Clinical and Radiographic Evaluation of Ulnar-Sided Wrist Pain

Der ulnarseitige Handgelenksschmerz

“…Aus klinischer Sicht manifestiert sich der ulnarseitige Handgelenkschmerz meist während dynamischer Bewegungen wie Greifen und Rotation, was eine Schwierigkeit sowohl für die Diagnose als auch für die Behandlung darstellt [3]. Patient*innen berichten häufig über wenig spezifische Beschwerden, Schwäche und einen eingeschränkten Bewegungsumfang, was eine genauere Untersuchung der zugrunde liegenden Pathoanatomie erforderlich macht [4]. Diese Untersuchung muss über die strukturellen Elemente hinausgehen und auch funktionelle Aspekte wie Gefäßversorgung, Gelenkkinetik und Sensomotorik umfassen.…”

A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders

“…2 In the UK's National Health Service (NHS), a typical clinical pathway for patients with wrist disorders would see initial diagnosis and management in primary care, with referral through a musculoskeletal service for further diagnostic assessment and treatment in secondary care based on clinical need. 3,4 The main pathological causes of non-traumatic wrist disorders (NTWD) include carpal osteoarthritis (OA), tendinopathies (including De Quervain's and intersection syndrome), ulnar-sided wrist pathologies (itself made up of sub-groups with poor diagnostic validity), [5][6][7][8][9][10][11] and ganglion. NTWD are distinct from basal thumb and hand osteoarthritis based on the clinical burden, risk factor profile, clinical relevance of synovial inflammation and established therapeutic interventions, however there is a degree of overlap between pantrapezial and wrist OA.…”

“…The main pathological causes of non-traumatic wrist disorders (NTWD) include carpal osteoarthritis (OA), tendinopathies (including De Quervain’s and intersection syndrome), ulnar-sided wrist pathologies (itself made up of sub-groups with poor diagnostic validity), 5 – 11 and ganglion. NTWD are distinct from basal thumb and hand osteoarthritis based on the clinical burden, risk factor profile, clinical relevance of synovial inflammation and established therapeutic interventions, however there is a degree of overlap between pantrapezial and wrist OA.…”

Ulnar Bowing and Distal Radioulnar Joint Anatomy: A Three-Dimensional, In Situ Clinical Assessment

“…The distal ulna and ulnar-sided wrist pain, in general, has often been referred to as a “black box” of forearm pathology. 5 This is partly due to the limited success of previous surgical interventions for wrist pain relief and relatively few research studies quantifying the morphology of the distal ulna’s complex curvature and its relationship to the sigmoid notch of the radius at the DRUJ. However, recent surgical advances in this area have created newfound interest among the orthopedic community.…”