Face your palm upward, then rotate and face it downward. Do the moves two or three times a day: Palm up and downīend your elbow to 90 degrees and place it against your side. If you’ve been given a splint, remove it before doing the exercises. Keeping your wrist above your heart will also help swelling.Ī physical therapist can show you gentle wrist exercises to minimize stiffness and improve mobility. Wrap a compression bandage around your wrist to minimize swelling. Never use ice without wrapping it first, as this can damage your skin. Apply an ice pack for 20 minutes, two or three times each day. Try not to do activities that involve your wrist, like writing with a pen. Home remedies for a sprained wristĪt home, you can treat a mild wrist sprain with the RICE method: Most wrist sprains can be treated without surgery. However, it cannot be over emphasized that to use these tools effectively, a close co-operation between the clinician and the radiologist is essential which will result in tailoring an appropriate imaging protocol best suited for the patient.The best treatment plan depends on the severity of your sprain. The digital radiographs also depict the soft tissues in a greater detail.Īdvanced imaging and identification of dynamic pathological conditions of the wrist are increasingly being done now with fluoroscopy, ultrasonography, scintigraphy, conventional and computed tomography, arthrography and magnetic resonance imaging. The digital data can also be manipulated to alter the character of the image and can be stored on magnetic media instead of a photographic film. Apart from the conventional radiography, the static pathologies are better delineated now with digitally acquired radiography that is superior in image quality. Of late, the complex interactions of the carpal bones and the intricate carpal ligamentous network have been better explored by new imaging techniques. Using a single film to evaluate adjacent anatomical regions like hand and wrist or digits is a false sense of economy because a dedicated set of images of the region of interest is more diagnostic. A film that is too widely or narrowly collimated, under or over exposed, or inadequately positioned may be misleading. The radiographic projections described earlier require careful attention to positioning, radiographic exposure and collimation of the beam to provide accurate information. Full articles as well as abstracts were used for review. The print journals and books available at Manipal University library were hand searched and secondary search was done for the relevant articles included in the references of primary articles. The databases included Scopus, MD consult, Web of Knowledge, Pub Med, Ovid Medline and Cochrane Library. To identify published research, the following databases were searched using the time frame of 1990 to 2011. The literature search was carried out using the following search strings or key words: radiography, plain film, roentgenography, wrist, imaging techniques and wrist pain. Advanced imaging techniques later become more focused and useful if the initial interpretation of conventional imaging was methodical. Hence, an appropriate combination of these views will help the clinician to better analyse the underlying pathology in the preliminary stages of investigations using these conventional radiographs, which should always be preceded by accurate clinical examination. The compartmentalization and intricate anatomy of structures in the wrist makes interpretation of wrist pathology a daunting task at times. The following section of this article describes the standard radiographic views first and proceeds to describe any ancillary views of the same and finally dynamic studies using these projections. Some authors also consider oblique view as part of the standard views. Standard projections for the wrist are Postero anterior and lateral views. This conventional technique produces a two-dimensional representation of a three-dimensional anatomical data on a photographic film but, using two views projected perpendicular to one another, three-dimensional perspective can be achieved. From a 20-min exposure needed at that time for a radiograph to milliseconds exposure now, and from a plain radiograph to advanced imaging techniques available today, the understanding of hand and wrist imaging has leaped many folds.ĭespite these advancements, the humble radiograph still remains the single most important imaging modality for hand and wrist. Its first clinical application was also to detect a pathology of the wrist, that is, Colles’ fracture a year later. When Wilhelm Conrad Rontgen created the radiograph of his wife Anna Bertha's hand in December 1895, the history of radiography and that of the hand and wrist imaging took its birth.
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