mid carpal instability

Hiya Julie

Here's an list of Wrist Operations for Mid Carpal Instability:

1. Wrist Ligament Tightening Operation, with or without the use of K-wires, followed by 3 months in an hard cast & then a wrist splint & Physiotherapy/Exercises & grip/strengthening Exercises. (Standard Wrist Operation For Mid Carpal Instability, & will/might limit mobility/bending slightly if successful & may get rid of the Clunk/Snap if successful)

www.donaldsammut.com/wrist_lig_injury.htm

www.evans-hand.com/wrist_lig_injury.htm

2. Limited Wrist Fusion (Controversial & has been around since at least: 1981 & has no chances of successfully getting rid of Chronic Pain/Discomfort, but has an high success of getting rid of the Clunk/Snap I.E. The Carpal Instability, but your wrist would become very stiffer & you'd have limited flexing/bending & mobility in your hands/wrists)

3. Full Wrist Fusion (Controversial & has been around since at least: 1981 & has no chances of successfully getting rid of Chronic Pain/Discomfort, but has an high success of getting rid of the Clunk/Snap I.E. The Carpal Instability, but you wouldn't be able to bend/flex or move you hand left to right, you'd only be able to bend your fingers/make a fist & then your whole arm would bend from the elbow, but these improvements would mean you could lift 1 - 2 Kilograms or more for more than 10 minutes & without the aid of an wrist splint)

4. Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability (New, Controversial & Experimental, Only been carried out by 4 Uk Hand Surgeons on 20 - 40 patients, in the Uk that I am aware of since: April 2001 - late: 2007, it's been fairly successful, but it may need to be re-done every few years & the long term results/studies are still to be published)

However, further study is necessary to determine the safety and long-term efficacy of this procedure given the recognized complications of thermal capsular shrinkage in the shoulder (recurrent instability, capsular ablation, nerve damage, and chondrolysis): www.assh.org/AM/Template.cfm?Section=Jou...&ContentID=11869 & groups.msn.com/PalmarMidcarpalInstabilit...=4675656732359796979

Contains Pictures Of An Operated Hand/Wrist Limited/Full Wrist Fusions: www.pncl.co.uk/~belcher/information/Wrist%20fusion.pdf & www.emedicine.com/orthoped/topic367.htm

Information/Websites On Limited/Full Wrist Fusions: www.nnuh.nhs.uk/docs%5Cleaflets%5C558.pdf

www.handuniversity.com/topics.asp?Topic_ID=32

www.allaboutarthritis.com/AllAboutArthri...ist_Joint_Fusion.htm

www.eorthopod.com/public/patient_educati...55/wrist_fusion.html

www.netdoctor.co.uk/ate/musclesjoints/202746.html

Post edited by: Scott_1984, at: 2008/01/27 17:16

Hi Again Julie

Some surgeons might say that your suffering from Hypermobility/Hypermobility Syndrome, as you've said you suffer from Pain/Discmofort in both your hands/wrists, more your right hand/wrist, than your left hand/wrist.

This might not be the case for yourself, but it does happen.

Information On Hypermobility/Hypermobility Syndrome: www.ablehere.com/component/option,com_jo...iew/id,1222/catid,47

Also some Uk/World Consultant Orthopeadic & Trauma Hand & Upper-Limb Surgeons & Doctors/Consultants, choose to either ignore this disability & it's causes & effects, or say it's in your head.

Either because they no little about it or only look for signs in the X-rays & won't carry out any Physical Eaxminations/Tests on your hands/wrists, to see/reveal the early signs of Carpal Instability/Wrist Instability.

Quotes From - MUSCULOSKELETAL - Carpal Instability: wristinstability.multiply.com/journal/item/14

Instability occurs either if the carpus is unable to sustain physiologic loads (\"dyskinetics\") or suffers from abnormal motion of its bones during movement (\"dyskinematics\").

& It is essential to note that the unstable wrist initially does not cause relevant signs in standard radiograms, therefore being \"occult\" for the radiologic assessment.

& Later in the natural history of carpal instability, static malalignment of the wrist and osteoarthritis will develop, both being associated with significant morbidity and disability.

To prevent individual and socio-economic implications, the handsurgeon or orthopedist, as well as the radiologist, is challenged for early and precise diagnosis.\"

& Carpal instability mostly follows an injury; however, other diseases, like CPPD arthropathy, can be associated.

More Information Carpal Instability/Wrist Instability, Can Be Found At: www.ablehere.com/component/option,com_jo...iew/id,1162/catid,47 & wristinstability.multiply.com/notes/item/6 & msngroup.aimoo.com/PalmarMidcarpalInstabilityPMCIRSD

Post edited by: Scott_1984, at: 2009/02/08 10:39

Hi Again Julie

I can't wait for you to come back online & log into: Ablehere.Com - www.Abelehere.Com :)

I also can't wait to learn more about what your new surgeon will diagnosis you with & hers/his advice on treatments, & so on.

If you'd like to see more stories from fellow Mid Carpal Instability Suffers, Please Visit: Wrist Instability/Carpal Instability (MCI/PMCI) Chat: www.ablehere.com/component/option,com_jo...iew/id,1974/catid,47 & read Michelle's (yarnsbaby1) story, when she joined my msn support group last year & said she will be joining Ablehere.Com real soon :)

Her direct stories/replies can be found at: wristinstability.multiply.com/notes/item/6 & msngroup.aimoo.com/PalmarMidcarpalInstabilityPMCIRSD

Post edited by: Scott_1984, at: 2009/02/08 10:37

Hiya Again Julie

This is for yourself & other Ablehere.Com Members/Users & Visitors/Guests.

Mid Carpal Instability can/has gone by many names & there are many different types/forms of Wrist Instability Patterns, so I've added a list of these Wrist Instability Patterns or the names Mid Carpal Instability may also be called.

Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI) also known as:

Ulnar Midcarpal Instability,
CLIP-Wrist,
Wrist Instability,
Capitolunate Instability Patterns,
Capito Lunate Instability Pattern,
Ulnocarpal Instability,
Midcarpal Instability,
Mid Carpal Instability (MCI),
Palmar Midcarpal Instability (PMCI),
Carpal Instability,
Inter-Carpal Instability,
Scaphoid Instability,
Capitolunate Scaphoid Instability,
Wrist Sprains,
Wrist Pain,

Wrist Instability/Wrist Operations Stories: Websites: wristinstability.multiply.com/notes/item/6 & msngroup.aimoo.com/PalmarMidcarpalInstabilityPMCIRSD

timmerduder.com/lornaarm.htm (Full wrist Fusion

timmerduder.com/kellyarm.htm (Limited Wrist Fusion & Wrist Operation)

timmerduder.com/shortarm.htm (Ulnar Shortening & Wrist Operation)

timmerduder.com/stepharm.htm (Ulnar Shortening & Wrist Operation)

timmerduder.com/anaarm.htm (Ulnar Shortening &amp; Wrist Operation)<br><br>Post edited by: Scott_1984, at: 2009/02/08 10:36

I've had another possible MCI/PMCI Suffer contact Me, At: wristinstability.multiply.com/journal/it...y_Pain_-_Jack_L_Rook - There Multiply.Com Site is: auntkracker.multiply.com

I also found this online too, American Occupational Therapy Association - Inc - Mid Carpal Instability Advice Forum: otconnections.aota.org/forums/p/2471/33952.aspx

Post edited by: Scott_1984, at: 2009/07/25 22:32