Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Skeletal Radiology
Published in: Skeletal Radiology 9/2010

Open Access 01-09-2010 | Review Article

Ulnar-sided wrist pain. II. Clinical imaging and treatment

Authors: Atsuya Watanabe, Felipe Souza, Peter S. Vezeridis, Philip Blazar, Hiroshi Yoshioka

Published in: Skeletal Radiology | Issue 9/2010

Login to get access

Abstract

Pain at the ulnar aspect of the wrist is a diagnostic challenge for hand surgeons and radiologists due to the small and complex anatomical structures involved. In this article, imaging modalities including radiography, arthrography, ultrasound (US), computed tomography (CT), CT arthrography, magnetic resonance (MR) imaging, and MR arthrography are compared with regard to differential diagnosis. Clinical imaging findings are reviewed for a more comprehensive understanding of this disorder. Treatments for the common diseases that cause the ulnar-sided wrist pain including extensor carpi ulnaris (ECU) tendonitis, flexor carpi ulnaris (FCU) tendonitis, pisotriquetral arthritis, triangular fibrocartilage complex (TFCC) lesions, ulnar impaction, lunotriquetral (LT) instability, and distal radioulnar joint (DRUJ) instability are reviewed.
Literature
1.
Goldfarb CA, Yin Y, Gilula LA, Fisher AJ, Boyer MI. Wrist fractures: what the clinician wants to know. Radiology. 2001;219(1):11–28.PubMed
2.
Heuck A, Bonel H, Stabler A, Schmitt R. Imaging in sports medicine: hand and wrist. Eur J Radiol. 1997;26(1):2–15.PubMedCrossRef
3.
Loredo RA, Sorge DG, Garcia G. Radiographic evaluation of the wrist: a vanishing art. Semin Roentgenol. 2005;40(3):248–89.PubMedCrossRef
4.
Chung KC, Zimmerman NB, Travis MT. Wrist arthrography versus arthroscopy: a comparative study of 150 cases. J Hand Surg [Am]. 1996;21(4):591–4.CrossRef
5.
Mikic ZD. Arthrography of the wrist joint. An experimental study. J Bone Joint Surg Am. 1984;66(3):371–8.PubMed
6.
Hugo PC III, Newberg AH, Newman JS, Wetzner SM. Complications of arthrography. Semin Musculoskelet Radiol. 1998;2(4):345–8.PubMedCrossRef
7.
Wong DC, Wansaicheong GK, Tsou IY. Ultrasonography of the hand and wrist. Singapore Med J. 2009;50(2):219–25; quiz 226.PubMed
8.
Bajaj S, Pattamapaspong N, Middleton W, Teefey S. Ultrasound of the hand and wrist. J Hand Surg Am. 2009;34(4):759–60.PubMedCrossRef
9.
Lee KS, Ablove RH, Singh S, De Smet AA, Haaland B, Fine JP. Ultrasound imaging of normal displacement of the extensor carpi ulnaris tendon within the ulnar groove in 12 forearm-wrist positions. AJR Am J Roentgenol. 2009;193(3):651–5.PubMedCrossRef
10.
Bianchi S, Martinoli C, Abdelwahab IF. High-frequency ultrasound examination of the wrist and hand. Skeletal Radiol. 1999;28(3):121–9.PubMedCrossRef
11.
Fornage BD, Rifkin MD. Ultrasound examination of the hand and foot. Radiol Clin North Am. 1988;26(1):109–29.PubMed
12.
Van Holsbeeck M, Introcaso JH. Musculoskeletal ultrasonography. Radiol Clin North Am. 1992;30(5):907–25.PubMed
13.
Kaewlai R, Avery LL, Asrani AV, Abujudeh HH, Sacknoff R, Novelline RA. Multidetector CT of carpal injuries: anatomy, fractures, and fracture-dislocations. Radiographics. 2008;28(6):1771–84.PubMedCrossRef
14.
