Hand, Elbow or Wrist Tendon Injuries | Orthopedics & Sports Medicine

Overview

Hand, elbow, or wrist tendon injuries are injuries to the bands of tissue that connect muscles to bones in the hands, elbows, or wrists. Tendons allow you to move your hands, wrists, and elbows.

Hand, elbow, and wrist tendon injuries are often caused by overuse. Trauma, such as from a fall or accident, can also cause hand, elbow, and wrist tendon injuries.

Hand, elbow, and wrist tendon injuries can be acute, as a result of trauma, or chronic, often as a result of overuse.

Hand, elbow, and wrist tendon injuries can take weeks to months to heal. Most people with hand, elbow, and wrist tendon injuries who receive appropriate treatment will begin to see improvement in two to three months. For more severe cases, treatment may include surgery and longer recovery time.

Hand, elbow or wrist tendon injury causes

Many hand, elbow, and wrist tendon injuries are caused by overuse and repetitive motion through activities such as tennis, bowling, and typing, among others.

Other causes include:

• Sudden trauma
• Normal aging/wear and tear

Hand, elbow or wrist tendon injury symptoms

Symptoms of hand, elbow, and wrist tendon injuries can develop suddenly or over time.

Signs or symptoms include:

• Pain
• Swelling
• Bruising
• Weakness in the affected area
• A snapping or popping noise at the time of injury
• Difficulty moving the hand, wrist or elbow
• Increased fatigue during activity

Hand, elbow or wrist tendon injury complications

If left untreated, complications of hand, elbow, and wrist tendon injuries can develop.

Possible complications include:

• Worsened pain
• Increased instability of the hand, wrist or elbow
• Loss of function and range of motion in the hand, wrist or elbow

Hand, elbow or wrist tendon injury risk factors

There are a few factors that can increase your chances of developing a hand, wrist or elbow tendon injury, including:

• Hand, wrist, and elbow tendon injuries are common in people who participate in activities that require repetitive hand, wrist, or elbow motions.
• Prior injury. Hand, wrist, and elbow tendons that have previously been injured are more susceptible to further injury or tendonitis.
• As people age, their tendons stretch and get thinner, making them more susceptible to hand, wrist, and elbow injuries.
• Smoking products with nicotine can weaken tendons.

Hand, elbow or wrist tendon injury prevention

Some hand, wrist, and elbow tendon injuries cannot be prevented. For example, hand, wrist, and elbow tendon injuries that occur as a result of trauma may not be prevented. In other cases, you can avoid hand, wrist, and elbow tendon injuries by taking a few precautions. Some lifestyle modifications you can make to avoid hand, wrist, and elbow tendon injuries include:

• Stretch and warm-up before exercise or prolonged periods of movement.
• When starting a new exercise routine, increase the intensity gradually.
• Use the appropriate form and technique when exercising or lifting heavy objects.
• Do not continue to engage in activities that cause pain.

Hand, elbow or wrist tendon injury diagnosis

Your doctor can diagnose hand, wrist, and elbow tendon injuries. During a clinic visit, your doctor will perform a physical exam and take a full medical history. Your doctor also will test the strength and range of motion in your hand, wrist, or elbow. In some cases, your doctor will order imaging tests such as:

• X-ray
• MRI

These tests may be able to determine what is causing your pain.

Hand, elbow or wrist tendon injury treatment

As with most injuries, recovery from a hand, wrist, or elbow tendon injury depends on how severe the tendon injury is. Most hand, wrist, or elbow tendon injuries can be treated with nonsurgical treatments. Many people experience symptom relief within a few weeks to a few months with rest, physical therapy, and medication.

If your pain is affecting your ability to perform your daily activities, your doctor may recommend a nonsurgical treatment such as:

• Avoiding using the injured area and pausing strenuous exercise is imperative during rehabilitation.
• Putting a cold pack on the hand, wrist, or elbow tendon injury several times a day for 20 minutes at a time can help relieve pain and make movement easier.
• Physical therapy. Physical therapy is key, first to reduce pain and swelling and then to increase strength and improve range of motion.
• Keep the injured hand, wrist, or elbow elevated when lying down.
• OTC medications. Over-the-counter pain relievers such as ibuprofen or naproxen can relieve pain caused by hand, wrist, or elbow tendon injuries.

