significantly less when a TFCC tear occurs than when a knee meniscal tear occurs. TFCC tears, however, can be quite limiting in their effect for individuals participating in sports where significant wrist motion occurs and a forced grip is necessary. TFCC tears are normally caused by landing on the outstretched arm or by repetitive loading of the ulna side of the wrist. Sometimes relatively minor trauma causes a tear to become symptomatic as it has previously been injured or compromised, causing pain on ulna side of wrist (pinkie side). The pain is usually worse when the hand is rotated away from the thumb. Clicking or popping is possible. Conservative measures such as rest and activity modification will lessen the pain of the tear. Casting of the wrist (or splinting) to allow total rest is a more aggressive conservative measure, and as you state that you have a problem with both wrists, not a viable one. Other treatment options consist of Glucosamine. Hyaluronic Acid. Non-steroidal Anti-inflammatory Medications (NSAIDs). As in the knee, a symptomatic TFCC tear becomes a mechanical irritant to the joint. When it remains symptomatic, despite conservative care, surgical care for the tear is required. This is normally done arthroscopically and often a repair of the tear is possible. A chronic tear and tears in the older patient are less likely to be repairable. In these situations excision of the tear is suggested and this usually allows full return to normal activities. (2) On the other hand – or perhaps I should say “side”, if there is symptomatic unilateral clicking of the wrist, a partial tear of the scapholunate ligament may be present. This is often accompanied by scarring of the proximal third of the dorsal portion of the ligament, which is usually treated by surgery. A complete recovery is normal.
I add a link covering both subjects mentioned

http://www.wheelessonline.com/
ortho/triangular_fibrocartilage_
complex


http://www.wheelessonline.com/
ortho/scapholunate_instability


Hope this helps
Matador 89