A wrist fracture is a common injury that can significantly affect daily function, independence, and quality of life. One of the most frequently encountered injuries is a distal radius fracture, which involves the end of the radius near the wrist joint. These injuries often occur after a fall onto an outstretched hand, though they are also seen in sports injuries and car accidents.
Wrist fractures are among the most common injuries treated in orthopedic practice, yet no two fractures are exactly alike. The decision between casting and surgery is not based on a single factor, but rather on a detailed assessment of fracture characteristics, patient-specific considerations, and expected functional outcomes.
A finger or thumb that becomes stuck, stiff, or progressively bent can interfere with even simple daily tasks. In clinical practice, two of the most common causes of this problem are trigger finger and dupuytren's contracture. Although both conditions affect the fingers and may result in a bent position, they arise from different underlying processes and require different treatment approaches.
Dupuytren’s contracture is a progressive condition affecting the connective tissue beneath the skin of the palm of the hand. Over time, this process can lead to thickened tissue and tightening that pulls the fingers into a bent position. As a hand and upper extremity surgeon, I routinely evaluate patients across the full spectrum of Dupuytren’s disease, from early nodules to advanced contracture.
Patients considering surgery for thumb arthritis are often dealing with persistent pain that interferes with simple tasks—opening jars, gripping objects, or even holding a phone. As a hand and upper extremity surgeon, I regularly treat individuals with advanced thumb CMC arthritis who have not improved with conservative treatments.
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