Contusion of the wrist joint ICD

The most active parts of the human body are the hands. The wrist connects the hand and forearm, and is constantly in motion, so bruises of the joint often occur. Since the wrist consists of a large number of small bones, it is difficult to determine what kind of damage has occurred: a fracture, a tendon sprain, a dislocation or bruise of the joint. To prevent the consequences and loss of wrist mobility, you should immediately seek medical help after injury and begin treatment in a timely manner.

Pathogenesis of bruise

A bruise of the wrist joint (code S60 according to the International Classification of Diseases) occurs under the action of a moving object that has kinetic energy.
Fabrics have different resistance to such effects. Loose tissue and soft muscle are most susceptible to damage, less so are fascia, tendons, dermis and ligaments. Tears, stretches occur in the tissues, and some areas are crushed. Small vessels are damaged, blood flows into the muscles and subcutaneous fatty tissue, forming hemorrhages (bruises). Aseptic inflammation occurs, the volume of fluid increases in the interstitial space, and swelling forms.

How to find out that it is not a fracture: the main symptoms of a bruise

Of course, if there is exposed bone sticking out of your right arm, you shouldn't expect that you are dealing with a bruise of the right wrist joint. Unfortunately, or fortunately, there are different types of fractures, and a closed fracture, especially without displacement of the bones or when a small piece breaks off from the main bone (the so-called marginal fracture), is very easy to confuse with a bruise - both of these can be quite painful, accompanied by swelling, etc.

Let’s try to present the main differences between a bruise and a fracture, which can help you calm down or, on the contrary, rush to the hospital in the first hours after receiving the injury.

Symptoms	Fracture	Injury
Strong pain	Intense, does not go away over time, may even increase	Intense, but over time it still declines rather than intensifies
Swelling	May appear immediately or later, increasing over time	Happens quite often, but decreases over time
Hematoma	May appear over time, accompanied by hardening of the tissue	Occurs very rarely
Motor function and pain	It is almost impossible to move your hand, clench it into a fist, and even more so hold objects with it.	It hurts to move your hand
Axial load symptom (pressure on the arm in a certain way causes severe pain)	Positive	Negative
Other symptoms	Uncharacteristic mobility of the limb, crunching, change in the axis or even length of the arm	None

A severe bruise of the wrist joint (according to ICD-10 - S60) is always accompanied by pain, but unlike a fracture, which causes increasing pain and loss of functionality, there is no complete restriction of the mobility of the hand. There are three degrees of wrist injury, which have the following symptoms:

Mild – characterized by mild pain, a small hematoma, while the joint does not have deformation and mobility is not limited.
Moderate – there is noticeable pain associated with exercise. A medium-sized bruise and minor restrictions on mobility appear.
Severe – painful pulsation, redness of the skin, and a large hematoma are felt in the hand.

When providing first aid in case of a bruise of the wrist joint (according to ICD-10 - S60), it is necessary:

If the skin is damaged, treat the wound with alcohol, hydrogen peroxide or Riciniol emulsion, which will reduce swelling and anesthetize the damaged joint.
Immobilize your hand. For these purposes, use a medical or elastic bandage, applying a fixing bandage to the damaged area. The brush must be raised and hung on a scarf.
Apply cold to the sore area using an ice pack or frozen product. Keep cold for no more than twenty minutes. Take a break for a quarter of an hour and repeat the procedure again, and so on several times.
Severe pain can be relieved by taking analgesics.
The victim should be escorted to the emergency room, where he will receive the necessary assistance.

Symptoms of bruise

Mild – characterized by mild pain, a small hematoma, while the joint does not have deformation and mobility is not limited.
Moderate – there is noticeable pain associated with exercise. A medium-sized bruise and minor restrictions on mobility appear.
Severe – painful pulsation, redness of the skin, and a large hematoma are felt in the hand.

When providing first aid in case of a bruise of the wrist joint (according to ICD-10 - S60), it is necessary:

If the skin is damaged, treat the wound with alcohol, hydrogen peroxide or Riciniol emulsion, which will reduce swelling and anesthetize the damaged joint.
Immobilize your hand. For these purposes, use a medical or elastic bandage, applying a fixing bandage to the damaged area. The brush must be raised and hung on a scarf.
Apply cold to the sore area using an ice pack or frozen product. Keep cold for no more than twenty minutes. Take a break for a quarter of an hour and repeat the procedure again, and so on several times.
Severe pain can be relieved by taking analgesics.
The victim should be escorted to the emergency room, where he will receive the necessary assistance.