Omlor G, Jung M, Grieser T, Ludwig K. Depiction of the triangular fibro-cartilage in patients with ulnar-sided wrist pain: comparison of direct multi-slice CT arthrography and direct MR arthrography. Eur Radiol. 2009;19(1):147–51.PubMedCrossRef
15.
Bille B, Harley B, Cohen H. A comparison of CT arthrography of the wrist to findings during wrist arthroscopy. J Hand Surg [Am]. 2007;32(6):834–41.CrossRef
16.
Moser T, Dosch JC, Moussaoui A, Buy X, Gangi A, Dietemann JL. Multidetector CT arthrography of the wrist joint: how to do it. Radiographics. 2008;28(3):787–800; quiz 911.PubMedCrossRef
17.
Theumann N, Favarger N, Schnyder P, Meuli R. Wrist ligament injuries: value of post-arthrography computed tomography. Skeletal Radiol. 2001;30(2):88–93.PubMedCrossRef
18.
Daunt N. Magnetic resonance imaging of the wrist: anatomy and pathology of interosseous ligaments and the triangular fibrocartilage complex. Curr Probl Diagn Radiol. 2002;31(4):158–76.PubMedCrossRef
19.
Horton MG, Timins ME. MR imaging of injuries to the small joints. Radiol Clin North Am. 1997;35(3):671–700.PubMed
20.
Imaeda T, Nakamura R, Shionoya K, Makino N. Ulnar impaction syndrome: MR imaging findings. Radiology. 1996;201(2):495–500.PubMed
21.
Oneson SR, Scales LM, Timins ME, Erickson SJ, Chamoy L. MR imaging interpretation of the Palmer classification of triangular fibrocartilage complex lesions. Radiographics. 1996;16(1):97–106.PubMed
22.
Totterman SM, Miller R, Wasserman B, Blebea JS, Rubens DJ. Intrinsic and extrinsic carpal ligaments: evaluation by three-dimensional Fourier transform MR imaging. AJR Am J Roentgenol. 1993;160(1):117–23.PubMed
23.
Ashman CJ, Farooki S, Abduljalil AM, Chakeres DW. In vivo high resolution coronal MRI of the wrist at 8.0 tesla. J Comput Assist Tomogr. 2002;26(3):387–91.PubMedCrossRef
24.
Yoshioka H, Ueno T, Tanaka T, Shindo M, Itai Y. High-resolution MR imaging of triangular fibrocartilage complex (TFCC): comparison of microscopy coils and a conventional small surface coil. Skeletal Radiol. 2003;32(10):575–81.PubMedCrossRef
25.
Lewis AR, Nolan MJ, Hodgson RJ, Benjamin M, Ralphs JR, Archer CW, et al. High resolution magnetic resonance imaging of the proximal interphalangeal joints. Correlation with histology and production of a three-dimensional data set. J Hand Surg [Br]. 1996;21(4):488–95.
26.
Bittersohl B, Huang T, Schneider E, Blazar P, Winalski C, Lang P, et al. High-resolution MRI of the triangular fibrocartilage complex (TFCC) at 3T: comparison of surface coil and volume coil. J Magn Reson Imaging. 2007;26(3):701–7.PubMedCrossRef
27.
Anderson ML, Skinner JA, Felmlee JP, Berger RA, Amrami KK. Diagnostic comparison of 1.5 Tesla and 3.0 Tesla preoperative MRI of the wrist in patients with ulnar-sided wrist pain. J Hand Surg Am. 2008;33(7):1153–9.PubMedCrossRef
28.
Steinbach LS, Palmer WE, Schweitzer ME. Special focus session. MR arthrography. Radiographics. 2002;22(5):1223–46.PubMed
29.
Scheck RJ, Kubitzek C, Hierner R, Szeimies U, Pfluger T, Wilhelm K, et al. The scapholunate interosseous ligament in MR arthrography of the wrist: correlation with non-enhanced MRI and wrist arthroscopy. Skeletal Radiol. 1997;26(5):263–71.PubMedCrossRef
30.
Bergin D, Schweitzer ME. Indirect magnetic resonance arthrography. Skeletal Radiol. 2003;32(10):551–8.PubMedCrossRef
31.
