I wasn't diagnosed or even see My Consultant Orthopeadic & Trauma Hand & Upper-Limb Surgeon - Mr. Donal Martin McCarthy, until: 28-02-2003 (I had my Accident/Injury on: 13-10-2002), So many months later,
I went to A&E the evening of: 13-10-2002, Just had X-Rays & given Dilofenc tablets & collar & cuff & shown Physiotherapy Exercises to do & told to stay off work for 2 weeks, Nothing showing up on X-rays, & to come back in Pain Discomfort contiued, etc.
Mr. McCarthy (His Skilled & seen 2 people with MCI before & knows Mr. David M Lichtman from America) followed The Rules For Daignosing MCI, Physical Wrist/Hand Examinations & Tests of both hands/wrists, elbows, shouler, & neck,
& He also still had to do X-rays & MRI-Scans, Then in November 2003 He Did Wrist Arthroscopy & was properly able to confirm MCI, Even though Mr. McCarthy knew this on: 28-02-2003 just be the correct MCI Physical Tests, Litchman & others say carry all tests out before Wrist Arthroscopy.
Its alot to take in & your not alone from being ignored or seeing Consultants/Doctors who have no clue.
Your Have To Learn Copy & Paste Like Me
Get Gadets to open tins, bottles, etc.
If you give me your E-Mail Address, I can help further
MCI is Poorly understood or not correcltly spotted or diaginosed, It was first recorded in 1919 & 1934, But it was Mr. David M Lchtman who brought it to The Worlds Consultant Orthopeadic & Trauma Hand & Upper-Limb Surgeon's ATTENTION in 1981 & sSince 1981 Him & others have been trying to understand its causes & why it happens in different ways & patterns & some people with clunks go years without Pain & Discomfort & others ger Pain & Discomfort as soon as The Clunk & Ligament Damage happens, etc.
Recognition of what is normal and what is pathologic is the key to arthroscopic treatment of carpal instability.
If carpal instability is suspected, both the radiocarpal and midcarpal spaces must be examined.
Interosseous ligament tears may block visualization in the radiocarpal space; thus, the degree of rotation of the carpal bones and abnormal motion are appreciated best by viewing from the midcarpal space.
A limited type of intraoperative arthrogram may be performed for the evaluation of carpal instability.
After examining the radiocarpal space, the inflow cannula is left in the radiocarpal space, and a needle is placed in either the radial or ulnar midcarpal
If a free flow of irrigation is present, a tear of the interosseous ligament should be suspected.
ISa trained & skilled Physiotherapist & She got Mid Carpal Instability in both hands/wrists,
She's had to have time off work & to under go Surgies,
& Her Consultant Orthopeadic & Trauma Hand & Upper-Limb Surgeon - Mr. Charles A Pailthorpe -
He believe's Julie suffered Mid Carpal Instability to both her wrists/hands through Repetive Movements/Tasks & Her Job.
If you have an E-Mail Address, I can send you copy of Page: 30 of Wrist Instability Ueli Buchler - 1997,
Midcarpal Ligament Tear Or Attenuation
*Pain & 'Clunk' In Hyperlax Young Patient After Light Injury Or Repeated Stress
*After Rotational Significant Injury I Normal Patients
& From other medical journals I have read & people I've spoken online & Consultants, Confirm MCI can be caused by Repeated Stress, Or a light injury that patient had years ago or doesn't even remember as the injury was nothing bad.
Thank you so much for your replies Scott.
I've had some time to think about things and I am feeling better now. Thanks for the hugs
I looked at the Beighton score, and I actually don't have any of those criteria. I asked the doctor today if he thinks I have hypermobility syndrome or just hypermobile wrists, and he said that he had not yet tested me to see if I have hypermobility syndrome, but that he thinks I have hypermobility just in my wrists (carpal hypermobility).
I don't remember my wrists cracking and clunking like this before my injury.
The doctor diagnosed me as having \"chronic RSI and carpal hypermobility\". I asked him what is causing my RSI and he said he doesn't know.
The only test he did were X-rays and also he took my wrists in his hands and moved them around (which really hurt).
I realized today that this doctor never diagnosed me as having wrist instability/carpal instability. That is what a physiotherapist told me, and is also what workers comp thinks I have. I'm not sure how they got that opinion.
I am thinking of just giving up, but do you think I should try to find another doctor and get a third opinion?
Right now if I make a tight fist I feel a \"clunk/pop\" in my wrist, and the same thing happens if I just turn my wrists or anything.
Re:Wrist Instability/Carpal Instability - Chat:
11 years 9 months ago #16078
I hope you don't mind me writing on here to you but I am interested in what's happening to you. I can see you have been chatting to Scott, who is a fountain of information, but I can not see what you originally said about your condition. I have MCI and my consultant is now querying Hypermobility syndrome for me as my previous wrist surgeries have not responded as they should have done.
I would definately get another opinion from a consultant as my first consultant missed my MCI even as he was giving me a triscaphoid joint replacement. I am lucky that my second consultant seems to know his stuff very well.
I don't want to prattle on too much now so if you want to chat let me know.
1997 - The Wrist & Its Disorders - Second Edition - Page 10.
Rotational Subluxation Of The Scaphoid Within The Carpus Has Long Been Recognized, But The Exact Pathologic Process Is Not Yet Fully Understood. Writers In The Past Have Referred To \"Sprained Wrist\" With Little Attempt To Analyze Or Specifically Treat The True Effects Of The Injury.
Attempts To Stabilize The Carpus By Soft Tissue Repair Are A Later Innovati
\"Carpal instability occasionally can be a subtle clinical finding and may not always be easy to confirm as the cause of persistent wrist pain. Patients may have symptoms suggesting carpal instability, but the diagnosis is elusive. Patients usually have a positive clinical history, local tenderness, provocative stress test, and loss of grip strength. On repeated examination, findings are consistent, but radiographs are completely normal...\"
\"... If the bone scan is suggestive but not strongly positive and if wrist arthrography is not conclusive, wrist arthroscopy may be essential in evaluating functional wrist pain and in assessing Workers' Compensation cases.\"