Aa
question about hand surgery
i was having problems with my wrist with symptoms as numbness on fourth n pinky fingers at night, ulna bone sticking up more than the leftside from falling on hands first during rollerblading.
i found out i had small chipped bone in the wrist area right front of the area ulna bone is sticking out. when i'm doing the bicep curls with a dumbell free wt, it makes it uncomfortable by clicking around the tendons..
anyone know what can be done about this? my dr suggested getting a surgery but how do i know its the right surgery?
plz help
i found out i had small chipped bone in the wrist area right front of the area ulna bone is sticking out. when i'm doing the bicep curls with a dumbell free wt, it makes it uncomfortable by clicking around the tendons..
anyone know what can be done about this? my dr suggested getting a surgery but how do i know its the right surgery?
plz help
hello again!
does it require another surgery for removal of pins later on? the pins that are traversing radius and ulna.
or is this something my dr can just pull it out from his own office like taking cast off?
you couldn't see the arrow and the yellow circle i drew on the fracture fragment?
thanx jainMD
does it require another surgery for removal of pins later on? the pins that are traversing radius and ulna.
or is this something my dr can just pull it out from his own office like taking cast off?
you couldn't see the arrow and the yellow circle i drew on the fracture fragment?
thanx jainMD
Hi,
I am not sure but TFCC surgery does not involve any metal plates for treatment. What I mean to say by functional dislocation means that in your routine day to day activity if the symptoms are annoying or disturbing in spite of not having radiological evidence then you might have to go in for surgery.
I would go through your scans once again, but what specifically you want me to look at.
Bye.
I am not sure but TFCC surgery does not involve any metal plates for treatment. What I mean to say by functional dislocation means that in your routine day to day activity if the symptoms are annoying or disturbing in spite of not having radiological evidence then you might have to go in for surgery.
I would go through your scans once again, but what specifically you want me to look at.
Bye.
so most likely i don't need pins with this surgery... what about metal plates.. do some TFCC surgery involve metal plates for treatment?
my dr also mentioned something about that during my first visit..
i re-scanned my xray with color restoration.. plz click on the name "ipoor_photos" instead of the picture, when you search. you will see my album.
also, please explain what do you mean "yes if functional dislocation is more than yes you might have to get operated"?
thank u doctor!
my dr also mentioned something about that during my first visit..
i re-scanned my xray with color restoration.. plz click on the name "ipoor_photos" instead of the picture, when you search. you will see my album.
also, please explain what do you mean "yes if functional dislocation is more than yes you might have to get operated"?
thank u doctor!
Hi,
I am sorry those x-rays were of your right hand only.
In the normal wrist, the distal radial and ulnar joint surfaces should be at the same level on the AP radiograph, but in your case there is little variance of ulna which might suggests that there might be TFCC.
CT scan study should be helpful.
I don’t think that x-rays are so bad that they might be requiring pins but yes if functional dislocation is more than yes you might have to get operated.
I can't make out any chipped bone on x-ray.
Keep me posted.
Bye.
I am sorry those x-rays were of your right hand only.
In the normal wrist, the distal radial and ulnar joint surfaces should be at the same level on the AP radiograph, but in your case there is little variance of ulna which might suggests that there might be TFCC.
CT scan study should be helpful.
I don’t think that x-rays are so bad that they might be requiring pins but yes if functional dislocation is more than yes you might have to get operated.
I can't make out any chipped bone on x-ray.
Keep me posted.