Schweitzer ME, Natale P, Winalski CS, Culp R. Indirect wrist MR arthrography: the effects of passive motion versus active exercise. Skeletal Radiol. 2000;29(1):10–4.PubMedCrossRef
32.
Haims AH, Schweitzer ME, Morrison WB, Deely D, Lange RC, Osterman AL, et al. Internal derangement of the wrist: indirect MR arthrography versus unenhanced MR imaging. Radiology. 2003;227(3):701–7.PubMedCrossRef
33.
Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg Am. 1986;68(5):647–59.PubMed
34.
Hauck RM, Skahen J III, Palmer AK. Classification and treatment of ulnar styloid nonunion. J Hand Surg [Am]. 1996;21(3):418–22.CrossRef
35.
36.
Foucher G, Schuind F, Merle M, Brunelli F. Fractures of the hook of the hamate. J Hand Surg [Br]. 1985;10(2):205–10.
37.
Welling RD, Jacobson JA, Jamadar DA, Chong S, Caoili EM, Jebson PJ. MDCT and radiography of wrist fractures: radiographic sensitivity and fracture patterns. AJR Am J Roentgenol. 2008;190(1):10–6.PubMedCrossRef
38.
Goedkoop AY, van Onselen EB, Karim RB, Hage JJ. The 'mirrored' Bennett fracture of the base of the fifth metacarpal. Arch Orthop Trauma Surg. 2000;120(10):592–3.PubMedCrossRef
39.
Fleege MA, Jebson PJ, Renfrew DL, el-Khoury GY, Steyers CM Jr. Pisiform fractures. Skeletal Radiol. 1991;20(3):169–72.PubMedCrossRef
40.
Zimmerman NB, Mass DP. A pisiform fracture. Orthopedics. 1987;10(5):817–20.PubMed
41.
Dalinka MK, Merrill C. Sosman lecture. MR imaging of the wrist. AJR Am J Roentgenol. 1995;164(1):1–9.PubMed
42.
Hooper G. Kienbock's disease. J Hand Surg [Br]. 1992;17(1):3–4.
43.
Gelberman RH, Salamon PB, Jurist JM, Posch JL. Ulnar variance in Kienbock's disease. J Bone Joint Surg Am. 1975;57(5):674–6.PubMed
44.
Nathan PA, Meadows KD. Ulna-minus variance and Kienbock's disease. J Hand Surg [Am]. 1987;12(5 Pt 1):777–778.
45.
46.
Amadio PC, Hanssen AD, Berquist TH. The genesis of Kienbock's disease: evaluation of a case by magnetic resonance imaging. J Hand Surg [Am]. 1987;12(6):1044–9.
47.
Lichtman DM, Alexander AH, Mack GR, Gunther SF. Kienbock’s disease—update on silicone replacement arthroplasty. J Hand Surg [Am]. 1982;7(4):343–7.
48.
49.
Desser TS, McCarthy S, Trumble T. Scaphoid fractures and Kienbock's disease of the lunate: MR imaging with histopathologic correlation. Magn Reson Imaging. 1990;8(4):357–61.PubMedCrossRef
50.
Cooney WP. Evaluation of chronic wrist pain by arthrography, arthroscopy, and arthrotomy. J Hand Surg [Am]. 1993;18(5):815–22.CrossRef
51.
Schweitzer ME, Brahme SK, Hodler J, Hanker GJ, Lynch TP, Flannigan BD, et al. Chronic wrist pain: spin-echo and short tau inversion recovery MR imaging and conventional and MR arthrography. Radiology. 1992;182(1):205–11.PubMed
52.
Totterman SM, Miller RJ. Triangular fibrocartilage complex: normal appearance on coronal three-dimensional gradient-recalled-echo MR images. Radiology. 1995;195(2):521–7.PubMed
53.
Totterman SM, Miller RJ, McCance SE, Meyers SP. Lesions of the triangular fibrocartilage complex: MR findings with a three-dimensional gradient-recalled-echo sequence. Radiology. 1996;199(1):227–32.PubMed
54.
Potter HG, Asnis-Ernberg L, Weiland AJ, Hotchkiss RN, Peterson MG, McCormack RR Jr. The utility of high-resolution magnetic resonance imaging in the evaluation of the triangular fibrocartilage complex of the wrist. J Bone Joint Surg Am. 1997;79(11):1675–84.PubMed
