Pregnancy-related Hand and Wrist Problems

Arch Bone Jt Surg. 2021 May;9(3):345-349. doi: 10.22038/abjs.2020.50995.2531.


Hand and wrist disorders are common during pregnancy. Most of these problems develop during the third trimester when hormonal changes, fluid retention, and weight gain are maximum. This review study aimed to discuss pregnancy-related hand and wrist problems, and provide an overview of their pathology, clinical presentations, clinical examinations, and treatment options. Pregnancy-related carpal tunnel syndrome and De Quervain disease are among the most encountered disorders; however, neuralgic amyotrophy, pyogenic granuloma in hand, ligamentous laxity of the joints, arthralgia, and exacerbation of hand and wrist arthritis are among other reported disorders during pregnancy. Pregnancy-related hand and wrist problems may remain undertreated and reduce pregnant females' quality of life. Non-surgical treatments are usually effective for pregnancy-related hand and wrist problems. In general, pregnancy-related hand and wrist problems have a good prognosis and usually resolve after childbirth.

Keywords: Neuralgic amyotrophy; Pregnancy-related De Quervain disease; Pregnancy-related carpal tunnel syndrome; Pregnancy-related ligament laxity; Pyogenic granuloma.