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1 sty 2021 · Ulnar-sided wrist pain is a common clinical problem, most often misdiagnosed as triangular fibrocartilage complex (TFCC) injury. It may be frustrating to the patient, as one may end up wearing a wrist splint for an unusually long period, disrupting their routine.
12 maj 2019 · This is one of the first things to check for when evaluating a patient with ulnar sided wrist pain. First perform an ECU synergy test. The patient places their elbow at 90 degrees, the forearm is in full supination, the wrist is in neutral and the digits are in full extension.
1 sty 2021 · Ulnocarpal stress test is a useful provocative test described by Nakamura, it is considered positive if there is pain on axial load on an ulnar-deviated wrist that goes through pronation and supination . This test can be positive in TFCC tears, LT injury, ulnocarpal impaction, it is sensitive but not specific.
3 mar 2012 · Ulnar-sided wrist pain is a common cause of upper extremity disability. An understanding of the anatomy and mechanism of injury, and a detailed physical exam can help establish a differential diagnosis. Judicious use of diagnostic modalities can further define the diagnosis.
Amrami and colleagues described a method of evaluating instability in which the affected DRUJ is injected with anesthetic to ensure strength is not limited by pain. The patient enters the CT scanner in prone position and grips a device with the wrist in neutral, 60° of pronation, and 60° of supination.
This article reviews the pertinent history and physical examination maneuvers necessary to arrive at the proper diagnosis of patients with ulnar-sided wrist pain. Surface anatomy is stressed along with provocative maneuvers for maximal efficacy.
8 sty 2016 · Recurrent ECU dislocation will present as a painful snap over the ulnar/dorsal aspect of the wrist with forearm supination. Given the mechanics of the tendon dislocation, conservative management consists of immobilization that restricts supination and ulnar deviation.