Wrist sprain

From an anatomical point of view, the reasons for spraining the ligaments of the hand (as well as spraining other ligaments) lie in the fact that at the moment of traumatic impact, the joints of the hand, strengthened by the ligaments, find themselves in a position beyond the range of their functional movements. To hold the bones in the joint, the fibers of the ligaments are stretched to the extreme limits of their capabilities. And in this case, they perform their second most important function - they limit the mobility of bones in the joints in the positioned state.

Due to parallel collagen fibers, the ligaments are strong, and due to elastin fibers, they are quite elastic. But strength is directly dependent on the transverse size of the ligament, and elasticity and extensibility (resistance to deformation) depend on the length. That is, the narrower and shorter the ligaments (as in a hand), the less their strength and elasticity.

Most often, hand sprains occur in the lateral (collateral) ligaments of the wrist joint (radial and ulnar), the scapholunate ligament, the lunate-triquetral ligament, and the lateral ulnar ligament of the metacarpophalangeal joint of the thumb.

Among them, the leader is stretching in the area of the wrist joint, which provides flexion, extension and circular movements of the hand. Traumatologists explain this by the fact that more than a third of all hand bones (8 out of 27) are located in the wrist, and all bones are connected to each other using ligaments. Therefore, with such a complex structure, functional differentiation of individual ligaments and intense loads on the wrist, the level of traumatic injuries - in particular, sprains - is very high.

According to experts in the field of the musculoskeletal system, the key causes of hand sprains are: excessive tension when falling on the arms straightened at the elbow joint; swipe; lifting weights (especially when trying to sharply tear them off the plane or lift them up from shoulder level);

It should be borne in mind that a severe sprain can be accompanied by rupture of the ligaments, and especially often in cases of an impact and a fall on the wrist, the scapholunate or lunate triquetrum ligament is torn.

The most common injury is a bruise of the wrist joint (ICD-10 code – S60). This results in limited joint mobility and severe pain. One of the common provoking factors of injury is a fall. Due to loss of balance, the individual, in order to facilitate a collision with the ground, involuntarily puts out his arms and leans on them with his whole body.

You can also get injured after hitting your palms. In this case, a bruise occurs on the soft tissues, which are pressed against the bones. The risk group includes children and the elderly, i.e. people whose coordination of movements is impaired, as well as athletes involved in speed skating and skiing, weightlifting and martial arts.

Bruise of the ligaments of the wrist joint is most often the result of an injury during sports activities, less often - a fall on the street or at home. The consequences can be serious problems, including the development of deforming osteoarthritis. Sprained wrist ligaments cause severe pain and stiffness of movement. These inconveniences cause difficulties in performing daily work. Symptoms of a wrist sprain include:

redness of the damaged area;
swelling;
diffuse pain of moderate intensity. It intensifies upon palpation;
increase in volume;
possible bruising;
restriction of movement in the joint.

If painful sensations occur, you should go to the emergency room. The doctor will conduct an examination and send you for an x-ray, which will rule out bone fractures and ligament rupture. If you sprain your ligaments, you should:

Create rest for the arm: limit movements in the joint for up to four weeks, do not bear heavy weights, apply a cast in case of severe pain. If the left wrist joint is bruised (according to ICD - S60), all necessary functions will have to be temporarily performed with the right hand.
Apply cold - use a heating pad or ice pack to relieve swelling. Hold for 20 minutes, take a break for a third of an hour and repeat the procedure until the ice completely melts.
General anesthesia - take Pentalgin for three days.
Local anesthesia - apply pain-relieving ointments to the affected area. You can use Dolgit cream.
Wear an orthosis on the sore joint or bandage it with an elastic bandage.

Wrist bruise

The most common injury is a bruise of the wrist joint (ICD-10 code - S60). This results in limited joint mobility and severe pain. One of the common provoking factors of injury is a fall. Due to loss of balance, the individual, in order to facilitate a collision with the ground, involuntarily puts out his arms and leans on them with his whole body. You can also get injured after hitting your palms. In this case, a bruise occurs on the soft tissues, which are pressed against the bones. The risk group includes children and the elderly, i.e. people whose coordination of movements is impaired, as well as athletes involved in speed skating and skiing, weightlifting and martial arts.

