Table of Contents
- Symptoms
- Aetiology
- Clinical Findings
- Investigations
- Treatment
- Referrals
- Exercise Prescription
- Evaluation of Treatment Outcomes
- Differential Diagnoses
- Prognosis
Symptoms
There is exercise-induced pain and crepitation and swelling 6-8 cm proximal to Lister’s tubercle at the wrist.
Aetiology
These symptoms are caused by a peri-tendinous bursitis between the first (abductor pollucis longus, extensor pollucis brevis) and second (extensor carpi radialis longus, extensor carpi radialis brevis) extensor compartments. This condition often affects rowers, weightlifters and squash players.
Clinical Findings
Fluctuating bursae and crepitation in wrist movements.
Investigations
Ultrasound verifies the bursae.
Treatment
NSAID and addressing what may have caused the bursitis. Cortisone may be injected into the bursae. Surgery for excision of the bursae may be indicated in severe cases.
Referrals
Refer to Dr Kevin Yip (+65 3135 1327) senior consultant and orthopaedic surgeon and hand specialist if symptoms are severe or if the diagnosis is not clear.
Exercise Prescription
Most sports can be maintained. After surgery the symptoms are usually relieved almost immediately and most activities can be back to normal within six weeks. Running, cycling and water exercises (when the wound is healed after surgery) are good alternatives to keep up general fitness. Gym training can usually be maintained.
Evaluation of Treatment Outcomes
Normal clinical symptoms and signs and good hand function. Compare with other hand.
Differential Diagnoses
This is a clear clinical diagnosis, verified by ultrasound.
Prognosis
Excellent, if treated appropriately. If it is missed, surgery can be performed at a later stage.
Appointment
If you would like an appointment / review with our squeaker’s wrist specialist in Singapore, the best way is to call +65 3135 1327 or click here to book an appointment at the clinic. If you would like to speak to one of our clinicians first about e.g. lister’s tubercle pain, rowers wrist etc, then please contact contact@orthopaedicclinic.com.sg or SMS/WhatsApp to +65 3135 1327.
Rest assured that the best possible care will be provided for you.
