Causes of your
Wrist Pain
Your joints are involved in almost every activity you do. Movements such as brushing your teeth, putting on your clothes and cooking require the use of your wrist joint. When your wrist becomes diseased or injured, the resulting pain can severely limit your ability to move and work.

The wrist is made up of two rows of bones, with four bones in each row. These bones are located near the hand and are called carpal bones. Then, the forearm contains two bones, the ulna and radius bones.

A smooth substance called articular cartilage covers the surface of the bones where they touch each other within the joint.

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Common Causes of Wrist Pain

Osteoarthritis (OA) is sometimes called degenerative arthritis because it is a "wearing out" condition involving the breakdown of cartilage and bones. With osteoarthritis, the cushioning cartilage at the end of the radius and carpal bones may have worn down, making wrist movement painful as bone rubs against bone.

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Post-Traumatic arthritis may develop after an injury to the wrist joint in which the bone and cartilage do not heal properly. The joint is no longer smooth and scar tissue develops. The scar tissue causes pain in the wrist joint.

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Rheumatoid Arthritis (RA) is an autoimmune disease in which the body's immune response negatively affects the lining of the joints (called the synovial membrane), causing chronic inflammation and pain. The synovium becomes thickened and inflamed. In turn, too much synovial fluid is produced within the joint space, which causes a chronic inflammation that damages the cartilage. This results in cartilage loss, pain, and stiffness

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Carpal Tunnel Syndrome can cause hand and wrist pain. The "carpal tunnel" is a narrow passageway that runs from the base of the hand through the wrist. The median nerve, which controls our sense of touch in the palm, and touch and fine movement in the thumb and three largerer fingers, passes through the carpal tunnel along with several tendons. If any of those tendons become irritated, or any other swelling encroaches on the space within the tunnel, the median nerve may cause symptoms that range from tingling in the fingers to pain radiating up the arm. Hereditiy, repetitive and foreceful hand use, hormonal changes, and other medical conditions like arthritis and diabetes, have all been linked to carpal tunnel syndrome.

Treatment Options for Wrist Pain
Take the first step towards returning to your favorite activities by scheduling an appointment with a hand specialist Your orthopaedic hand specialist will review and discuss their diagnosis with you. Based on his or her diagnosis, your treatment options may include:
  • Medication
  • Physical therapy
  • Injections
  • Wrist Surgery
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Don't Let Wrist Pain Slow You Down

If you haven't experienced adequate relief with medication and other conservative treatments, wrist replacement may provide the relief from your pain and may enable you to return to your favorite activities. Whether you are exploring treatment options or considering joint replacement, Stryker's complimentary local joint pain seminars can provide you with more information.

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IMPORTANT INFORMATION ABOUT WRIST REPLACEMENT

VariAx 2 Wrist Fusion System

Indications: The Stryker VariAx 2 Wrist Fusion System is indicated for wrist arthrodesis and fixation of fractures in patients with wrist arthritis or fractures of other small bones of the carpus. Specific indications include:

  • Post-traumatic arthritis of the joints of the wrist
  • Rheumatoid wrist deformities requiring restoration
  • Complex carpal instability
  • Post-septic arthritis of the wrist
  • Severe unremitting wrist pain related to motion
  • Brachial plexus nerve palsies
  • Tumor resection
  • Spastic deformities

Contra-Indications: The physician’s education, training and professional judgment must be relied upon to choose the most appropriate device and treatment. Conditions presenting an increased risk of failure include:

  • Any active or suspected latent infection or marked local inflammation in or about the affected area
  • Compromised vascularity that would inhibit adequate blood supply to the fracture or the operative site
  • Bone stock compromised by disease, infection or prior implantation that can not provide adequate support and/or fixation of the devices
  • Material sensitivity, documented or suspected
  • Obesity. An overweight or obese patient can produce loads on the implant that can lead to failure of the fixation of the device or to failure of the device itself
  • Patients having inadequate tissue coverage over the operative site
  • Implant utilization that would interfere with anatomical structures or physiological performance
  • Any mental or neuromuscular disorder which would create an unacceptable risk of fixation failure or complications in postoperative care
  • Other medical or surgical conditions which would preclude the potential benefit of surgery
Source: VAX-ST-23


ReMotion Total Wrist System

Indications: The ReMotion Total Wrist System is intended for replacement of the painful wrist joint due to rheumatoid arthritis, osteo-arthritis, or post-traumatic arthritis.

Contraindications: Bone, musculature, tendons, or adjacent soft tissue compromised by disease, infection, or prior implantation, which cannot provide adequate support or fixation for the prosthesis.

  • Known sensitivity to materials used in this device
  • Skeletal Immaturity
Source: V15114

The information presented is for educational purposes only. Stryker is not dispensing medical advice. Please speak to your doctor to decide which type of surgery is right for you. Only your doctor can make the medical judgment which products and treatments are right for your own individual condition. As with any surgery, joint replacement surgery carries certain risks. Your surgeon will explain all the possible complications of the surgery, as well as side effects. Additionally, the lifetime of a joint replacement product is not infinite and varies with each individual. Also, each patient will experience a different post-operative activity level, depending on their own individual clinical factors. Your doctor will help counsel you about how to best maintain your activities in order to potentially prolong the lifetime of the device.

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: ABG, GetAroundKnee, Mako, Rejuvenate, ReMotion, STAR, Stryker, T2, Together with our customers, we are driven to make healthcare better, VariAx. All other trademarks are trademarks of their respective owners or holders.
Content ID: REM-AWI-1, 01-2017

References

  1. "What Is Rheumatoid Arthritis?" What Is Rheumatoid Arthritis? Arthritis Today, n.d. Web. 16 Feb. 2017.
  2. "Arthritis." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 02 Nov. 2016. Web. 16 Feb. 2017
  3. Bone, Muscle And Joint Team. "6 Myths About Joint Pain and Arthritis." Health Essentials from Cleveland Clinic. N.p., 20 July 2015. Web. 16 Feb. 2017.
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