Ligament Injuries
Overview
Ligament injuries of the hand and wrist involve stretching or tearing of the tissue bands that stabilize joints, commonly caused by sprains, jamming injuries, or falls.
Symptoms
Pain, swelling, and instability of the affected joint, with difficulty gripping or bearing weight through the hand or wrist.
What Causes It?
Falls, jamming injuries during sport, and forceful twisting or bending of a joint beyond its normal range.
When Should I See a Hand Surgeon?
See a hand surgeon if joint pain, swelling, or instability persists beyond a couple of weeks after injury.
How Dr. Safwat Evaluates It
Clinical examination assessing joint stability with stress testing compared to the uninjured side.
Investigations
X-rays exclude associated fractures; MRI or ultrasound can assess the severity of ligament injury.
Non-Operative Treatment
Splinting or buddy-taping, activity modification, and structured therapy for partial or stable ligament injuries.
When Surgery May Be Recommended
Surgery is considered for complete tears with joint instability that does not respond to splinting.
Procedure
Surgical repair or reconstruction restores ligament integrity and joint stability, depending on the specific ligament injured.
Recovery
Splinting continues for several weeks after repair, followed by progressive hand therapy to regain motion and strength.
Expected Outcomes
Most patients regain stable, functional joints with appropriate treatment, particularly when treated promptly.
Risks
Infection, stiffness, residual instability, and reduced range of motion in some cases.
Frequently Asked Questions
How do I know if a ligament injury needs surgery?
Persistent instability or a complete tear on imaging generally indicates a need for surgical evaluation.
Can I still use my hand while healing?
Splinting protects the joint while allowing use of the rest of the hand during recovery.