Bye.
hello
do you mean my right hand? i thought those three were my right hand? because it says righthand on it... and i also have left hand xray. maybe they made a mistake....
my dr told me thats the hand with problem. let me know those three are my right?
so the gap between radius and ulna at distal radio ulna joint meaning i have TFCC?
does it look bad enough to get surgery with pins sticking outside of the forearm? it supposed to connect ulna and radius for 6wks in a cast... sound like a serious surgery...
the chipped bone is kinda hard to see with photobucket size... plus its scanned..
its the small round almost fading look in the pic... i uploaded exact samepic but with yellow circle and a line directly pointing at the chipped bone.
do you mean my right hand? i thought those three were my right hand? because it says righthand on it... and i also have left hand xray. maybe they made a mistake....
my dr told me thats the hand with problem. let me know those three are my right?
so the gap between radius and ulna at distal radio ulna joint meaning i have TFCC?
does it look bad enough to get surgery with pins sticking outside of the forearm? it supposed to connect ulna and radius for 6wks in a cast... sound like a serious surgery...
the chipped bone is kinda hard to see with photobucket size... plus its scanned..
its the small round almost fading look in the pic... i uploaded exact samepic but with yellow circle and a line directly pointing at the chipped bone.
Hi,
I am not sure about any fracture fragments in your x-rays, but in AP views of your left hand I saw there is increased gap between radius and ulna bone at distal radio-ulna joint.
What else do you want me to see?
Bye.
I am not sure about any fracture fragments in your x-rays, but in AP views of your left hand I saw there is increased gap between radius and ulna bone at distal radio-ulna joint.
What else do you want me to see?
Bye.
sorry 4 the trouble...
okay goto photobucket.com and on their search bar, type "my xray"
you will see many pictures come up! and mines under "ipoor_photos" which will be the 4th picture at the top. the xrays taken on nov17th2007.
you can see the date on my xray.
okay goto photobucket.com and on their search bar, type "my xray"
you will see many pictures come up! and mines under "ipoor_photos" which will be the 4th picture at the top. the xrays taken on nov17th2007.
you can see the date on my xray.
Hi,
I am sorry but I tried to find one, but unfortunately I could not find one.
Please try to give an alternative or give the URL in a manner which the website does not reject.
Keep me posted.
Bye.
I am sorry but I tried to find one, but unfortunately I could not find one.
Please try to give an alternative or give the URL in a manner which the website does not reject.
Keep me posted.
Bye.
i had the web address of the photos but they took it down...
my photos are under "ipoor_photos" and names "my xray"
thanks
my photos are under "ipoor_photos" and names "my xray"
thanks
Hi,
You have not mention with what title you have stored your x-ray on photo bucket. Can you mention or paste your URL here for easy access.
Do you want to see anything in particular?
Keep me posted.
Bye.
You have not mention with what title you have stored your x-ray on photo bucket. Can you mention or paste your URL here for easy access.
Do you want to see anything in particular?
Keep me posted.
Bye.
i was thinking maybe because that chipped bone stuck in tendons making it swellup and dislocating my ulna? i tried comparing my xray to other xrays i found online and couldn't really tell any difference... but its probably my untrained eyes...
i scanned my xray and load up on photobuckt! i would totally appreciate it if you can take a look at my xray?
Hi,
How are you feeling?
Repair of the ruptured TFCC can be attempted arthroscopically or with an open procedure if sufficient tissue is present. Tears in the central area of the TFCC without instability may require arthroscopic debridement.
Variance of the ulnar height may need to be addressed through shortening of the ulna.
Reconstruction of the distal radio-ulnar joint with a tendon or band of fascia lata may be used to stabilize the joint. In severe cases, with advanced radio-ulnar arthritis, fusion of the joint (Sauve-Kapandji procedure) may be considered.
The prognosis is fair to good. Some persistent pain may occur even with adequate repair.
They are indeed seen on x-ray but you should be doing rotation views of the wrist in pronation and supination may be helpful in assessing radio-ulnar joint instability.
Keep me posted.
Bye.
How are you feeling?
Repair of the ruptured TFCC can be attempted arthroscopically or with an open procedure if sufficient tissue is present. Tears in the central area of the TFCC without instability may require arthroscopic debridement.
Variance of the ulnar height may need to be addressed through shortening of the ulna.
Reconstruction of the distal radio-ulnar joint with a tendon or band of fascia lata may be used to stabilize the joint. In severe cases, with advanced radio-ulnar arthritis, fusion of the joint (Sauve-Kapandji procedure) may be considered.
