M19.13

Clinical Causes: Wrist fractures, especially if they do not heal properly Ligament injuries, such as tears or overstretching Dislocations or subluxations of the wrist bones Repeated or severe sprains Previous wrist surgeries or injuries Joint instability following trauma

Key Symptoms: Persistent wrist pain, worsened by activity Stiffness and decreased range of motion Swelling around the wrist joint Tenderness when touching the affected area A feeling of grinding or catching within the joint Weakness or instability in the wrist Reduced grip strength

Diagnosis Path: Diagnosis of post-traumatic osteoarthritis of the wrist typically involves a combination of medical history, physical examination, and imaging studies. Medical professionals may inquire about previous wrist injuries and symptoms. Physical examination assesses joint stability, swelling, and range of motion. Imaging tests such as X-rays reveal joint space narrowing, bone spurs, or deformities. In some cases, MRI scans may be used to evaluate soft tissues and cartilage health, aiding in a comprehensive assessment.

Treatment Protocols: Treatment approaches focus on relieving symptoms, improving function, and preventing further joint damage. Common strategies include: - **Conservative management**: Rest, activity modification, and use of wearable braces or splints to support the wrist. - **Medications**: Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation. - **Physical therapy**: Exercises to strengthen surrounding muscles, improve flexibility, and restore movement. - **Injections**: Corticosteroid injections to alleviate inflammation and pain. - **Surgical options**: In cases of severe damage, procedures such as joint debridement, osteotomy, or wrist fusion may be considered. In some cases, joint replacement or cartilage restoration procedures might be appropriate. Each treatment plan is tailored to the individual’s specific condition and needs, with consultation from healthcare professionals.