A Classification for Extensor Carpi Ulnaris Groove Morphology as an Aid for Ulnar Sided Wrist Pain

Singh, Rohit; Patel, Amit; Roulohamin, Nick; Turner, R. S.

doi:10.1142/s2424835516500260

Cited by 5 publications

(4 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Singh et al, in their cadaver study, classified the distal ulna groove according to the C, L and S types ; they reported that the S type is shallower, and the L type is flatter. With MR evaluation in cadavers, dislocation rates of 8% for C type, 33% in L type and 47% in S type, were shown (28).…”

Section: Discussionmentioning

confidence: 97%

Is it really safe to evaluate symptomatic extensor carpi ulnaris tendon instability by magnetic resonance imaging (MRI)?

Öztürk¹,

Eren²

2021

Acta Orthop Belg

View full text Add to dashboard Cite

The extensor carpi ulnaris (ECU) tendon is in the sixth extensor compartment of the wrist and is isolated from other tendons by a different sheath. Extensor carpi ulnaris pathologies are characterized by pain locally localized to the wrist ulnar side. Outpatient records and wrist MRI (magnetic resonance imaging) tests were retrospectively scanned between January 2018 and July 2019. By examining the anamnesis and examination notes of the patients in the outpatient clinic records, patients with wrist ulnar side pain, pain or sensitivity on the ulnar styloid and provocation test (synergy) were assigned to the first study group (Group 1).The second study group was composed of patients who underwent wrist MR for the diagnosis or differential diagnosis of a synovial cyst around the wrist, without ulnar side pain (Group 2).While evaluating MR images in the axial plane, the depth and width of the ulnar groove, thickness of the ECU tendon were measured. The position of the ECU tendon relative to the ulnar groove and the forearm rotation during the shooting were recorded.105 cases evaluated, there were 41 cases in the symptomatic subgroup and 64 cases in the asymptomatic subgroup. Among all patients, the mean patient age was 38.05.In the evaluation according to whether cases were symptomatic or not, there was no significant relationship between being symptomatic and the degree of instability and MR withdrawal position. Our study suggests that ECU instability in MR is not a specific condition, and detection of MR in instability may not be associated with a patient’s symptoms.

show abstract

Section: Discussionmentioning

confidence: 97%

Is it really safe to evaluate symptomatic extensor carpi ulnaris tendon instability by magnetic resonance imaging (MRI)?

Öztürk¹,

Eren²

2021

Acta Orthop Belg

View full text Add to dashboard Cite

show abstract

“…Despite the increased amount of available information about ECU instabilities, there are new records [12][13][14] in the literature describing anatomical variations which are not involved in classification schemes [8][9][10]. Hand surgeons have to cope with these "anomalies and variations" during surgical operations.…”

Section: Eine Neue Umfassende Klassifikation Für Ecu-sehnenprobleme A...mentioning

confidence: 99%

“…Since the time of the most recently-published classification, many articles have been published providing descriptions of ulnar anatomy variations [12,13]. ECU tendon instability was also recorded in healthy individuals.…”

Section: New Biomechanical and Anatomical Knowledgementioning

confidence: 99%

“…ECU groove subtype C showed only 8 % dislocation compared to 33 % and 47 % for the L and S subtypes respectively. This anatomically-based classification system of the ECU groove helps to identify different components to ulnar-side wrist problems, and may also contribute to the selection of patients who are predisposed to ECU tendon instability [13].…”

Section: New Biomechanical and Anatomical Knowledgementioning

confidence: 99%

See 1 more Smart Citation