55.
Oneson SR, Timins ME, Scales LM, Erickson SJ, Chamoy L. MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation. AJR Am J Roentgenol. 1997;168(6):1513–8.PubMed
56.
Tanaka T, Yoshioka H, Ueno T, Shindo M, Ochiai N. Comparison between high-resolution MRI with a microscopy coil and arthroscopy in triangular fibrocartilage complex injury. J Hand Surg [Am]. 2006;31(8):1308–14.CrossRef
57.
Zanetti M, Linkous MD, Gilula LA, Hodler J. Characteristics of triangular fibrocartilage defects in symptomatic and contralateral asymptomatic wrists. Radiology. 2000;216(3):840–5.PubMed
58.
Finlay K, Lee R, Friedman L. Ultrasound of intrinsic wrist ligament and triangular fibrocartilage injuries. Skeletal Radiol. 2004;33(2):85–90.PubMedCrossRef
59.
Chiou HJ, Chang CY, Chou YH, Hsu CC, Jim YF, Tiu CM, et al. Triangular fibrocartilage of wrist: presentation on high resolution ultrasonography. J Ultrasound Med. 1998;17(1):41–8.PubMed
60.
Keogh CF, Wong AD, Wells NJ, Barbarie JE, Cooperberg PL. High-resolution sonography of the triangular fibrocartilage: initial experience and correlation with MRI and arthroscopic findings. AJR Am J Roentgenol. 2004;182(2):333–6.PubMed
61.
Buterbaugh GA, Brown TR, Horn PC. Ulnar-sided wrist pain in athletes. Clin Sports Med. 1998;17(3):567–83.PubMedCrossRef
62.
63.
Eckhardt WA, Palmer AK. Recurrent dislocation of extensor carpi ulnaris tendon. J Hand Surg [Am]. 1981;6(6):629–31.
64.
MacLennan AJ, Nemechek NM, Waitayawinyu T, Trumble TE. Diagnosis and anatomic reconstruction of extensor carpi ulnaris subluxation. J Hand Surg [Am]. 2008;33(1):59–64.CrossRef
65.
Pratt RK, Hoy GA, Bass Franzcr C. Extensor carpi ulnaris subluxation or dislocation? Ultrasound measurement of tendon excursion and normal values. Hand Surg. 2004;9(2):137–43.PubMedCrossRef
66.
Hajj AA, Wood MB. Stenosing tenosynovitis of the extensor carpi ulnaris. J Hand Surg [Am]. 1986;11(4):519–20.
67.
Budoff JE, Kraushaar BS, Ayala G. Flexor carpi ulnaris tendinopathy. J Hand Surg [Am]. 2005;30(1):125–9.CrossRef
68.
Zeiss J, Jakab E, Khimji T, Imbriglia J. The ulnar tunnel at the wrist (Guyon's canal): normal MR anatomy and variants. AJR Am J Roentgenol. 1992;158(5):1081–5.PubMed
69.
Murata K, Shih JT, Tsai TM. Causes of ulnar tunnel syndrome: a retrospective study of 31 subjects. J Hand Surg [Am]. 2003;28(4):647–51.CrossRef
70.
Bordalo-Rodrigues M, Amin P, Rosenberg ZS. MR imaging of common entrapment neuropathies at the wrist. Magn Reson Imaging Clin N Am. 2004;12(2):265–79. vi.PubMedCrossRef
71.
McAlinden P, The J. Imaging of the wrist. Imaging. 2003;15:180–92.
72.
Stark HH, Chao EK, Zemel NP, Rickard TA, Ashworth CR. Fracture of the hook of the hamate. J Bone Joint Surg Am. 1989;71(8):1202–7.PubMed
73.
Giuliani G, Poppi M, Pozzati E, Forti A. Ulnar neuropathy due to a carpal ganglion: the diagnostic contribution of CT. Neurology. 1990;40(6):1001–2.PubMed
74.
75.
Timins ME, Jahnke JP, Krah SF, Erickson SJ, Carrera GF. MR imaging of the major carpal stabilizing ligaments: normal anatomy and clinical examples. Radiographics. 1995;15(3):575–87.PubMed
76.
Palmer AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg [Am]. 1989;14(4):594–606.CrossRef
77.