In some cases, if the tendon will not heal, hand, wrist, or elbow tendon injuries require surgical treatment. Rehabilitation after surgery often includes physical therapy.

When to Seek Care

If your pain lasts more than a week, is severe, or is progressively worsening, call your doctor to schedule an appointment.

Next Steps

Your doctor will develop a treatment plan customized to your case. Carefully follow your doctor’s treatment instructions.

If your pain intensifies, call your doctor right away to discuss the next steps. You may need a more advanced treatment option if a first-line conservative treatment is not effective.

Traumatic Tendon Injuries of the Hand and Wrist

Tendons, muscles and bones work together to give our arms and hands full range of movement. A traumatic injury to a tendon can prevent us from fully extending our wrist or fingers. Tendon injuries such as cuts (lacerations) and severe tendon tears require immediate treatment to prevent permanent damage. Fast, effective care is available at TriHealth Orthopedic & Sports Institute Beacon Orthopaedics & Sports Medicine. Our hand and wrist specialists have extensive experience treating tendon injuries and delivering exceptional outcomes.

Tendons attach muscle to bone. In the forearm, there are several tendons called “flexor tendons” that connect the muscles of the forearm to bones in the fingers. Deep cuts on the fingers, palm or forearm can damage these flexor tendons and surrounding nerve fibers. The tendons can also be stretched too far, causing partial or full tears. In some cases, a tendon can pull completely away from the bone (avulsion fracture).

Traumatic tendon injuries of the hand and wrist causes

Flexor tendon and nerve injuries in the forearm and hand are almost always caused by sudden trauma. Causes include:

• Cuts
• Contact sports
• Severe tendon degeneration

Traumatic tendon injuries of the hand and wrist symptoms

Symptoms of traumatic tendon injuries include:

• Inability to bend finger joints
• Numbness or tingling in fingertips
• Pain when extending the fingers

Traumatic tendon injuries of the hand and wrist treatment

Tendon injury treatment will depend on the severity of the trauma. A tendon that is partially cut or torn may be treated nonsurgically. Full tears will require surgery to stitch the two ends of the tendon back together. Nerve damage can also be repaired surgically. After surgery, you will likely require:

• Splinting
• Physical therapy

Traumatic tendon injuries of the hand and wrist risk factors

Certain risk factors can increase your chances of sustaining tendon or nerve injuries. These include:

• Having an underling condition such as rheumatoid arthritis
• Performing high-risk activities such as rock climbing or wrestling
• Using sharp tools or machinery

Traumatic tendon injuries of the hand and wrist prevention

Below are a few tips for reducing your risk of injury:

• Prevent sports injuries—Avoid high-impact sports that may cause traumatic tendon injuries.
• Take safety precautions—Wear protective gloves if you must handle sharp or heavy tools and machinery.

Make an appointment

If you’ve sustained a traumatic injury such as a forearm tenon laceration, our specialists can help. Get connected with a specialist who can evaluate your condition create a customized treatment plan. Learn more or make an appointment with an orthopedic specialist: Call TriHealth at 513 246 2300 or our orthopedic partner, Beacon Orthopaedics & Sports Medicine, at 513 961 HAND or 513 961 4263.

Sprain / rupture of the ligaments of the wrist joint – Symptoms and treatment of sprains, taping – Traumatology NCC №2 (CCH RAS)

Wrist sprain happens quite often, since the hands are the main tool of a person. The provoking factors are:

• physical exercises performed incorrectly;
• Careless movements, including in children through the fault of adults;
• unsuccessful falls, blows;
• the costs of the profession, if necessary, repeatedly repeat movements and constant physical activity.

Factors predisposing to complications:

• advanced age, when the elasticity of connective tissues is lost;
• congenital tendon pathologies;
• inflammation of the tissues in the area of ​​the joint;
• long sitting;
• insufficient physical development.

