Greater Manchester

Merseyside

Hand And Wrist Injuries Treatment

The medical name for the wrist is the Radiocarpal joint as it joins the Radius in the forearm to the Carpus (Carpal bones) in the hand. The wrist has 2 main planes of movement; flexion & extension (forward and back) and abduction & adduction (side to side). There is also a joint between the 2 bones in the forearm called the distal Radioulnar joint which allows the hand to be turned into supination (palm up) and pronation (palm down). Between the Ulna and the Carpus is a tough piece of cartilage and more ligaments known collectively as the Triangular Fibrocartilage Complex (TFCC) which provides support and stability to the distal Radioulnar joint.

The anatomy of the hand is complex with a total of 27 bones and 34 muscles in the average person, which enables the dexterity that the human hand requires as well as the range of movement and grip strength needed to complete many daily activities. There are 8 Carpal bones, 5 Metacarpal bones and 14 Phalangeal bones which connect to form many small joints. The most commonly known are the Metacarpophalangeal joints (knuckles), Interphalangeal joints which bend the fingers and thumb and the Carpometacarpal Phalangeal (CMC) joint of the thumb, although there are a lot of other smaller joints which are less commonly injured. There are many muscles and tendons acting over the wrist and hand joints to generate power in multiple directions and to enable fine motor control, which are supplied by 3 main nerves.

The most common injuries that we see in the wrist and hand include; Wrist sprains, Hand/ Finger ligament sprains, De Quervain’s (thumb) tenosynovitis, Flexor/ Extensor tendonitis, Triangular Fibrocartilage Complex (TFCC) injuries, Carpal Tunnel syndrome and Osteoarthritis.

For more details about some of the more common wrist and hand conditions please click on the name of the condition below.

Our Physiotherapists have a significant amount of experience assessing, diagnosing and treating injuries in this region. We not only focus on the injured tissue, but also address the underlying issues that may have led to the injury in the first place.

If you are unsure which condition you have and whether physiotherapy can help you, or you would just like to speak to somebody about your condition then please use the link below; –

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