Van Schoonhoven J, Prommersberger KJ, Schmitt R. Traumatic disruption of a fibrocartilage lunate-triquetral coalition—a case report and review of the literature. Hand Surg. 2001;6(1):103–8.PubMedCrossRef
78.
Kirschenbaum D, Coyle MP, Leddy JP. Chronic lunotriquetral instability: diagnosis and treatment. J Hand Surg [Am]. 1993;18(6):1107–12.CrossRef
79.
Shin AY, Battaglia MJ, Bishop AT. Lunotriquetral instability: diagnosis and treatment. J Am Acad Orthop Surg. 2000;8(3):170–9.PubMed
80.
Schmid MR, Schertler T, Pfirrmann CW, Saupe N, Manestar M, Wildermuth S, et al. Interosseous ligament tears of the wrist: comparison of multi-detector row CT arthrography and MR imaging. Radiology. 2005;237(3):1008–13.PubMedCrossRef
81.
Yoshioka H, Ueno T, Tanaka T, Shindo M, Lang P. High-resolution MR imaging of the intercarpal ligaments with a microscopy coil. In: RSNA 90th Scientific Assembly and Annual Meeting. 2004.
82.
Manton GL, Schweitzer ME, Weishaupt D, Morrison WB, Osterman AL, Culp RW, et al. Partial interosseous ligament tears of the wrist: difficulty in utilizing either primary or secondary MRI signs. J Comput Assist Tomogr. 2001;25(5):671–6.PubMedCrossRef
83.
Zlatkin MB, Rosner J. MR imaging of ligaments and triangular fibrocartilage complex of the wrist. Magn Reson Imaging Clin N Am. 2004;12(2):301–31. vi–vii.PubMedCrossRef
84.
Brown DE, Lichtman DM. Midcarpal instability. Hand Clin. 1987;3(1):135–40.PubMed
85.
Lichtman DM, Bruckner JD, Culp RW, Alexander CE. Palmar midcarpal instability: results of surgical reconstruction. J Hand Surg [Am]. 1993;18(2):307–15.CrossRef
86.
Lichtman DM, Wroten ES. Understanding midcarpal instability. J Hand Surg [Am]. 2006;31(3):491–8.CrossRef
87.
Chang W, Peduto AJ, Aguiar RO, Trudell DJ, Resnick DL. Arcuate ligament of the wrist: normal MR appearance and its relationship to palmar midcarpal instability: a cadaveric study. Skeletal Radiol. 2007;36(7):641–5.PubMedCrossRef
88.
Rominger MB, Bernreuter WK, Kenney PJ, Lee DH. MR imaging of anatomy and tears of wrist ligaments. Radiographics. 1993;13(6):1233–46; discussion 1247–1238.PubMed
89.
Brody G. The wrist and hand. In: Stoller D, editor. Magnetic resonance imaging in orthopedics and sports medicine. Philadelphia: Lippincott; 1993. p. 683–807.
90.
Szabo RM. Distal radioulnar joint instability. J Bone Joint Surg Am. 2006;88(4):884–94.PubMed
91.
Kihara H, Palmer AK, Werner FW, Short WH, Fortino MD. The effect of dorsally angulated distal radius fractures on distal radioulnar joint congruency and forearm rotation. J Hand Surg [Am]. 1996;21(1):40–7.CrossRef
92.
Epner RA, Bowers WH, Guilford WB. Ulnar variance—the effect of wrist positioning and roentgen filming technique. J Hand Surg [Am]. 1982;7(3):298–305.
93.
Mino DE, Palmer AK, Levinsohn EM. Radiography and computerized tomography in the diagnosis of incongruity of the distal radio-ulnar joint. A prospective study. J Bone Joint Surg Am. 1985;67(2):247–52.PubMed
94.
Cone RO, Szabo R, Resnick D, Gelberman R, Taleisnik J, Gilula LA. Computed tomography of the normal radioulnar joints. Invest Radiol. 1983;18(6):541–5.PubMedCrossRef
95.
King GJ, McMurtry RY, Rubenstein JD, Ogston NG. Computerized tomography of the distal radioulnar joint: correlation with ligamentous pathology in a cadaveric model. J Hand Surg [Am]. 1986;11(5):711–7.
