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Ulnar-sided wrist pain in the athlete (TFCC/DRUJ/ECU)

  • Hand and Wrist Sports Medicine (E Tolo and L Dwyer, section editors)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of review

The goal of this manuscript is to review key historic and recent literature regarding extensor carpi ulnaris (ECU), triangular fibrocartilage complex (TFCC) and distal radioulnar joint (DRUJ) injuries, particularly in athletes.

Recent findings

Many recent studies examining the ECU focus on clinical and radiographic diagnosis. Several physical exam findings are described in addition to the use of MRI and US. Imaging studies must be clinically correlated due to high incidence of findings in asymptomatic patients.

In regard to the TFCC/DRUJ, there are numerous recent studies that support the use of MRA as an adjunctive diagnostic study. There are also a number of repair constructs that are described for the various different kinds of TFCC pathology reviewed here.

Summary

In summary, there are a number of options for the diagnosis and treatment of ulnar-sided wrist pain. Patient factors, especially in the athletic population, must be taken into account when approaching any patient with these pathologies.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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  1. Department of Orthopaedic Surgery, 300 Pasteur Drive, Room R144, Stanford, CA, 94305-5341, USA

    Eric Quan Pang & Jeffrey Yao

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Eric Quan Pang declares that he has no conflict of interest.

Jeffrey Yao reports personal fees from Smith and Nephew Endoscopy during the conduct of study. He also reports personal fees from Arthrex, BME, McGinley Orthopedics, and Trimed, as well as a grant from Medartis, outside of the submitted work.

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Pang, E.Q., Yao, J. Ulnar-sided wrist pain in the athlete (TFCC/DRUJ/ECU). Curr Rev Musculoskelet Med 10, 53–61 (2017). https://doi.org/10.1007/s12178-017-9384-9

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