eMedicine Specialties > Sports Medicine > Wrist and Hand
Wrist Dislocation: Follow-up
Updated: Aug 21, 2008
Follow-up
Return to Play
Athletes with wrist injuries, including wrist dislocations, are advised not to return to play until full recovery has been achieved.
Complications
- A missed or late diagnosis may lead to complications.
- Carpal tunnel syndrome may result.
- Malunion or nonunion may occur. This is a misnomer because no fracture occurs; therefore, malunion or nonunion is not technically possible. Stiffness may be present. On rare occasions, late instability or apposition of the carpal bones may occur.
- Degenerative joint disease is possible.
Prevention
Wrist injuries can be prevented by implementing proper technique; maintaining good strength; maintaining good flexibility; and, if the sport permits, using wrist guards.
Prognosis
If the diagnosis is established early (<3 mo) and if the proper treatment is administered, the prognosis of wrist dislocations is excellent.
Education
Athletes should be educated about how to recognize wrist injuries. Seeking early medical attention for wrist injuries is important and should be emphasized to athletes. Proper technique, flexibility, and strengthening should also be emphasized.
Miscellaneous
Medicolegal Pitfalls
- Failure to diagnose wrist dislocations
- Failure to perform a complete neurologic examination, with resultant median nerve damage
- Avascular necrosis of the lunate (Kienböck disease)
Related Medscape topics:
Resource Center Medical Malpractice and Legal Issues
Resource Center Trauma
Specialty Site Neurology & Neurosurgery
Specialty Site Orthopaedics
The authors and editors of eMedicine gratefully acknowledge the contributions of previous coauthor Dr Thomas Russell Jones to the development and writing of this article.
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Further Reading
Keywords
wrist dislocation, wrist pain, dislocated wrist, dislocation of wrist, lunate dislocation, perilunate dislocation, scapholunate dislocation, hyperextension injury of the wrist, carpal bone injuries, carpal injury, ballottement test, volar tilt test, dorsal tilt test
Follow-up: Wrist Dislocation