96.
Arora AS, Chung KC, Otto W. Madelung and the recognition of Madelung’s deformity. J Hand Surg [Am]. 2006;31(2):177–82.CrossRef
97.
Zebala LP, Manske PR, Goldfarb CA. Madelung's deformity: a spectrum of presentation. J Hand Surg [Am]. 2007;32(9):1393–401.CrossRef
98.
McCarroll HR Jr, James MA, Newmeyer WL II, Molitor F, Manske PR. Madelung's deformity: quantitative assessment of x-ray deformity. J Hand Surg [Am]. 2005;30(6):1211–20.CrossRef
99.
Bell MJ, Hill RJ, McMurtry RY. Ulnar impingement syndrome. J Bone Joint Surg Br. 1985;67(1):126–9.PubMed
100.
Cerezal L, del Pinal F, Abascal F, Garcia-Valtuille R, Pereda T, Canga A. Imaging findings in ulnar-sided wrist impaction syndromes. Radiographics. 2002;22(1):105–21.PubMed
101.
Lees V, Scheker L. The radiological demonstration of dynamic ulnar impingement. J Hand Surg [Br]. 1997;22B(4):448–50.
102.
Cerezal L, del Pinal F, Abascal F. MR imaging findings in ulnar-sided wrist impaction syndromes. Magn Reson Imaging Clin N Am. 2004;12(2):281–99. vi.PubMedCrossRef
103.
Friedman SL, Palmer AK. The ulnar impaction syndrome. Hand Clin. 1991;7(2):295–310.PubMed
104.
Tomaino MM. Ulnar impaction syndrome in the ulnar negative and neutral wrist. Diagnosis and pathoanatomy. J Hand Surg [Br]. 1998;23(6):754–7.
105.
Escobedo EM, Bergman AG, Hunter JC. MR imaging of ulnar impaction. Skeletal Radiol. 1995;24(2):85–90.PubMedCrossRef
106.
Thurston AJ, Stanley JK. Hamato-lunate impingement: an uncommon cause of ulnar-sided wrist pain. Arthroscopy. 2000;16(5):540–4.PubMedCrossRef
107.
Viegas SF, Wagner K, Patterson R, Peterson P. Medial (hamate) facet of the lunate. J Hand Surg [Am]. 1990;15(4):564–71.CrossRef
108.
Sagerman SD, Hauck RM, Palmer AK. Lunate morphology: can it be predicted with routine x-ray films? J Hand Surg [Am]. 1995;20(1):38–41.CrossRef
109.
Kato H, Nakamura R, Shionoya K, Makino N, Imaeda T. Does high-resolution MR imaging have better accuracy than standard MR imaging for evaluation of the triangular fibrocartilage complex? J Hand Surg [Br]. 2000;25(5):487–91.
110.
Malik AM, Schweitzer ME, Culp RW, Osterman LA, Manton G. MR imaging of the type II lunate bone: frequency, extent, and associated findings. AJR Am J Roentgenol. 1999;173(2):335–8.PubMed
111.
Tomaino MM, Gainer M, Towers JD. Carpal impaction with the ulnar styloid process: treatment with partial styloid resection. J Hand Surg [Br]. 2001;26(3):252–5.
112.
Biyani A, Mehara A, Bhan S. Morphological variations of the ulnar styloid process. J Hand Surg [Br]. 1990;15(3):352–4.
113.
Garcia-Elias M. Soft-tissue anatomy and relationships about the distal ulna. Hand Clin. 1998;14(2):165–76.PubMed
114.
Topper SM, Wood MB, Ruby LK. Ulnar styloid impaction syndrome. J Hand Surg [Am]. 1997;22(4):699–704.CrossRef
115.
Cerezal L, Abascal F, Garcia-Valtuille R, Del Pinal F. Wrist MR arthrography: how, why, when. Radiol Clin North Am. 2005;43(4):709–31. viii.PubMedCrossRef
116.
Futami T, Itoman M. Extensor carpi ulnaris syndrome. Findings in 43 patients. Acta Orthop Scand. 1995;66(6):538–9.PubMedCrossRef
117.
Wood MB, Dobyns JH. Sports-related extraarticular wrist syndromes. Clin Orthop Relat Res. 1986;(202):93–102.
118.