We provide first aid

As was said, first aid for a bruise is half the battle. The general rules of conduct are:

Bring your hand to rest and secure it with a tight bandage thrown over your shoulder so that the hand is above the elbow (we will limit the flow of blood to the site of the bruise).
To relieve swelling and relieve pain, place a cold compress on your wrist (any product from the freezer will do, or at least a clean cloth moistened with cold water). If necessary, repeat the procedure during the first few hours.
If you have the appropriate drug on hand (or if a pharmacy is in the immediate vicinity), it is recommended to treat the bruise site even before applying a cold compress with riciniol, a special drug used for injuries to disinfect, relieve pain and reduce swelling.
If the pain cannot be tolerated, take a painkiller that is familiar to you.
When first aid is provided, listen to your feelings more carefully, and if the pain still does not subside, move towards the nearest medical facility.

To learn how to provide first aid for a bruise, watch this video.

Timely assistance will ensure the normal course of the disease without any complications. It should be noted that injury to the right joint is not as dangerous as the left. First aid measures should be as follows:

Ensure hand immobility. A bandage is suitable for this; you can use a regular or elastic one. A bandage is applied to the site of the bruise or the hand, and the hand is secured with a scarf. You also need to ensure that your hand is in an elevated position.
Ice compress. A bottle of chilled water, frozen meat in a bag, or ice itself wrapped in a towel are suitable for these purposes. If it is not possible to provide such conditions, then you can simply place your hand under cold water from the tap. You need to cool your wrist for 7 minutes, then break for 15 minutes and cool again. This procedure will help relieve swelling.
Medicinal assistance. It consists of the use of gels or ointments. Riciniol can be applied to the site of the injury. It reduces swelling and its proliferation. In addition, the emulsion soothes pain and disinfects the area of application. After this, it is recommended to apply an ice compress. In addition to the steroid drug, you can use Dolgit ointment, Fastum gel. They are designed to relieve pain and reduce inflammation.
Pain-relieving measures. If your hand hurts very much, you can take the painkiller Nise or others.

This is the first aid that should be provided to the victim. After these activities, you must definitely call a doctor. Because the pain may go away, but a fracture or dislocation is possible inside.

The doctor must conduct an examination and refer the patient for an x-ray. This is the only way to exclude the presence of serious damage and prevent complications.

Treatment with folk remedies

Of course, you can self-medicate only if you are completely sure that there is no fracture. A hand bruise can easily be treated at home.

If the left wrist joint is bruised, such procedures are, of course, easier to carry out, because our left hand is initially less involved in active life and therefore, being at complete rest, recovers faster.

Traditional medicine usually helps to cope with the symptoms of a bruise using the same compresses and rubbing, the only difference is that instead of medications, the gifts of nature are used here.

For compresses you can use:

a mixture of alcohol or onion tincture with alcohol and freshly squeezed horseradish juice;
a mixture of wine vinegar (can be replaced with apple cider vinegar), vodka (5:1), several cloves of freshly squeezed garlic and essential oil of pine trees (it is first recommended to leave the base for the compress in the dark for several days);
freshly cut burdock root, goldenrod, mixed with sunflower oil (heat for 30 minutes in a water bath, strain, cool).

For rubbing we recommend:

a mixture of alcohol tincture from aloe leaves and a small amount of goldweed juice;
evaporated for 30 minutes in a water bath and strained butter with freshly squeezed garlic.

To relieve the symptoms of a bruised wrist joint at home, use the following folk remedies:

For warming compresses, infusions of oregano, calamus, hemlock, burdock, and coltsfoot are used. To prepare them, take a tablespoon of crushed dry plant, pour a glass of vodka and leave for five days in a dark place.
Wrap the sore spot with fresh cabbage or plantain leaves.
Baths and lotions prepared independently using decoctions of medicinal herbs: St. John's wort, lavender and chamomile are effective.

