M87.338

Clinical Causes: Trauma or injury to the wrist, such as fractures or dislocations Use of high-dose corticosteroids over a long period Chronic medical conditions like sickle cell disease, lupus, or gout Alcohol abuse, which can impair blood flow to bones Exposure to certain medications or toxins that affect bone health Repetitive stress or overuse injuries to the wrist Other medical conditions leading to compromised blood flow to the bones

Key Symptoms: Persistent wrist pain that worsens with activity Swelling and tenderness in the wrist area Reduced range of motion or stiffness Weakness or a feeling of instability in the wrist Crepitus or a grating sensation during wrist movement Possible discoloration or warmth over the affected area In advanced stages, wrist deformity or collapse of bones

Diagnosis Path: Detailed medical history to identify underlying causes or risk factors Physical examination to assess pain, swelling, and mobility Imaging tests such as X-rays, MRI, or CT scans to visualize bone damage and necrosis Bone scans or nuclear imaging in complex cases to evaluate blood flow and bone viability Laboratory tests if an underlying systemic disease like lupus or gout is suspected

Treatment Protocols: Conservative approaches such as immobilization with a cast or wrist brace to limit movement and reduce stress on the bones Pain management through medications like NSAIDs or analgesics Physical therapy to improve flexibility and strength once initial pain subsides Addressing underlying causes or risk factors, including adjusting medications, managing medical conditions, or lifestyle changes Surgical interventions in advanced cases, such as core decompression to stimulate blood flow, bone grafts, or joint fusion procedures In some situations, joint replacement surgery may be considered if the damage is severe