Die Bursitis des Recessus ulnaris

Abstract

We investigated 20 patients suffering from wrist pain accompanied by local swelling of the recessus ulnaris. Pain could be produced by direct pressure to the recessus ulnaris or by rotation of the forearm during prehension grip. One group (n = 14) had no previous operation or trauma. A second group (n = 6) had undergone previous surgery or suffered from trauma. All patients were treated by injection of cortisone and lidocaine into the recessus ulnaris. In the first group, ten (71%) remained pain-free during a period of 19 (9 to 40) months. In the second group, no improvement could be achieved. Based on anatomy and evolution of the recessus ulnaris, we try to establish a theory of the pathology.

Schmerzhaftes distales radioulnares Gelenk (DRUG)

“…Der ein sei ti ge Druck schmerz über der Seh ne des ECU oder am An satz der FCU-Seh ne, streck sei tig über dem DRUG, dem Dis kus, dem L-T-Band, dem Tri que trum oder dem ul na ren Re ces sus des Ul no kar palge lenks [15] gibt den we sent li chen Hin weis auf den Ort des Scha dens, der den Schmerz ver ur sacht. Der ein sei ti ge Schmerz beim Ver such, die Spei che ge gen über dem El lenkopf zur Beu ge-oder Streck sei te zu ver schieben, und die Fest stel lung ei ner über nor malen Be weg lich keit sind Zei chen für einen Scha den der dis ta len ra dioul na ren Bän der, wel che als "fe dern de Elle" oder "Kla vier tasten phä no men" be zeich net wur den [21].…”

“…Ein iso lier ter Druck schmerz, meist palmar des Grif fel fort sat zes der Elle, deu tet auf eine Syn o via li tis im Re ces sus ul na ris hin [15,27,26].…”

Evaluation of prestyloid recess morphology and ulnar-sided contrast leakage in CT arthrography of the wrist

“…The meniscus itself consists of dense fibrous connective tissue and its central portion contains the entrance into the ulnar prestyloid recess, which corresponds to a proximal bulge of the ulnocarpal joint space [8,9]. In the past, the prestyloid recess has received some attention in connection to inflammatory diseases, e.g., in different forms of arthritis, which are mostly evaluated in contrast-enhanced MRI [10]. The relevance of the prestyloid recess in trauma imaging, however, has not been investigated thus far.…”