Wrist sprain symptoms

When stretched, blood vessels, connective or nerve fibers are damaged. This process accompanies:

• pain that is aggravated by movement or touch;
• restriction of movement or its impossibility;
• swelling and edema.

How is the process developing?

There are three stages in the development of a sprained wrist:

• slight degree of damage – microtear of the ligament – moderate pain, no swelling;
• medium degree – partial tear – pain is felt clearly, mobility is limited, swelling and hemorrhage are present;
• severe degree – rupture of the ligament – extensive swelling and hematoma, severe sharp pain, movements are impossible.

First Aid Rules

If the patient has a wrist sprain, you should:

• seat or lay down the patient;
• immobilize the damaged limb with the help of improvised means (use a scarf, scarf) or an elastic bandage;
• if increased joint mobility is observed, apply a splint;
• cold is applied to the damaged area;
• patients are taken to a medical facility.

Diagnostics

If a ligament rupture is suspected, qualified assistance is required. Experienced specialist NCC No. 2 (Central Design Bureau of the Russian Academy of Sciences):

• examine the patient;
• will conduct a survey;
• will assess the severity of the injury;
• , if necessary, will prescribe laboratory diagnostics – blood tests, puncture synovial fluid, x-rays, ultrasound, MRI.

How is a wrist sprain treated?

The treatment process is determined by the severity of the injury. The injured limb is anesthetized, anti-inflammatory drugs are prescribed. Typically, this is a lengthy process. At the same time, it is important not only to stop the pain, but also to create conditions for the regeneration of damaged tissues.

When the wrist ligaments are sprained, if more than half of the fibers are intact, the treatment is carried out conservatively – a splint is applied for 2-3 weeks. After this period, the patient is shown wearing an elastic retainer (orthosis).

Taping will provide protection from damage, restoration of mobility and functionality – fixation of the hand with tapes. In case of a complete rupture, surgical treatment is performed – the ligaments are sutured.

Recovery is facilitated by physiotherapy procedures:

• medicinal baths;
• manual therapy;
• electrophoresis.

You can start rehabilitation the very next day after the injury – move your hand and do a massage with warming preparations.

Treatment, started in a timely manner, will ensure the absence of discomfort in the future.

causes and symptoms, treatment of wrist sprain Ortec

Wrist sprain happens quite often, since the hands are the main tool of a person.

According to WHO, a quarter of all injuries in the world occur on the hands, including the wrist.

Winter, frost, ice and slippery soles… Avoiding falling is the task of every pedestrian, it’s understandable,
that preventing an injury is always better than treating its consequences. Comfortable shoes with corrugated soles (or even better – the right orthopedic winter shoes that you can pick up in ORTEKA), careful gait and a friendly hand will help you not to fall. And not everyone succeeds in falling correctly. Indeed, at the most unexpected moment it is simply unrealistic to have time to group correctly, to understand what is happening, and even more so to remember the “rules” of falling …

Also, excessive loads can provoke a sprain of the ligaments of the hand. This problem is usually faced by athletes, loaders, auto mechanics and representatives of other professions whose activities are associated with physical activity. Improper exercise is another common cause of wrist sprains.

When stretched, blood vessels, connective or nerve fibers are damaged. This process is accompanied by pain, which is aggravated by moving or touching the limb. With an injury, there is swelling and swelling of the tissue, as well as limited or impossibility of movement.

Light degree of damage – microtear of the ligament – moderate pain, no swelling;

The average degree is a partial tear – the pain is felt clearly, the mobility of the wrist is limited, there is swelling and hemorrhage;

It is important for each person to know how to properly provide first aid for a sprained wrist joint in order to prevent the situation from aggravating.

First of all, a person needs to sit or lie down and immobilize the injured hand with an elastic bandage or improvised means (use a scarf, scarf). If increased joint mobility is observed, then a splint should be applied.

For the first two hours, cold must be applied to the damaged area. After this, the patient must be taken to a medical facility for qualified assistance.