I'm new to the group and this is my first contact. My right wrist ( I'm
right handed ) has three completely torn apart ligaments and functions
at 30-50 % rom/strength and sharp pain at near rom limits. I just had
surgury, doc cleaned up the "shag carpet" in my wrist but only gave
"live with it or fuse it" options. I was active as a utility lineman,
piano player, auto resto hobbiest and landlord doing many plumbing and
misc. repairs. I can not see fusing as an option for me. My utility job
will be history soon and need guidance on wrist replacement. I'm in my
mid 40's. Has anyone had this done and can still do any manual work?
How about piano playing? My future changed last week as I also have 3
herniated lower back discs. I could use some good news about now.
> I'm new to the group and this is my first contact. My right wrist ( I'm
> right handed ) has three completely torn apart ligaments and functions
[quoted text clipped - 7 lines]
> How about piano playing? My future changed last week as I also have 3
> herniated lower back discs. I could use some good news about now.
Hi Joe,,,, Did you have a recorded accident while at work>??? If you did,
you could choose to use your company's disability plan. Welcome to ASA...
I can not help you with choices of what to do with your wrist but keep
reading and posting in this newsgroup which has a world of information.
Harv
Gary Z - 16 Mar 2006 15:03 GMT
>> I'm new to the group and this is my first contact. My right wrist ( I'm
>> right handed ) has three completely torn apart ligaments and functions
[quoted text clipped - 7 lines]
>> How about piano playing? My future changed last week as I also have 3
>> herniated lower back discs. I could use some good news about now.
Hi Joe,
Have to tag onto Harv's post here as I didn't get the original.
Personally I've never heard of a wrist replacement, but that isn't saying
much!
As to your herniated discs, that is something I can relate to. Lumbar
(lower) back
and cervical (neck and a bit below) are very common areas for problems.
Seems
ever since we decided to walk upright these problems have come about.
Herniated discs
can heal themselves given the opportunity. That is not saying they will in
your case though
(or mine.) You could try one of those machines where you hang by your feet
to take some pressure
off the spine for a bit. A friend of mine swears by his. With my back, I
would do more harm than good I think.
Procedure with backs are least invasive to most invasive (surgery.) But like
I said, given time they may
repair on their own.
As I've aged I've had to modify what I can and can't do anymore. I miss many
things I used to be able to do, but
I've found other things to replace them. I was always a very physically
oriented person, but my body just
won't allow that anymore. Am in my mid 50's and started having trouble in my
20's. Mid 40's was when I
started having to modify my behaviors or suffer the consequences (pain!)
It's a bit difficult at first, but one gradually adapts.
Hope the best for you.
GaryZ
Joe - 16 Mar 2006 15:21 GMT
Thanks for the reply. Both injuries are worker's comp cases and medical
expenses are covered. My next worry is income. I will apply for social
security soon. I don't see my hand Dr. until mid april and will
discuss wrist replacement and try to determine how much time I have
before the wrist is completely useless. I would like to talk to someone
with a new wrist.
one ASA person who is currently MIA has had two wrist replacements. the
first one broke during strenuous swing dancing (she's a ballroom dancing
competitor) and she had to have it re-replaced. That makes me think that
manual work would have to be limited, though I think one would still be able
to play piano.
The same woman had her other wrist fused, so I will email her and ask her to
check in.
On another tack, is a wrist replacement an option with the torn ligaments?
Usually it is done for joint erosion and I just don't know how much it would
help in the face of your severe ligament injury.
I hope you are seeing someone who *specializes* in hands and wrists. If not,
you should be. You might also check with local sports medicine clinics as
their orthopods are often more in tune with cutting edge procedures to
restore function. The same applies to ortho departments at major medical
schools if you have one of theose nearby.

Signature
Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare
duckie412@hotmail.com - 17 Mar 2006 02:25 GMT
Nann emailed me. Having computer issues -- beem back three times since
Jan and I am on hold with tech support once again. This time they told
me they are replacing the whole thing. sigh...