Diagnosis for bruises

In case of bruise of the wrist joint (ICD code – S60), the following procedures are necessary:

Questioning the patient - during a conversation with the patient, the doctor identifies the circumstances of the joint damage and listens to complaints. In addition, it finds out whether first aid was provided.
Visual inspection - when examining the site of damage, palpation is performed, the amplitude of active and passive movements is determined, pain, redness, abrasions, and hematomas are noted.
Radiography is prescribed - this is the most accessible and informative method for studying a bruise of the wrist joint. The image allows you to determine the position of the joint, exclude or confirm dislocation and fracture. Often, radiography makes it possible to plan treatment tactics.
If soft tissue is damaged, CT or MRI, as well as ultrasound, are prescribed to clarify the diagnosis.
Arthroscopy is the best option for diagnosis, when the doctor can conduct a visual examination of the internal structures of the joints.

After all examinations and clarification of the diagnosis, the patient is prescribed appropriate therapy.

Recovery period

Talking about how long a bruise will take to heal is a thankless task:

Firstly, it all depends on the severity of the injury.
Secondly, it depends on the age and condition of the joints.
Thirdly, the very concept of restoration in this case is a very conditional concept. Acute aching pain, swelling and hematoma (if it occurs) can disappear almost without a trace within a few days.

However, it may take months for the joint to fully recover, during which time it is best to keep the hand wrapped in a tight elastic bandage.

However, with a normal state of health, abstaining from exercise and following all the above recommendations, a bruise of the wrist joint is a completely curable injury: some time will pass, and you will no longer be able to remember for sure which hand you fell on so unsuccessfully.

Author of the article: Vasily Shevchenko

Let me introduce myself. My name is Vasiliy. I have been working as a massage therapist and chiropractor for over 8 years. I believe that I am a professional in my field and want to help all site visitors solve their problems. All data for the site has been collected and carefully processed in order to convey all the required information in an accessible form. Before using anything described on the site, a MANDATORY consultation with your specialist is always necessary.

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A bruise of the wrist joint is characterized by the following symptoms:

painful sensations. Occurs immediately after injury. This is explained by the fact that many nerve fibers pass through the joint area, which are compressed when bruised. A burning, throbbing pain appears;
swelling. Occurs along with pain and tends to grow;
hematomas. This phenomenon is rare. Mostly hemorrhages form after a strong blow.

Pain sensations can vary and depend on many factors:

Intensity. Immediately after receiving an injury, a person feels acute pain, which gradually subsides. There may be cases when pain symptoms return again. This can be explained by the specific structure of the wrist through which the nerve fibers pass. Injury to the wrist joint causes swelling, causing nerve compression and pain.
The nature of the flow. It may be different for each victim. Some described the pain as subsiding and burning. Others talked about waxing and waning pain.

S60 Superficial injury of wrist and hand

S60.0 Bruised finger or hand without damage to the nail plate
S60.1 Bruised finger and hand with damage to the nail plate
S60.2 Contusion of other parts of the wrist and hand
S60.7 Multiple superficial injuries of wrist and hand
S60.8 Other superficial injuries of wrist and hand
S60.9 Superficial injury of wrist and hand, unspecified

S61 Open wound of wrist and hand

S61.0 Open wound of the finger of the hand without damage to the nail plate
S61.1 Open wound of the finger of the hand with damage to the nail plate
S61.7 Multiple open wounds of wrist and hand
S61.8 Open wound of other parts of the wrist and hand
S61.9 Open wound of unspecified part of wrist and hand

S62 Fracture at the level of the wrist and hand

S62.00 Closed fracture of the scaphoid bone of the hand
S62.01 Open fracture of the scaphoid bone of the hand
S62.10 Fracture of another bone in her wrist, closed
S62.11 Open fracture of another bone in her wrist
S62.20 Fracture of the first metacarpal bone, closed
S62.21 Open fracture of the first metacarpal
S62.30 Fracture of the other metacarpal bone, closed
S62.31 Fracture of the other metacarpal bone, open
S62.40 Multiple fractures of the metacarpal bones, closed
S62.41 Multiple open fractures of the metacarpal bones
S62.50 Closed fracture of the thumb
S62.51 Open fracture of the thumb
S62.60 Closed fracture of another finger
S62.61 Open fracture of another finger
S62.70 Multiple closed fractures of fingers
S62.71 Multiple open fractures of fingers
S62.80 Fracture of other and unspecified part of the wrist and hand, closed
S62.81 Fracture of another and unspecified part of the wrist and hand, open

