Scapholunate Weakness

I’d like to start off and say this site is an amazing resource! I’m glad I found it.


Hello,

I'm a 22 year old electrician and have been suffering from right wrist pain since December 06 and as a result been on and off work since.

Due to RSI and Tendonitis injury, I’m Experiencing clicking and cracking in wrist (when doing physio exercise no pain really), and a lot of pain in the scapholunate region when bending wrist back and down. I don't dare do push ups, surf, fish or gym.

I had seen wrist Specialists and an array of physios. I've previously had 2 quaterzone injections, had ultrasounds, bone scan, and MRI. These seem to be normal and nothing to mention apart from a very small cyst that can be left alone.

I encounter pain from doing small things like bending my wrist forward and back and a little bit side to side, but most of my pain is when I try do push ups.

Recently had an arthroscopy which I think has made the pain worse, in a certain area. Arthroscopy revealed Grade 2 weakness in the ligament between
Scaphoid and Lunate. Surgeon couldn’t put the probe in and separate bones, but could push it in a little, so there is some weakness. Everything else seems fine.

I cop a fair amount of pain most of the time, physio doesn’t seem to help.
It’s been 18months, my career is suffering.


What are your thoughts?

Would anyone have any advice for me,
Any Doctors or physios you can recommend? (I’m in Sydney.)


Thanks Heaps

Welcome Mick

This websites real cool & useful & its owned & run by Karl Dean

As you can see I run 2 forums on here

It sounds like your suffering from Carpal Instability & sadly there's not much that can be done with soft tissue wrist injuries after 6 - 8 weeks

Consultants will often be very careful in the feild of Carpal Instability & we try the basics first:

Twice a day hand, wrist, finger, Physiotherapy & Strengthening Exercises,

Wrist Splint/Wrist Brace,

Painkillers, (Paracetamol & Codeine),

Non-Steroidal Anti-Inflammatory Drugs (NAIDs),

Hot & Cold Therapy,

Ice-Packs,

RICE, (Rest, Ice, Compression, Elevation),

Wrist Arthroscopy (Triming Cartalige, Diagnose, Ect),

Wrist Surgeries (Limited Wrist Fusion, Full Wrist Fusion, Ligament Tightening Operations, Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability),

No Wrist Surgery or Diagnose.<br><br>Post edited by: Scott_1984, at: 2008/07/19 00:20

Mick you might to see your Consultant &amp; talk about having this wrist operation known as: Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability,

As it appearently has a great/excellent success rate for minor - milder Carpal Instability in the wrist/s.

Although I have suffered from Mid Carpal Instability/Palmar Midcarpal Instability (Wrist Instability/Carpal Instability) since: 13-10-2002 &amp; had 2 wrist operations,

I am due to have this wrist operation known as: Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability, next Thursday.

As the surgeon wants to delay any limited or full wrist fusions on my left hand/wrist, due to how young I am &amp; there's no harm in having this wrist operation known as: Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability.

Julie has MCI/PMCI &amp; She just had this wrist operation known as: Arthroscopic thermal capsulorrhaphy for palmar midcarpal instability/Thermal Capsulorrhaphy for Midcarpal Instability, done a few months back this year,

&amp; there seems to be some improvements/changes in the level of pain, discomfort, movements, ect.

I am sure Julie would be happy to talk to you.

Julie was really glad to find this website, &amp; so was I

I don't know much about surgeons in Sydney, But there are some great Surgeons &amp; Physiotherapists,

So I've heard in Australia/Sydney,

One Physiotherapist is known as: Andrea Bialocerkowski &amp; there's another one who helped Mr. David M Lichtman from America in 1981 to make a Mid Carpal Instability Splint,

When he visited David M Lichtman in America in 1981 I believes.<br><br>Post edited by: Scott_1984, at: 2008/07/19 00:17

Hiya Michael, try some of these websites for more information on Consultant Orthopaedic &amp; Trauma Hand &amp; Upper-Limb Surgeon's or where to find them.

www.aoa.org.au/surgeons.asp & www.so.com.au/referral.htm

The Sydney Hand Surgery Clinic (SHSC): www.sydneyhandsurgeryclinic.com.au/about_us.asp

The Sydney Hand Specialist - Injury Update Forum: www.injuryupdate.com.au/forum/showthread.php?t=380 & www.injuryupdate.com.au/about_us.php

The Sydney Hospital Hand Unit provides a comprehensive elective and emergency service for all hand and wrist disorders within South East Health: www.sesiahs.health.nsw.gov.au/sydhosp/services/handunit.asp & www.sesiahs.health.nsw.gov.au/sydhosp/services/physiohand.asp &

The Australian Hand Surgery Society: www.ahssociety.org.au

The Australian Orthopaedic Association: www.aoa.org.au/visitors.asp

The Australian Hand Therapists: www.ahta.com.au

The Independent Physiotherapists Australia (IPA): www.1300physio.com & www.1300physio.com/aboutus.html

The European Federation of Hand Therapy: www.eurohandtherapy.org/links.html

Always seek an: Consultant Orthopaedic &amp; Trauma Hand &amp; Upper-Limb Surgeon.

Hope The Above Websites help

Hiya Mick

I really hope you are ok?.

Not seen you on Ablehere.Com for months &amp; I know you were a bit low depressed with your diagnose, treatment, advice, &amp; help, &amp; lods more for your Carpal Instability.

I've sent you 4 private messages, But you've not been back online since August 2008, *HUGS*

Me &amp; Julie spoke to you in the forums, Since then another Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI) called Ryan joined us this year 2009 &amp; his from Canada,

&amp; his been having problems with his treatment about his Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI) &amp; Diagnose &amp; Treatment, Which sadly isn't unsual in this complex/serious pain/clunking wrist disabilty.

