Table of Contents
- Clinical Findings
- Exercise Prescription
- Evaluation of Treatment Outcomes
- Differential Diagnoses
There is exercise-induced pain and crepitation and swelling 6-8 cm proximal to Lister’s tubercle at the wrist.
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.
Fluctuating bursae and crepitation in wrist movements.
Ultrasound verifies the bursae.
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.
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.
This is a clear clinical diagnosis, verified by ultrasound.
Excellent, if treated appropriately. If it is missed, surgery can be performed at a later stage.
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