S63 Dislocation, sprain and overstrain of the capsular-ligamentous apparatus at the level of the wrist and hand

S63.0 Dislocation of the wrist
S63.1 Dislocation of finger
S63.2 Multiple dislocations of fingers
S63.3 Traumatic rupture of carpal and metacarpal ligament
S63.4 Traumatic rupture of the finger ligament at the level of the metacarpophalangeal and interphalangeal joint(s)
S63.5 Sprain and overstrain of the capsular-ligamentous apparatus at the level of the wrist
S63.6 Stretching and overstrain of the capsular-ligamentous apparatus at the level of the finger
S63.7 Sprain and overstrain of the capsular-ligamentous apparatus of another and unspecified part of the hand

S64 Nerve injury at wrist and hand level

S64.0 Injury to the ulnar nerve at the level of the wrist and hand
S64.1 Injury of the median nerve at the level of the wrist and hand
S64.2 Injury to the radial nerve at the level of the wrist and hand
S64.3 Nerve injury of the thumb
S64.4 Nerve injury to other finger
S64.7 Injury of multiple nerves at the level of the wrist and hand
S64.8 Injury to other nerves at the level of the wrist and hand
S64.9 Injury to unspecified nerve at wrist and hand level

S65 Trauma to blood vessels at the level of the wrist and hand

S65.0 Trauma to the ulnar artery at the level of the wrist and hand
S65.1 Trauma to the radial artery at the level of the wrist and hand
S65.2 Injury to the superficial palmar arch
S65.3 Deep palmar arch injury
S65.4 Injury to blood vessel of thumb
S65.5 Injury to a blood vessel of another finger
S65.7 Injury to multiple blood vessels at the level of the wrist and hand
S65.8 Injury to other blood vessels at the level of the wrist and hand
S65.9 Injury of unspecified blood vessel at the level of the wrist and hand

S66 Muscle and tendon injuries at the wrist and hand level

S66.0 Injury of the flexor pollicis longus and its tendon at the level of the wrist and hand
S66.1 Injury of the flexor of the other finger and its tendon at the level of the wrist and hand
S66.2 Injury to the extensor pollicis and its tendon at the level of the wrist and hand
S66.3 Injury to the extensor muscle of the other finger and its tendon at the level of the wrist and hand
S66.4 Injury to the intrinsic muscle and tendon of the thumb at the level of the wrist and hand
S66.5 Injury to the intrinsic muscle and tendon of the other finger at the level of the wrist and hand
S66.6 Injury of several flexor muscles and tendons at the level of the wrist and hand
S66.7 Injury of several extensor muscles and tendons at the level of the wrist and hand
S66.8 Injury to other muscles and tendons at the level of the wrist and hand
S66.9 Injury to unspecified muscles and tendons at the level of the wrist and hand

S67 Crushed wrist and hand

S67.0 Crushing of the thumb and other finger(s) of the hand
S67.8 Crushing of other and unspecified part of wrist and hand

S68 Traumatic amputation of wrist and hand

S68.0 Traumatic amputation of the thumb, complete, partial
S68.1 Traumatic amputation of one other finger of the hand, complete, partial
S68.2 Traumatic amputation of two or more fingers, complete partial
S68.3 Combined traumatic amputation of part of a finger and other parts of the wrist and hand
S68.4 Traumatic amputation of the hand at the level of the wrist
S68.8 Traumatic amputation of other parts of wrist and hand
S68.9 Traumatic amputation of wrist and hand, level unspecified

S69 Other and unspecified injuries of wrist and hand

S69.7 Multiple injuries of wrist and hand
S69.8 Other specified injuries of wrist and hand
S69.9 Injury of wrist and hand, unspecified

S60–S69 Wrist and hand injuries

S60 Superficial injury of wrist and hand

S60.0
Bruised finger or hand without damage to the nail plate
S60.1
Bruised finger and hand with damage to the nail plate
S60.2
Contusion of other parts of the wrist and hand
S60.7
Multiple superficial injuries of wrist and hand
S60.8
Other superficial injuries of wrist and hand
S60.9
Superficial injury of wrist and hand, unspecified

