Aetiology
Crushing injury of the wrist is typically caused by a traumatic event, such as a fall or a direct blow to the wrist. It can also be caused by a motor vehicle accident, a sports injury, or an industrial accident.
Diagnosis
The diagnosis of a crushing injury of the wrist is typically based on the patient’s history, physical examination, and imaging studies. X-rays can be used to detect fractures and other injuries. Magnetic resonance imaging (MRI) or computed tomography (CT) scans may be used to identify soft tissue damage, as well as any bone fractures or dislocation.
Differential diagnosis
A crushing injury of the wrist can be confused with other wrist injuries, such as ligament or tendon sprains or strains. It is important to differentiate these injuries to ensure the appropriate treatment plan is pursued.
Treatment
Treatment for a crushing injury of the wrist will depend on the severity of the injury. Mild to moderate injuries may be treated with rest, ice, elevation, and over-the-counter pain medications. More severe injuries may require immobilization with a cast or splint and physical therapy. Surgery may be necessary if there is severe bone or soft tissue damage.
Prognosis
The prognosis for a crushing injury of the wrist will depend on the severity of the injury. Minor to moderate injuries typically heal with a good outcome. Severe injuries may require extensive rehabilitation and may result in permanent damage.