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Wrist

Wrist problems grouped by theme — carpal tunnel, tendon problems, fractures, ligament injuries, arthritis and ganglions — with each condition beside the operation that treats it.

Understanding your wrist

How your wrist works Wrist anatomy – understanding the radius, ulna, and carpal bones is key to understanding wrist function. Open → Artroscopia do Punho Diagnostic and therapeutic wrist arthroscopy — what it is, when it's used, and recovery. Open →

Carpal tunnel & nerve compression

Síndrome do Túnel Carpal Carpal tunnel syndrome causes hand numbness, tingling, and weakness—diagnosis and treatment options explained. Open → Liberação do Túnel Carpal Carpal tunnel release surgery relieves median nerve compression—when it’s needed and what to expect. Open →

Tendon problems

Tenossinovite de De Quervain Patient-facing topic on De Quervain's tenosynovitis (first dorsal compartment) — diagnosis, conservative management, and indications for de Quervain's release. Open → Liberação de De Quervain De Quervain’s release surgery widens the tendon sheath to relieve pain from thumb tendon inflammation. Open → Tendinopatia do ECU e ECU estalante Open → Síndrome da Intersecção An overuse tendon problem of the back of the forearm, often confused with de Quervain's — its causes, and how rest, splinting or injection settle it. Open →

Fractures

Fratura do Rádio Distal Distal radius fractures — assessment, casting, and indications for surgical fixation. Open → ORIF do Rádio Distal Open reduction and volar plate fixation of the distal radius — operation, recovery, rehabilitation. Open → Má-união da Rádio Distal (e Osteotomia Corretiva) When a wrist fracture heals in a poor position — the problems it causes and how a corrective osteotomy realigns the bone. Open → Fratura do Escafóide Scaphoid fractures — recognition, the high non-union risk, casting and percutaneous/open fixation. Open → Fixação do Escafóide Percutaneous and open compression-screw fixation of scaphoid fractures. Open →

Ligament & TFCC injuries

Lesões dos Ligamentos do Punho Wrist ligament injuries—common causes, symptoms, diagnosis, and treatment options (conservative vs surgery). Open → Lesão do Ligamento Escafolunar A tear of the key ligament linking two wrist bones — how it is diagnosed, why it matters, and the repair or reconstruction options. Open → Lesão do TFCC TFCC injuries — pain on the ulnar side of the wrist, often with clicking, and treatment options. Open → Dor Ulnar no Punho e Impactação Ulnar Pain on the little-finger side of the wrist from the ulna grinding against the wrist bones, and how shortening it relieves the pressure. Open → Distal Radioulnar Joint Surgery Open →

Arthritis & salvage surgery

Osteoarthritis do Punho Wrist osteoarthritis — understanding symptoms, non-surgical options, and when wrist replacement might be considered. Open → Punho SLAC e SNAC SLAC/SNAC wrist – understanding pain from arthritis at the wrist, often after injury. Open → Doença de Kienböck Kienböck’s disease — progressive wrist pain from lunate avascular necrosis; diagnosis and treatment options. Open → Fusão Parcial do Pulso Patient-facing topic for four-corner and capitolunate (two-corner) fusion of the wrist — joint-preserving alternative to total wrist fusion that retains some bending motion. Open → Fusão Total do Punho Wrist fusion permanently joins wrist bones to relieve pain from arthritis or injury. Open → Carpectomia da fileira proximal A wrist salvage operation for an arthritic wrist (SLAC/SNAC) that keeps useful movement — how it works, recovery, and how it compares with fusion. Open →

Ganglions

Ganglios do pulso Wrist ganglia are common, fluid-filled lumps – often painless – and this page covers observation, aspiration, and excision. Open → Excisão de Gânglio do Pulso Ganglion excision — when to consider surgery, arthroscopic vs open approaches, and expected recovery. Open →

Recovery and rehabilitation

A minha ferida está infectada? How to tell normal healing from a wound infection after surgery — the warning signs and when to seek help. Open → Alimentação adequada para a cicatrização Everyday food to support recovery after surgery — protein, energy, healing vitamins, and preventing constipation. Open → Anticoagulantes ao Redor da Cirurgia How anticoagulants and antiplatelets work, and why the timing of stopping each before surgery differs — platelet turnover, half-lives and clot risk. Open → Calor vs Gelo When ice helps, when heat helps, and how to use either safely on the upper limb. Open → Constipação intestinal e cuidados intestinais após a cirurgia Why constipation is common after surgery (especially with strong painkillers) and how to prevent and manage it. Open → Cuidados com a sua ferida Dressings, showering, and signs of infection after upper-limb surgery. Open → Cuidados com gesso e talas em casa Looking after a plaster or splint at home — keeping it dry, elevation, keeping joints moving, and the urgent signs of a too-tight cast. Open → Cuidando da sua cicatriz Massage, silicone, sun protection and the 12-month timeline for surgical scars to soften and fade. Open → Dirigir Após Cirurgia de Ombro e Braço: Quando é Seguro e Legal? After most shoulder surgery, including rotator cuff repair, you usually cannot drive for about six weeks, and not while your arm is in a sling. When it is safe and legal to get back to the wheel after hand, wrist, elbow or shoulder surgery. Open → Gerenciamento da dor após a cirurgia What pain to expect, how to use pain relief well, and when to call. Open → Inchaço e elevação após a cirurgia Why a hand or arm swells after surgery, how elevation and gentle movement control it, and when swelling is a warning sign. Open → Jejum Antes da Cirurgia: O Que Você Pode Comer e Beber, e Por Que Why you must stop eating before an anaesthetic, when you can still sip water, and what can happen if you do not fast. The clear fasting rules that keep your stomach empty and your lungs safe during surgery. Open → Mente, Estresse e Recuperação How stress, low mood, anxiety and worry about pain affect recovery and surgical outcomes — and what helps. Open → Noções básicas de terapia manual What to expect from hand therapy, how often you'll go, and what good rehab looks like. Open → O dia da sua cirurgia What to expect on the day of day-case upper-limb surgery, from arrival and meeting the team to waking up and going home. Open → Preparação para a Cirurgia General checklist for the days before upper-limb surgery — fasting, what to bring, medications. Open → Prevenção de coágulos sanguíneos em casa Reducing the risk of deep vein thrombosis after upper-limb surgery — mobilisation, hydration, medication. Open → Retorno ao esporte Phased return to sport after upper-limb surgery, and when contact sport is safe again. Open → Retorno ao trabalho When you can return to desk, light, and heavy work after upper-limb surgery. Open → Seu bloqueio nervoso do ombro The nerve block we use for shoulder surgery — how it numbs your arm, why it controls pain so well, and what to expect as it wears off. Open → Sono, Dor e Recuperação How sleep and pain affect each other, why surgery and shoulder problems disturb sleep, and what helps you rest and recover. Open → Sua verificação da ferida e remoção dos pontos What happens at the post-op wound check, dissolvable vs removable stitches, what removal feels like, and when to seek help sooner. Open → Usar e Dormir com uma Atadura para Braço How to sleep in an arm sling, get the sling position right, and look after it after shoulder, elbow or wrist surgery, including whether to keep the sling on overnight. Open → Vida diária após cirurgia de mão, punho ou cotovelo Keeping a hand or wrist dressing dry, elevation to control swelling, and one-handed living after hand, wrist or elbow surgery. Open → Vida diária após cirurgia de ombro Washing, dressing, sleeping and managing day-to-day with the operated arm in a sling after shoulder surgery. Open → Voar e viajar após a cirurgia Clot risk, cast tightness at altitude, fitness to fly and the practicalities of travelling after upper-limb surgery. Open →

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