You can find his post at: www.ablehere.com/component/option,com_jo...ew/id,15798/catid,47

Julie's joined My Brand New Online Multiply.Com Group Site For Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI) At: wristinstability.multiply.com & wristinstability.multiply.com/journal

&amp; I am slowly doing my best to upload lots of Medical Journals &amp; Websites on Advice, Diagnose, Treatments, Sugeries, Physical Examinations &amp; Tests, &amp; loads more for help on MCI/PCMI.

Ryan say's he will join soon, But his found the medical journals very helpful &amp; he will be printing some off for his next appointment with an Consultant Orthopeadic &amp; Trauma Hand &amp; Upper-Limb Surgeon.

I really hope your ok &amp; feeling less depressed &amp; low, &amp; We hope to see you again online real soon

*EXTRA EXTRA BIG HUGS*

Micks wrote:

I’d like to start off and say this site is an amazing resource! I’m glad I found it.


Hello,

I'm a 22 year old electrician and have been suffering from right wrist pain since December 06 and as a result been on and off work since.

Due to RSI and Tendonitis injury, I’m Experiencing clicking and cracking in wrist (when doing physio exercise no pain really), and a lot of pain in the scapholunate region when bending wrist back and down. I don't dare do push ups, surf, fish or gym.

I had seen wrist Specialists and an array of physios. I've previously had 2 quaterzone injections, had ultrasounds, bone scan, and MRI. These seem to be normal and nothing to mention apart from a very small cyst that can be left alone.

I encounter pain from doing small things like bending my wrist forward and back and a little bit side to side, but most of my pain is when I try do push ups.

Recently had an arthroscopy which I think has made the pain worse, in a certain area. Arthroscopy revealed Grade 2 weakness in the ligament between
Scaphoid and Lunate. Surgeon couldn’t put the probe in and separate bones, but could push it in a little, so there is some weakness. Everything else seems fine.

I cop a fair amount of pain most of the time, physio doesn’t seem to help.
It’s been 18months, my career is suffering.


What are your thoughts?

Would anyone have any advice for me,
Any Doctors or physios you can recommend? (I’m in Sydney.)


Thanks Heaps

Hi Mid Carpal Instability (MCI)/Palmar Midcarpal Instability (PMCI) Suffers &amp; Reflex Sympathetic Dystrophy\Complex Regional Pain Syndrome 1&amp;2 (RSD/CRPS 1&amp;2) &amp; The 3 Stages/Phases Of RSD/CRPS 1&amp;2 Suffers,

Its Me again &amp; Just remembered I had found this USA Legal Firm Years Ago Through Doing My Mid Carpal Instability &amp; Wrist Instability Searches &amp; Legal Cases Too.

Mid Carpal Instability: www.hickeylawfirm.com/html/injuries.html?submit=

Arm, Hand, Wrist, Elbow, and Shoulder:

Arm, hand, wrist, elbow, and shoulder injuries can be the result of fractures, ligament damage, carpal tunnel syndrome, sprains, nerve damage, or muscle problems. Causes of these injuries include repeated job duties (carpel tunnel syndrome), car accidents, sports accidents, work-related accidents, and falls.

The wrist is one of the most complicated joints in the body. The hand is at the top of this joint. In the hand, the bones in the finger meet at the carpal bones. This is a series of eight bones arranged in two rows that articulate - that is, move in relation to - the lower arm bones, the radius and ulna. The lower arm bones, the radius and ulna, move in relation to each other. If the distal end of one those bones, that is the end farthest away from the shoulder, is fractured, it may alter the way the two bones move about each other, and thus, may alter the range of motion and general ability to move.

The Legal Team at Hickey Law Firm, P.A., is experienced with handling many severe hand, wrist, and arm injuries. These injuries have included mid-carpal instability caused by ligament damage to the mid-carpal ligaments in the right hand of a chiropractor who had tripped and fallen onto his hand (resulting in a settlement of $650,000). In that case, the plaintiff received only one surgery, a pinning of two of the bones in the hand. That did not work. There is no type of surgery to repair the ligaments that result in mid-carpal instability. This is instability between the two rows of bones that sit at the top of the forearm bones, radius and ulna, and below the finger bones. This instability resulted in popping of the arm bones whenever the plaintiff moved his right hand and an inability to put weight or pressure on his hand. This is a permanent injury and has caused the plaintiff, a chiropractor, to lose substantial income in his practice.

www.hickeylawfirm.com/html/injuries.html?submit=

&amp;

RSD/CRPS: www.hickeylawfirm.com/html/injuries.html?submit=

We also have been involved with a case in which a restaurant allowed a booth to remain in disrepair. The booth had a hole in the seat. When the Plaintiff put her hand on the seat to slide over, her hand thrust into the hole and onto the edge of a slat underneath the seat. That slat, without breaking the skin, tore or severed the scapho-lumate ligament. That is the ligament that holds together the two bones that are the cornerstone of the bones in the hand, the scaphoid and the lunate bones. Various surgical repairs were attempted on this very serious injury, mostly without results. Our client also suffered Reflex Sympathy Disorder (RSD), which caused her hand to swell, become reddened and mottled, and to be sensitive to both heat and cold. The RSD was treated with 11 nerve block injections. Our client underwent five separate surgeries, three of which were fairly minor. The last surgery was a fusion of her right wrist. Our client was an accountant and now is a part-time bookkeeper and lost income. This case resulted in a jury verdict of $1.733 million.

So In America Thanks To Mr. David Litchman &amp; Other American Consultant Orthopeadic &amp; Trauma Hand &amp; Upper-Limb Surgeons Bring Both Mid Carpal Instability &amp; RSD/CRPS To Light World Wide &amp; In America.

Take Care &amp; Take It Easy

*HUGS*

Scott