Longitudinal Split Tears of the Ulnotriquetral Ligament

Hyatt, Brad T.; Rhee, Peter C.

doi:10.1053/j.otsm.2016.01.004

Cited by 4 publications

(3 citation statements)

References 12 publications

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“… 25 26 The ulnotriquetral ligament is often injured through a single traumatic event, causing longitudinal splitting in the ligament due to weakness in the ligament’s longitudinal direction from vascular perforations, as well as differing vectors of force transmission due to its split origins in the triangular fibrocartilage complex (TFCC) and the ulnar styloid. 27 28 Clinical examination includes assessing the ulnar fovea sign: pain on palpation of the ulnar foveal region (in between the ulnar styloid process and flexor carpi ulnaris tendon proximal to the pisiform and distal to the ulnar head), which has a sensitivity of 95.2% and a specificity of 86.5%. 29 The diagnosis of ulnotriquetral ligament tears requires confirmation by arthroscopy, as MRI has poor sensitivity and specificity.…”

Section: Extrinsic Carpal Ligamentsmentioning

confidence: 99%

Narrative Review of Ligamentous Wrist Injuries

Margulies

Gopman

et al. 2021

Journal of Hand and Microsurgery

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Ligamentous wrist injuries are common occurrences that require complex anatomical mastery and extensive understanding of diagnostic and treatment modalities. The purpose of this educational review article is to delve into the most clinically relevant wrist ligaments in an organized manner to provide the reader with an overview of relevant anatomy, function, clinical examination findings, imaging modalities, and options for management. Emphasis is placed on elucidating reported diagnostic accuracies and treatment outcomes to encourage evidence-based practice.

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Section: Extrinsic Carpal Ligamentsmentioning

confidence: 99%

Narrative Review of Ligamentous Wrist Injuries

Margulies

Gopman

et al. 2021

Journal of Hand and Microsurgery

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“…Although nonoperative treatment is generally the first-line approach for peripheral TFCC and UT split tears, arthroscopic examination and treatment may be used in refractory cases 6,[18][19][20][21][22] .…”

Section: Introductionmentioning

confidence: 99%

“…Diagnosis has been guided by an improved understanding of ulnar wrist anatomy, novel examination maneuvers, and increased experience with arthroscopic techniques 6 . Acute, traumatic injuries to the UT ligament during wrist hyperextension and supination represent 48% to 64% of tears 6,17 , but repetitive use injuries, especially in racquet, bat, or stick-handling sports, are also seen 6,18 . The mean age of a patient with a UT split tear is 30 years, about half of UT split tears occur in men, and one-third of tears occur in athletes 6 .…”

Section: Introductionmentioning

confidence: 99%

Ulnar Wrist Pain in a Tennis Player: Case Review and Discussion

et al. 2022

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» Ulnar-sided wrist pain is a common cause of debilitating wrist pain in stick-handling athletes. Due to the complexity of surrounding anatomy, the evaluation and diagnosis can be challenging.» Injury of the triangular fibrocartilage complex (TFCC) is the most common cause of ulnar-sided wrist pain. Repetitive, unrestricted pronosupination, wrist deviation, and axial-loading activity, such as in tennis, place substantial stress on the TFCC.» The ulnotriquetral (UT) ligament is a palmar thickening of the ulnar capsule arising from the palmar radioulnar (PRU) ligament of the TFCC. When injured, the UT ligament can be a source of acute or chronic ulnar-sided wrist pain. The ligament can avulse off bone, can rupture completely, or can split longitudinally.» Arthroscopic-assisted repair is a safe, reliable, and effective treatment for UT ligament split tears and peripheral TFCC tears.» Although the benefit of a team-based approach may be realized by most patients, high-performing, stick-handling athletes are part of a unique population who execute repetitive, extraordinary wrist movements. The high demand and functional requirement expected of the wrists require a uniquely tailored approach to return them to the same level of competitive play.

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Hand and Wrist Injuries in Tennis Players

Gil

2019

Curr Rev Musculoskelet Med

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Purpose of ReviewThe purpose of this article is to review common hand and wrist injuries experienced by tennis players. Recent Findings A myriad of different wrist pathologies can be seen in tennis players ranging from metacarpal and carpal stress fractures to triangular fibrocartilage injuries and ulnar impaction. These vary depending upon the nature of the player, stroke mechanics, and time point within the season. Summary A broad differential should guide work-up and management of wrist pain in tennis players.

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Longitudinal Split Tears of the Ulnotriquetral Ligament

Cited by 4 publications

References 12 publications

Narrative Review of Ligamentous Wrist Injuries

Narrative Review of Ligamentous Wrist Injuries

Ulnar Wrist Pain in a Tennis Player: Case Review and Discussion

Hand and Wrist Injuries in Tennis Players

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