Hand and Wrist Injury in Singapore

Aside from physical exams, orthopaedic surgeons may conduct the following tests to diagnose hand and wrist injuries:

• Imaging tests – X-rays, CT scans, MRIs and ultrasounds may be done to clearly visualise the bone and tissues in the hands and wrists, and identify abnormalities
• Arthroscopy – This involves inserting a light-and-camera-equipped instrument through a small incision on the hand or wrist. In some cases, arthroscopy may also be used to repair or remove damaged tissues.
• Electromyography and nerve conduction studies (NCS) – Both tests are done to measure electrical activity in the hand or wrist, particularly how fast electrical impulses travel down nerves.

This depends on the type and severity of the injury. For mild to moderate injuries, the RICE (rest, ice, compression, elevation) method is recommended, alongside over-the-counter pain relievers. Physiotherapy also plays a key role in strengthening the muscles and restoring movement and flexibility in these areas. For more severe injuries where conservative treatments prove to be insufficient, surgery may be deemed necessary.

The likelihood of sustaining hand and wrist injuries can be reduced by adopting the following tips:

• Establishing breaks when doing tasks that are repetitive in nature (e.g. lifting, playing instruments, sports that involve a lot of throwing and catching motions)
• Be careful when gripping, especially when using the thumb and index finger
• Avoid smoking, as it is a risk factor for carpal tunnel syndrome
• Maintain a good posture (e.g. using an ergonomic mouse or keyboard)

The Bone and Joint Centre is well-equipped to treat wide range of hand and wrist conditions, including:

• Carpal tunnel syndrome
• Trigger finger
• De Quervain’s tenosynovitis
• Nail bed injury
• Peripheral nerve injury and repair
• Nerve compressions
• Tendon injuries
• Fingertip amputations and local flaps
• Fractures
• Arthritis
• Ligament injuries
• Lumps and bumps (e.g., ganglions and cysts)

Considering that the hands and wrists are two of the body’s most used parts, any pain or problem that affects their function should be checked out by a doctor. For consultations, contact The Bone & Joint Centre – a Singapore orthopaedic clinic specialising in the diagnosis and treatment of all musculoskeletal problems, including hand and wrist conditions.