S61 Open wound of wrist and hand

S61.0
Open wound of the finger of the hand without damage to the nail plate
S61.1
Open wound of the finger of the hand with damage to the nail plate
S61.7
Multiple open wounds of wrist and hand
S61.8
Open wound of other parts of the wrist and hand
S61.9
Open wound of unspecified part of wrist and hand

S62 Fracture at the level of the wrist and hand

S62.00
Closed fracture of the scaphoid bone of the hand
S62.01
Open fracture of the scaphoid bone of the hand
S62.10
Fracture of another bone in her wrist, closed
S62.11
Open fracture of another bone in her wrist
S62.20
Fracture of the first metacarpal bone, closed
S62.21
Open fracture of the first metacarpal
S62.30
Fracture of the other metacarpal bone, closed
S62.31
Fracture of the other metacarpal bone, open
S62.40
Multiple fractures of the metacarpal bones, closed
S62.41
Multiple open fractures of the metacarpal bones
S62.50
Closed fracture of the thumb
S62.51
Open fracture of the thumb
S62.60
Closed fracture of another finger
S62.61
Open fracture of another finger
S62.70
Multiple closed fractures of fingers
S62.71
Multiple open fractures of fingers
S62.80
Fracture of other and unspecified part of the wrist and hand, closed
S62.81
Fracture of another and unspecified part of the wrist and hand, open

S63 Dislocation, sprain and overstrain of the capsular-ligamentous apparatus at the level of the wrist and hand

S63.0
Dislocation of the wrist
S63.1
Dislocation of finger
S63.2
Multiple dislocations of fingers
S63.3
Traumatic rupture of carpal and metacarpal ligament
S63.4
Traumatic rupture of the finger ligament at the level of the metacarpophalangeal and interphalangeal joint(s)
S63.5
Sprain and overstrain of the capsular-ligamentous apparatus at the level of the wrist
S63.6
Stretching and overstrain of the capsular-ligamentous apparatus at the level of the finger
S63.7
Sprain and overstrain of the capsular-ligamentous apparatus of another and unspecified part of the hand

S64 Nerve injury at wrist and hand level

S64.0
Injury to the ulnar nerve at the level of the wrist and hand
S64.1
Injury of the median nerve at the level of the wrist and hand
S64.2
Injury to the radial nerve at the level of the wrist and hand
S64.3
Nerve injury of the thumb
S64.4
Nerve injury to other finger
S64.7
Injury of multiple nerves at the level of the wrist and hand
S64.8
Injury to other nerves at the level of the wrist and hand
S64.9
Injury to unspecified nerve at wrist and hand level

S65 Trauma to blood vessels at the level of the wrist and hand

S65.0
Trauma to the ulnar artery at the level of the wrist and hand
S65.1
Trauma to the radial artery at the level of the wrist and hand
S65.2
Injury to the superficial palmar arch
S65.3
Deep palmar arch injury
S65.4
Injury to blood vessel of thumb
S65.5
Injury to a blood vessel of another finger
S65.7
Injury to multiple blood vessels at the level of the wrist and hand
S65.8
Injury to other blood vessels at the level of the wrist and hand
S65.9
Injury of unspecified blood vessel at the level of the wrist and hand

S66 Muscle and tendon injuries at the wrist and hand level

S66.0
Injury of the flexor pollicis longus and its tendon at the level of the wrist and hand
S66.1
Injury of the flexor of the other finger and its tendon at the level of the wrist and hand
S66.2
Injury to the extensor pollicis and its tendon at the level of the wrist and hand
S66.3
Injury to the extensor muscle of the other finger and its tendon at the level of the wrist and hand
S66.4
Injury to the intrinsic muscle and tendon of the thumb at the level of the wrist and hand
S66.5
Injury to the intrinsic muscle and tendon of the other finger at the level of the wrist and hand
S66.6
Injury of several flexor muscles and tendons at the level of the wrist and hand
S66.7
Injury of several extensor muscles and tendons at the level of the wrist and hand
S66.8
Injury to other muscles and tendons at the level of the wrist and hand
S66.9
Injury to unspecified muscles and tendons at the level of the wrist and hand

S67 Crushed wrist and hand

S67.0
Crushing of the thumb and other finger(s) of the hand
S67.8
Crushing of other and unspecified part of wrist and hand

