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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 1/2017

01-03-2017 | Hand and Wrist Sports Medicine (E Tolo and L Dwyer, section editors)

Ulnar-sided wrist pain in the athlete (TFCC/DRUJ/ECU)

Authors: Eric Quan Pang, Jeffrey Yao

Published in: Current Reviews in Musculoskeletal Medicine | Issue 1/2017

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Abstract

Purpose of review

The goal of this manuscript is to review key historic and recent literature regarding extensor carpi ulnaris (ECU), triangular fibrocartilage complex (TFCC) and distal radioulnar joint (DRUJ) injuries, particularly in athletes.

Recent findings

Many recent studies examining the ECU focus on clinical and radiographic diagnosis. Several physical exam findings are described in addition to the use of MRI and US. Imaging studies must be clinically correlated due to high incidence of findings in asymptomatic patients.
In regard to the TFCC/DRUJ, there are numerous recent studies that support the use of MRA as an adjunctive diagnostic study. There are also a number of repair constructs that are described for the various different kinds of TFCC pathology reviewed here.

Summary

In summary, there are a number of options for the diagnosis and treatment of ulnar-sided wrist pain. Patient factors, especially in the athletic population, must be taken into account when approaching any patient with these pathologies.
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Metadata
Title
Ulnar-sided wrist pain in the athlete (TFCC/DRUJ/ECU)
Authors
Eric Quan Pang
Jeffrey Yao
Publication date
01-03-2017
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 1/2017
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-017-9384-9

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