Let's see, Lost the first wrist [left hand] and there was nothing to do
but fused the thing. It was too far gone to try a replacement. My left
hand is definitely the stronger one and I am able to pick up heavy
package albeit one handed. It rotates palm up and palm down with no
pain and with no trouble. it does not bend. It has a metal bar and
screws holding the metal to the remaining bone. I have been told if the
metal had bothered me, they could remove it after a year or so but it
has never been a problem and that is going on 20years? now.
When my right wrist began to be a problem, I went to see my hand
surgeon early on in the process.
Computer acting up going to send this now before I lose it and continue
in another post
Duckie
> one ASA person who is currently MIA has had two wrist replacements. the
> first one broke during strenuous swing dancing (she's a ballroom dancing
[quoted text clipped - 19 lines]
> remove the Gator cheer to email me
> Simply the thing I am shall make me live --- William Shakespeare
duckie412@hotmail.com - 17 Mar 2006 02:39 GMT
Okay, post two
So we went ahead with the replacement in the right wrist. I worked
really hard in OT -- too hard in fact and actually got further in my
ability to bend the thing than was recommended for my type of
replacement. That actually made it weaker and subseptible to breaking.
While swing dancing a year later, it snapped. opps We re-replaced it.
I asked OT for specifics on the amount of bend and had all I was
suppose to have by the time the cast was removed. So be careful with
that.
A replaced wrist has a weight limit of 10 pounds and if you exceed that
you are risking ruining the replacement. I find that there are things I
can't reach with my fused wrist and therefore can't iimagine fusing
both of them. Toileting is what I am talking about. When I have had
surgery on my right hand, I have to use one of the toileting brushes
that you wrap toilet paper around. Really don't want to be stuck having
to do that all the time for the rest of my life. When that day comes I
will face it but for now, I will protect my wrist replacement.
I have a special hard cast I dance in now which I designed and OT built
for me. Actually on my third one now. My hand surgeon is a swing dancer
so he never said don't do it, he said 'i'll write the order and you
tell them what you need'.
You didn't say if you were seeing a specific hand surgeon. You really
need someone who specializes. Had my new TKR done by a sports medicine
ortho who also specialized in RA knees. I picked him specifically. I
didn't want to be told to stop dancing. I wanted him to be sure that I
could. Actually went river rafting with MaryZ that summer with my new
knee. So what I am saying is that you need to do your homework -- bravo
for coming here -- and pick someone who will give you the result you
want and need. Be realistic as well as you may not be able to go back
to the work you were doing before. I see no problem with the piano
though. But holding your body weight climbing on poles would really be
out for me -- of course climbing up a pole and dangling above the
ground would never have started with this scaried cat. lol
Computer buzzing again. Ask Nann for my real email as this one I am
posting with is just for the spammers - I never check it.
Hey ASA -- I miss you.
Duckie
Joe - 17 Mar 2006 03:17 GMT
Thanks to all for the responses.
My doctor is a hand specialist and handles injuries for a major hockey
team and has a very good rep. I am a little concerned that he did not
mention wrist replacement to me but only offered fusion options. I will
discuss this at my next visit.
I don't understand how a wrist could deteriorate too far for a
replacement, seeing as the wrist gets partially disassembled anyway
during surgery. Please help me understand this because my doctor said
my wrist will continue to get worse as the bones move improperly and
grind on each other. All three ligaments on the top side are torn
apart and were trimmed away during my surgery. The doctor also found
torn soft tissue as well.
>From what I have seen on web sites, all or most of this mess would be
removed to allow new wrist installation.
I'm trying to educate myself as much as possible before my next doctor
visit. Any additional information from anyone will be appreciated very
much.
duckie412@hotmail.com - 17 Mar 2006 06:43 GMT
Nothing for the replacement to fit into if the bones tip and distort
too much. The bones my replacement fit into all are suppose to look
like
| | | | My left wrist they looked sort of like this \ -- / -- In
my right wrist, they had started to separate and looked more like this
| | | \
Sorry hard to draw on non html site. Hope that conveys. There are
different kinds of replacements.