S68 Traumatic amputation of wrist and hand

S68.0
Traumatic amputation of the thumb, complete, partial
S68.1
Traumatic amputation of one other finger of the hand, complete, partial
S68.2
Traumatic amputation of two or more fingers, complete partial
S68.3
Combined traumatic amputation of part of a finger and other parts of the wrist and hand
S68.4
Traumatic amputation of the hand at the level of the wrist
S68.8
Traumatic amputation of other parts of wrist and hand
S68.9
Traumatic amputation of wrist and hand, level unspecified

S69 Other and unspecified injuries of wrist and hand

S69.7
Multiple injuries of wrist and hand
S69.8
Other specified injuries of wrist and hand
S69.9
Injury of wrist and hand, unspecified

Possible complications

After a wrist joint injury, the following complications are recorded:

Contusion of the palmar surface - causes contusion of the ulnar and median nerve. In this area they are located close to the surface of the dermis. In this case, shooting pain occurs in the phalanges and their sensitivity is impaired. They begin to move with difficulty, and the hand takes the shape of a clawed paw. In some cases, surgery is required to cut the carpal ligaments.
Sudeck's syndrome - occurs with severe trauma or improper treatment. Trophic vascular disorders develop. The hand and wrist joint become very swollen, the surface of the skin becomes cool and shiny, bluish in color, and the nails become brittle and thin. X-ray examination reveals osteoporosis. To treat it, complex therapy is used, using painkillers, vitamin complexes, vascular agents, muscle relaxants, acupuncture, physiotherapy, massage and exercise therapy.

In the case of a bruise of the palm, complications can manifest as contusion of the ulnar nerve, which in this place comes close to the skin. The pain is shooting in nature, and the fingers lose sensitivity. After some time, the mobility of the hand is impaired and a feeling of ossification occurs.

Sometimes nerve damage requires surgery. This occurs when the carpal ligament, where the nerve fibers pass, is cut.

A dangerous consequence of untreated damage can be Sudeck syndrome. It is characterized by trophic and vascular disorders. The wrist joint and hand become swollen, the skin acquires a bluish tint and becomes cool. The nail plate becomes thinner and breaks. X-ray examination can reveal osteoporosis.

Treatment of pseudarthrosis

When a false joint occurs, treatment without surgery is impossible. I surgically fix the affected area again to form a callus and ossify.

For this purpose, osteosynthesis is performed according to Ilizarov. For the operation, an external fixation device is used, which the patient wears for about 6 months.

Ladisten Medical Center performs minimally invasive surgical interventions. The method has proven its effectiveness over 30 years of practice. The new design used, the Veklich apparatus, has a patent.

Dr. Veklich’s device is a reliable device for bone fusion; the device is quite lightweight and has improved ergonomics. It does not involve the use of traumatic needles, thereby reducing the risk of infection and rehabilitation time.

Massage

Therapeutic massage can be done independently, at home. To begin, stretch your hand from your fingertips to your elbow joint. Movements should be smooth and stroking. The result of the procedure will be restoration of mobility and reduction of swelling. Self-massage is only suitable for mild bruises. If the joint injury was severe, then the massage should be done by a professional.

As for therapeutic exercises, it must be performed in the most gentle manner possible. No sudden, fast movements, as they will only cause pain and worsening of the condition. If the bruise of the wrist joint was severe, then exercise therapy must be carried out under the supervision of a doctor. If you follow all the instructions of the traumatologist, then in a week you can forget about the damage.

Bruises of the upper extremities in children

Often the cause of a bruised wrist joint in children is a fall from a swing, a bicycle, from a stroller, or from a feeding chair. In older children, outdoor games and sports lead to injuries. A soft tissue bruise is always the result of a fall or blow. The child screams in pain and stops moving his arm, leaving it slightly bent along the body. Characteristic symptoms of a bruise:

strong pain;
skin redness;
swelling;
possible bruising;
limitation of hand mobility.

To provide first aid to a child, you must:

Treat existing skin lesions with hydrogen peroxide;
Make a fixing bandage on the wrist and hand. It is better to raise your arm by bending it at the elbow;
Apply cold to the damaged area for seven minutes, then repeat the procedure after a 15-minute break. For cooling, you can use ice wrapped in a towel.