Allende C, Le Viet D. Extensor carpi ulnaris problems at the wrist—classification, surgical treatment and results. J Hand Surg [Br]. 2005;30(3):265–72.
119.
Rowland SA. Acute traumatic subluxation of the extensor carpi ulnaris tendon at the wrist. J Hand Surg [Am]. 1986;11(6):809–11.
120.
Burkhart SS, Wood MB, Linscheid RL. Posttraumatic recurrent subluxation of the extensor carpi ulnaris tendon. J Hand Surg [Am]. 1982;7(1):1–3.
121.
Inoue G, Tamura Y. Surgical treatment for recurrent dislocation of the extensor carpi ulnaris tendon. J Hand Surg [Br]. 2001;26(6):556–9.
122.
Moyer RA, Bush DC, Harrington TM. Acute calcific tendinitis of the hand and wrist: a report of 12 cases and a review of the literature. J Rheumatol. 1989;16(2):198–202.PubMed
123.
Dilley DF, Tonkin MA. Acute calcific tendinitis in the hand and wrist. J Hand Surg [Br]. 1991;16(2):215–6.
124.
Gandee RW, Harrison RB, Dee PM. Peritendinitis calcarea of flexor carpi ulnaris. AJR Am J Roentgenol. 1979;133(6):1139–41.PubMed
125.
Carroll RE, Coyle MP Jr. Dysfunction of the pisotriquetral joint: treatment by excision of the pisiform. J Hand Surg [Am]. 1985;10(5):703–7.
126.
Johnston GH, Tonkin MA. Excision of pisiform in pisotriquetral arthritis. Clin Orthop Relat Res. 1986;(210):137–142.
127.
Nuesch B, Sennwald G, Segmuller G. Extirpation of the pisiform bone: indications and results. Handchir Mikrochir Plast Chir. 1993;25(1):42–5.PubMed
128.
129.
Jenkins SA. Osteoarthritis of the pisiform-triquetral joint; report of three cases. J Bone Joint Surg Br. 1951;33B(4):532–4.
130.
Ahn AK, Chang D, Plate AM. Triangular fibrocartilage complex tears: a review. Bull NYU Hosp Jt Dis. 2006;64(3–4):114–8.PubMed
131.
Palmer AK, Werner FW. The triangular fibrocartilage complex of the wrist—anatomy and function. J Hand Surg [Am]. 1981;6(2):153–62.
132.
Sachar K. Ulnar-sided wrist pain: evaluation and treatment of triangular fibrocartilage complex tears, ulnocarpal impaction syndrome, and lunotriquetral ligament tears. J Hand Surg [Am]. 2008;33(9):1669–79.CrossRef
133.
Cooney WP, Linscheid RL, Dobyns JH. Triangular fibrocartilage tears. J Hand Surg [Am]. 1994;19(1):143–54.CrossRef
134.
Hermansdorfer JD, Kleinman WB. Management of chronic peripheral tears of the triangular fibrocartilage complex. J Hand Surg [Am]. 1991;16(2):340–6.CrossRef
135.
Trumble TE, Gilbert M, Vedder N. Ulnar shortening combined with arthroscopic repairs in the delayed management of triangular fibrocartilage complex tears. J Hand Surg [Am]. 1997;22(5):807–13.CrossRef
136.
Shih JT, Lee HM, Tan CM. Early isolated triangular fibrocartilage complex tears: management by arthroscopic repair. J Trauma. 2002;53(5):922–7.PubMedCrossRef
137.
Feldon P, Terrono AL, Belsky MR. Wafer distal ulna resection for triangular fibrocartilage tears and/or ulna impaction syndrome. J Hand Surg [Am]. 1992;17(4):731–7.CrossRef
138.
Tomaino MM, Weiser RW. Combined arthroscopic TFCC debridement and wafer resection of the distal ulna in wrists with triangular fibrocartilage complex tears and positive ulnar variance. J Hand Surg [Am]. 2001;26(6):1047–52.CrossRef
139.
Minami A, Kato H. Ulnar shortening for triangular fibrocartilage complex tears associated with ulnar positive variance. J Hand Surg [Am]. 1998;23(5):904–8.CrossRef
140.
