Review ArticleEvaluation of Ulnar-sided Wrist PainDaSilva, Manuel F. MD; Goodman, Avi D. MD; Gil, Joseph A. MD; Akelman, Edward MD Author Information From the Department of Orthopaedic Surgery, Brown University, Rhode Island Hospital, Providence, RI. Dr. DaSilva or an immediate family member has stock or stock options held in S2S Surgical and serves as a board member, owner, officer, or committee member of the American Society for Surgery of the Hand. Dr. Gil or an immediate family member has received research or institutional support from DePuy Synthes. Dr. Akelman or an immediate family member has received royalties from Integra Medical and serves as a board member, owner, officer, or committee member of the American Society for Surgery of the Hand. Neither Dr. Goodman nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article. The video that accompanies this article is online at https://links.lww.com/JAAOS/A34. Journal of the American Academy of Orthopaedic Surgeons: August 2017 - Volume 25 - Issue 8 - p e150-e156 doi: 10.5435/JAAOS-D-16-00407 SDC Metrics Abstract Determining the etiology of ulnar-sided wrist pain is often challenging. The condition may be acute or chronic, and differential diagnoses include injuries to the ulnar carpal bones, ligament tears, tendinitis, vascular conditions, osteoarthritis and systemic arthritis, and ulnar nerve compression. An anatomically based, methodical physical examination coupled with provocative maneuvers, including piano key, ulnar impaction, shuck, foveal stress, and extensor carpi ulnaris synergy tests, further defines the differential diagnosis. Diagnostic imaging used in the evaluation of ulnar-sided wrist pain includes plain radiographs and MRI with or without arthrography. Wrist arthroscopy is becoming increasingly important in the diagnosis and management of ulnar-sided intra-articular wrist pathology. Copyright 2017 by the American Academy of Orthopaedic Surgeons.