Schmerzhaftes Handgelenk nach Sturz

Abstract

The diagnosis underlying posttraumatic wrist pain can be very precisely determined from the patient's history, examination, palpation of the landmarks of the wrist and specific provocation tests to test for ligamentous stability. The routine investigation methods for the wrist are easy to learn, especially for practising surgeons, and very relevant to the clinical course, since it is frequently necessary for patients to be referred to specialised hand clinics and the first doctor to see the patient is responsible for deciding about this. Besides plain X-rays of the wrist, further diagnostic investigations, such as computed tomography, magnetic resonance imaging or cinematograpy are helpful. Arthroscopy of the wrist is still essential in the assessment of such intraarticular pathologies as ligament ruptures, lesions of the triangular fibrocartilage complex (TFCC) or cartilaginous lesions in the radiocarpal or midcarpal joint. We hope with this review to give a comprehensive insight into the clinical investigation techniquess, diagnostic procedures and differential diagnosis of posttraumatic wrist pain. © 2007 Springer Medizin Verlag.