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Arthrosopic Ulnar Styloidectomy for Ulnar Styloid Impaction Syndrome

  • Gregory I. Bain
  • Mario G. T. Zotti
  • Kevin Eng
Chapter

Abstract

Ulnar styloid impaction is characterized by the impaction of the triquetrum against the ulnar styloid causing chondromalacia, synovitis and ulnar-sided wrist pain. The causes are multiple but include any cause that brings the carpus closer to the ulnar styloid and vice versa.

There is a history of ulnar-sided wrist pain. On examination, pain is provoked by Ruby’s test. Plain radiographs may reveal a relatively long ulnar styloid process and progressive degenerative changes on the ulnar styloid and upon the triquetrum.

Treatment has been traditionally centred upon open ulnar styloidectomy as arthroscopic techniques were thought to place the triangular fibrocartilaginous complex at risk. A more recent arthroscopic technique is described that is effective whilst safe to ligamentous structures and with minimal postoperative morbidity for the patient.

Keywords

Ulnar Nerve Distal Radius Fracture Ulnar Styloid Ulnar Variance Ulnar Head 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Gregory I. Bain
    • 1
    • 2
  • Mario G. T. Zotti
    • 2
  • Kevin Eng
    • 3
  1. 1.Department of Orthopaedics SurgeryDiscipline of Anatomy and Pathology, University of AdelaideNorth TerraceAustralia
  2. 2.Department of Orthopaedics and TraumaRoyal Adelaide HospitalNorth TerraceAustralia
  3. 3.Department of OrthopaedicsModbury HospitalModburyAustralia

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