Hand and Wrist

The hand and wrist are a complex network of bones, tendons, ligaments and cartilage that are central to our daily activities. They provide free range and pain-free mobility that can be vulnerable to injury, whether from repetitive movement, sports and athletics, or arthritis.

Common conditions include

  • Wrist Boxers Fracture
  • Wrist Colles Fracture
  • Wrist Fractures
  • Wrist–Finger Joint Injuries
  • Goalkeeper’s Thumb
  • Wrist Boutonniere Deformity
  • Carpal Tunnel (CTS) Syndrome
  • Wrist (CRPS) Complex Regional Pain Syndrome (RSD)
  • DeQuervains Syndrome
  • Wrist and Hand–Flexor Tendon Injuries
  • Wrist Ganglion Cyst
  • Wrist–Thumb Arthritis
  • Wrist-Trigger Finger

Clinical Diagnosis

Your physician will conduct a thorough physical examination, and may be able to immediately identify your diagnosis; on occasion, some additional test may be required to confirm the diagnosis.

Treatment Approach

Initially, a conservative approach is taken to treat the patient, which includes ice, light compression, elevation, and a visit to the physician for an accurate diagnosis.

For fractures, the ultimate goal is to stabilize the fracture site in a good position so that appropriate healing may take place. Casting is normally the treatment of choice and may take 6 weeks to be fully healed. In the event that the fracture is displaced then the physician will most likely perform a “Closed Reduction” which means “resetting” the bones and is usually done under local anesthesia. At times, the fractured hand is unstable, meaning that, most likely, it will not  maintain good position with just reduction and casting. In this event an “Open Reduction” surgical procedure will be required. Typical methods of surgical open reduction involve the use of screws and plates, wires or external fixation devices that hold the wrist boxers fracture in place outside of the actual wrist.

When treating deformities such as the finger that is fixed in a bent or flexed position, a common technique is to apply custom splinting and prolonged stretching to regain the range of motion and function. On occasion, surgery may be required to physically correct the deformity, especially in chronic situations.

For more information on how the specialists at Cary Orthopaedics can help you with wrist or hand pain, contact us today at for an appointment!

Cary Orthopaedics serves patients from Raleigh, Garner, Cary, Apex, Holly Springs, Fuquay-Varina, Clayton, Chapel Hill, Pittsboro and surrounding areas.