I have a Swanson wrist and several Swanson finger joints. My surgeon's
handiwork is in a poster that Swanson produced. Here is a bit of info
on it
http://arthritis.about.com/od/finger/a/fingerimplants.htm
I have seen a wrist replacement which is metal and screws into the hand
in several places which would probably make it much stronger but I am
only
guessing.
Type Wrist Implant into a Google search engine. Found this one first
http://www.visitkmi.com/patients/arthritis/wrist
It is new in 1996 and second generation new in 2003. Sounds like a good
thing but you need to pick your surgeon and then trust his choice in
replacements for you. You can't make a surgeon work with an implant
they are not familiar with - well I wouldn't. Be like asking someone
who had driven cars to fly an airplane - might be able to do it but I
wouldn't want to be onboard while they practiced.
grrr computer flashing again.
Duckie
Joe - 18 Mar 2006 04:02 GMT
Thanks for helping me to understand your situation. Sounds painful to
say the least. I have been surfing wrist replacement pages and your
first page suggestion was a new one to me. Thanks for all your help.
I'm looking forward to seeing my Dr. to discuss options.
Some web pages touched on possible infections setting up in joints with
replacement parts installed and said they were nearly impossible to
treat. No further information is given on the possible bad side effects
(death, limb loss, RDS, rejection...) of having a joint replaced other
than breaking and later fusing. Does anyone know where I can find
recent stats on good/bad outcomes with the newest wrist replacements? I
just want to cover all the bases and know what my odds are for a good
outcome if I choose this path.
Nann Bell - 17 Mar 2006 15:30 GMT
just a theory, but perhaps the tendon and soft tissue damage has left too
little structure to support, i.e. keep everything properly positioned, either
your natural wrist or a wrist replacement. Keep in mind that this is from
someone who knows little about wrist replacements per se, but has been made
uncomfortably aware of how important that supporting structure can be.

Signature
Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare
> Thanks to all for the responses.
> My doctor is a hand specialist and handles injuries for a major hockey
[quoted text clipped - 13 lines]
> visit. Any additional information from anyone will be appreciated very
> much.
Joe - 18 Mar 2006 04:35 GMT
That is my fear too. I hope the joint is not too far gone for
replacement. The x-rays did not show a lot of bone damage yet. I just
can not see myself with fusion. Seems so Frankenstien and mid-evil. I
had a very hard time doing anything useful with my soft cast on after
surgery (simulated fusion) and I will resist fusion as long as I can
stand the pain. Just can not get over that medical science is still so
unadvanced that a few simple ligament breaks can't be mended somehow
and that my life and my wife's life is going to change so much because
of such a little tissue failure. I know that people can die from a
simple heart valve failing but this wrist problem seems to be just a
simple mechanical issue. Why can't a few rubber band pieces be cemented
or screwed on the bones and replaced as needed? I don't expect anyone
to answer that but I hope you see my point.
Thanks for letting me spew a little. I really appreciate everyone that
is helping me with this. I guess I'm still in the "I can't believe this
happened to me" frame of mind. Very fustraiting, dissapointing and I
hope I get over it soon. (so does my wife.)
Hi Joe,
I haven't had the replacement but I am in deep discussion about one.
Wrist replacements are not done for strength they are done for functionality
and pain relief. At 30-50 % ROM you may be at the limit of the wrist
replacement. I was told I would be able to have about 40% ROM. My surgeon
also is stressing a limit on heavy lifting, any repetitive motion with tools
(esp power tools that may vibrate or jar the wrist and hand). Piano should
be ok but I don't know about line work and your mechanic activities.
Wrist replacements are still relatively rare...so be selective about who you
see about one. A surgeon that does a lot of them may only do a dozen a
year. I would certainly seek a 2nd or even 3rd opinion for you so you can
get as much information as possible.
I saw that Nann was going to e-mail our experienced wrist person so I am
sure she will be able to answer more specific questions.
Good Luck
Karen
> I'm new to the group and this is my first contact. My right wrist ( I'm
> right handed ) has three completely torn apart ligaments and functions
[quoted text clipped - 7 lines]
> How about piano playing? My future changed last week as I also have 3
> herniated lower back discs. I could use some good news about now.