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Ulnar-Sided Wrist Pain

A Critical Analysis Review

Brogan, David M. MD, MSc1; Berger, Richard A. MD, PhD2; Kakar, Sanjeev MD, FAOA2

doi: 10.2106/JBJS.RVW.17.00207
Review Articles with Critical Analysis Component
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Disclosures

  • » Ulnar-sided wrist pain encompasses a variety of pathologies including arthritis, tendinopathy, ligament injuries, and instability.
  • » A careful physical examination can narrow the differential diagnosis, and adjunctive imaging may prove useful to confirm clinical suspicion.
  • » The mainstay of nonoperative treatment is immobilization, hand therapy, and corticosteroid injections; surgical intervention is dictated by the specific pathology identified, recognizing that multiple pain generators may be present.
  • » In the absence of distal radioulnar joint instability, when indicated, peripheral capsular repair of the triangular fibrocartilage complex may be an effective procedure for relieving pain. If instability is noted, foveal repair is advocated to restore stability.
  • » Treatment of distal radioulnar joint arthritis continues to evolve as new implants and techniques emerge.
  • » Ulnar shortening osteotomy, when indicated, can be a reliable surgical option to reduce pain and improve function.

1Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri

2Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota

E-mail address for S. Kakar: Kakar.Sanjeev@mayo.edu

Investigation performed at the Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri, and the Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota

Disclosure: There was no source of external funding for this study. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work (http://links.lww.com/JBJSREV/A459).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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