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Ulnar Impaction Syndrome, Sports Medicine

Emily Levy, MD, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Ulnar impaction syndrome (also referred to as ulnocarpal abutment or ulnocarpal impaction syndrome) is a degenerative condition of the ulnar-sided wrist due to excessive load across ...

DIAGNOSIS

The diagnosis of ulnar impaction syndrome is a clinical one assisted by radiographic findings. 

HISTORY

  • Pain on the dorsal-ulnar side of DRUJ

  • Pain with pronation and ulnar deviation of wrist

  • Pai...

TREATMENT

GENERAL MEASURES

Nonoperative treatment is first line and includes rest and/or immobilization for 6 to 12 wk, nonsteroidal anti-inflammatory drugs (NSAIDs), and local corticosteroids 2

SURGERY/OTHER PROCEDURES

ONGOING CARE

PROGNOSIS

  • More studies are needed for prognosis of nonoperative treatment.

  • A systematic review of operative treatment showed a 100% satisfaction rate for arthroscopic wafer procedure, 89% f...

REFERENCES

1
Sammer DM, Rizzo D. Ulnar impaction. Hand Clin.  2010;26(4):549–557.
2
Biswas S. Ulnolunate impaction syndrome. Eplasty.  2015;15:ic2.
3
Löw S, Herold A, Unglaub F, et al. Treatment ...

ADDITIONAL READING

Möldner M, Unglaub F, Hahn P, et al. Functionality after arthroscopic debridement of central triangular fibrocartilage tears with central perforations. J Hand Surg Am.  2015;40...

CLINICAL PEARLS

  • Ulnar impaction syndrome is a degenerative condition involving the abutment of the ulna onto the carpal bones.

  • Diagnosis is clinical, aided by radiographic findings.

  • If patients do not i...

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