After providing assistance, the child must be shown to a traumatologist. He will find out the cause of the pain and, if necessary, prescribe x-rays and treatment.

Wrist bandage

For people who perform many operations with one hand after bruising the right wrist joint or the left, doctors advise wearing a bandage for some time. For this purpose, use the B.Well rehab W-244 model. It is universal, it is possible to adjust the level of fixation. The bandage is used to limit the movement of the hand, as a result, pain is reduced and swelling subsides. The degree of compression is adjusted independently, according to sensations, and the loop, which is fixed on the thumb, does not allow it to move. The developers constantly collaborate with traumatologists, orthopedists, rehabilitation specialists and neurologists, improving the model.

Physiotherapy and hydrotherapy in the treatment of wrist joint

Conducted studies show that the use of physical and hydrotherapy, various ointments, massages, and exercise therapy in the early stages of treatment promotes rapid restoration of injured tissues, reduction or complete elimination of pain, swelling and restoration of working capacity. In most cases, with a bruise of the wrist joint (disease code S60), microcirculation and tissue metabolism are disrupted. When treating bruises and injuries, the following are most often used:

Electrophoresis is the administration of drugs using electric current through the dermis and mucous membranes. With the help of electrophoresis, anti-inflammatory, analgesic, absorbable, antibacterial and stimulating tissue regeneration effects are achieved. To increase permeability, warming procedures are carried out before electrophoresis. Sometimes solutions containing several drugs that enhance each other's effects are used.
Diadynamic currents (DCT) - use different frequencies with short and long periods. With their help, medications are administered, and wave currents have an analgesic effect.
Sinusoidal modulated currents (SMC) - have a high frequency and penetrate deeply into tissues, have an anti-edematous, analgesic and anti-inflammatory effect.
Magnetotherapy - an alternating low-frequency magnetic field has a beneficial effect on biological fluids, reducing swelling and pain.
Inductotherapy - an alternating high-frequency magnetic field penetrates deep into tissue up to eight centimeters and promotes metabolic processes in them.
UHF therapy is an alternating electric current of ultra-high frequency, which is used to accelerate metabolic processes and tissue regeneration.
Ultrasound - mechanical vibrations accelerate regeneration processes, have an anti-inflammatory effect, reduce swelling and relieve pain.

Treatment of bruised wrist joint

Treatment should begin immediately after injury and diagnosis. Timely measures will relieve pain, speed up healing and prevent adverse consequences. For this you need:

Medications. To treat a damaged joint, painkillers and anti-inflammatory drugs are used in the form of ointments: Heparin, Ortofen, Venolife, Diclofenac, Lyoton.

They are applied at least three times a day to the damaged area in a thin layer and lightly rubbed. For intense pain, analgesics are prescribed orally: “Baralgin”, “Analgin”, “Ketonal”.
Remedies for eliminating hematomas - “Badyaga”, “Comfrey”.
Using a bandage. For fixation, it is possible to use an elastic bandage and other orthopedic devices, which, depending on the injury, are used for three to ten days.
Two days after a wrist joint injury, thermal procedures are used for treatment. A special heat-saving bandage is suitable for this. The good thing about this product is that, in addition to limiting movements, it warms, massages the limb, relieves swelling, improves blood circulation and enhances the effect of medicinal ointments.
For heat treatment, you can apply a fabric bag with salt heated in a frying pan to the wrist joint, a heating pad, or make paraffin applications. The procedure is performed twice a day.
Warm baths. Add sea or table salt to the water and warm your wrist at a temperature no higher than 38 degrees.
Physiotherapy. If the left wrist joint is bruised, as well as the right, it is possible to use exercise therapy. A set of exercises helps prevent muscle atrophy, normalize tendon function, and improve blood circulation.
Massage. With the help of massage movements, the mobility and performance of the hand are restored, pain is relieved, blood circulation improves, and therefore tissue nutrition. Massage begins from the fingertips to the wrist, doing light stroking and rubbing.
Applying an elastic bandage to the joint.
Load limitation. If you have a bruise on the right wrist joint (according to ICD 10 code S60), you should stop writing and drawing for a while. Athletes are advised to stop training, and musicians to engage in professional activities until full recovery. In addition, the sore hand should be protected from lifting heavy objects. Failure to follow doctors' recommendations may result in undesirable consequences.