The prognosis is fair to good. Some persistent pain may occur even with adequate repair.
They are indeed seen on x-ray but you should be doing rotation views of the wrist in pronation and supination may be helpful in assessing radio-ulnar joint instability.
Keep me posted.
Bye.
i googled TFCC and found many articles and pictures of x-rays online.
does TFCC surgery always require shortening of the bone? and i also read that this surgery is only 65% effective?
are the TFCC tear easily seen from the x-ray? if not from MRI?
sorry for millions of questions...
thanks dr!
does TFCC surgery always require shortening of the bone? and i also read that this surgery is only 65% effective?
are the TFCC tear easily seen from the x-ray? if not from MRI?
sorry for millions of questions...
thanks dr!
Hi,
I think you should be asking for reports as this shows what doctor is thinking about at present and what options available for your treatment are. You would also be more confident in your further discussion with your doctor.
I mentioned that if TFCC tear is suspected then surgery is controversial as with help of stretching exercises and cast surgery could be postponed.
Keep me informed if you have any queries.
Bye.
I think you should be asking for reports as this shows what doctor is thinking about at present and what options available for your treatment are. You would also be more confident in your further discussion with your doctor.
I mentioned that if TFCC tear is suspected then surgery is controversial as with help of stretching exercises and cast surgery could be postponed.
Keep me informed if you have any queries.
Bye.
yes i can! how can i upload my scanned pics? sorry...
my dr never gave me any type of report... should i ask for one?
my dr never gave me any type of report... should i ask for one?
thanx for replying!
can you tell me why this surgery is so controversial? and yes i have the MRI n XRAY in hand. can i scan this n email you? maybe you can tell me better than my doctor. my doc doesn't tell me anything... every time im in his office, he only see me for about 2min tops, throwing medical terms n i have no clue what he's talking about?
can you tell me why this surgery is so controversial? and yes i have the MRI n XRAY in hand. can i scan this n email you? maybe you can tell me better than my doctor. my doc doesn't tell me anything... every time im in his office, he only see me for about 2min tops, throwing medical terms n i have no clue what he's talking about?
Hi,
Your symptoms are suggestive of nerve compression and the nerve involved appears to be ulnar nerve.
You have mentioned that you are having problems with ulna bone and it is sticking out whenever you do exercise.
I think there is distal radio-ulna dislocation.
You need to first get an imaging study done. Is it already done? What is the report?
In distal radio-ulnar joint instability there would be usually history of trauma to the wrist.
Pain is located at the distal radio-ulnar joint, especially with pronation and supination.
Instability can be palpated or visualized with stress loading.
Radiographs may show increased space between the distal radius and ulna; if radiography is inconclusive, CT may be helpful.
Distal radio-ulnar joint instability the treatment options are;
If the Triangular Fibro Cartilage Complex (TFCC) is involved, treatment is controversial.
Patients who cannot be treated by immobilization may require arthroscopy and open repair of the TFCC tear.
Keep me informed if you have any queries.
Bye.
Your symptoms are suggestive of nerve compression and the nerve involved appears to be ulnar nerve.
You have mentioned that you are having problems with ulna bone and it is sticking out whenever you do exercise.
I think there is distal radio-ulna dislocation.
You need to first get an imaging study done. Is it already done? What is the report?
In distal radio-ulnar joint instability there would be usually history of trauma to the wrist.
Pain is located at the distal radio-ulnar joint, especially with pronation and supination.
Instability can be palpated or visualized with stress loading.
Radiographs may show increased space between the distal radius and ulna; if radiography is inconclusive, CT may be helpful.
Distal radio-ulnar joint instability the treatment options are;
If the Triangular Fibro Cartilage Complex (TFCC) is involved, treatment is controversial.
Patients who cannot be treated by immobilization may require arthroscopy and open repair of the TFCC tear.
Keep me informed if you have any queries.
Bye.
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