Constantine KJ, Tomaino MM, Herndon JH, Sotereanos DG. Comparison of ulnar shortening osteotomy and the wafer resection procedure as treatment for ulnar impaction syndrome. J Hand Surg [Am]. 2000;25(1):55–60.CrossRef
141.
Bowers WH. Distal radioulnar joint arthroplasty: the hemiresection-interposition technique. J Hand Surg [Am]. 1985;10(2):169–78.
142.
Bickel KD. Arthroscopic treatment of ulnar impaction syndrome. J Hand Surg [Am]. 2008;33(8):1420–3.CrossRef
143.
Reagan DS, Linscheid RL, Dobyns JH. Lunotriquetral sprains. J Hand Surg [Am]. 1984;9(4):502–14.
144.
Weiss AP, Sachar K, Glowacki KA. Arthroscopic debridement alone for intercarpal ligament tears. J Hand Surg [Am]. 1997;22(2):344–9.CrossRef
145.
Shin AY, Weinstein LP, Berger RA, Bishop AT. Treatment of isolated injuries of the lunotriquetral ligament. A comparison of arthrodesis, ligament reconstruction and ligament repair. J Bone Joint Surg Br. 2001;83(7):1023–8.PubMedCrossRef
146.
Viegas SF, Patterson RM, Peterson PD, Pogue DJ, Jenkins DK, Sweo TD, et al. Ulnar-sided perilunate instability: an anatomic and biomechanic study. J Hand Surg [Am]. 1990;15(2):268–78.CrossRef
147.
Trumble T, Bour CJ, Smith RJ, Edwards GS. Intercarpal arthrodesis for static and dynamic volar intercalated segment instability. J Hand Surg [Am]. 1988;13(3):384–90.CrossRef
148.
Buterbaugh GA, Palmer AK. Fractures and dislocations of the distal radioulnar joint. Hand Clin. 1988;4(3):361–75.PubMed
149.
Adams BD, Berger RA. An anatomic reconstruction of the distal radioulnar ligaments for posttraumatic distal radioulnar joint instability. J Hand Surg [Am]. 2002;27(2):243–51.CrossRef
150.
Watson HK, Ryu JY, Burgess RC. Matched distal ulnar resection. J Hand Surg [Am]. 1986;11(6):812–7.
151.
Lee JC, Healy JC. Normal sonographic anatomy of the wrist and hand. Radiographics 2005;25:1577–90.PubMedCrossRef
152.
Green DP, Hotchkiss RN, Pederson WC, Wolfe SW, editors. Green’s operative hand surgery. Philadelphia: Elsevier; 2005.
153.
Trumble T, Cornwall R, Budoff J. Core knowledge in orthopaedics: hand, elbow, and shoulder. Philadelphia: Mosby; 2006.
154.
Chidgey LK. The distal radioulnar joint: problems and solutions. J Am Acad Orthop Surg 1995;3:95–109.PubMed
Metadata
Title
Ulnar-sided wrist pain. II. Clinical imaging and treatment
Authors
Atsuya Watanabe
Felipe Souza
Peter S. Vezeridis
Philip Blazar
Hiroshi Yoshioka
Publication date
01-09-2010
Publisher
Springer-Verlag
Published in
Skeletal Radiology / Issue 9/2010
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-009-0842-3

Other articles of this Issue 9/2010

Skeletal Radiology 9/2010 Go to the issue

Case Report

Myositis ossificans within the intercondylar notch treated arthroscopically

Scientific Article

Baseline patterns of bone scintigraphy in patients with established post-poliomyelitis paralysis

Browser’s Notes

Browser’s Notes, Abstracted by M. Sundaram, M.D. September 2010

Test Yourself: Question

Progressive anterior knee pain associated with patellar instability in a 57-year-old father and his daughter

Test Yourself: Answer

Progressive anterior knee pain associated with patellar instability in a 57-year-old father and his daughter

Scientific Article

Case definitions of knee osteoarthritis in 4,151 unselected subjects: relevance for epidemiological studies