Ulnar-Sided Wrist Pain in the Athlete: Sport-Specific Demands, Clinical Presentation, and Management Options
- 1 June 2021
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Optometry and Vision Science
- Vol. 20 (6), 312-318
- https://doi.org/10.1249/jsr.0000000000000853
Abstract
Ulnar-sided wrist injuries are common in sports that require repeated pronosupination, wrist radial/ulnar deviation, axial loading, and gripping equipment. Common anatomic structures affected include the triangular fibrocartilage complex, extensor carpi ulnaris tendon, distal radioulnar and ulnocarpal joints, and hamate bone. Presenting symptoms include pain with activity, swelling, possible snapping or clicking, and reproduction of symptoms with provocative maneuvers. Imaging may confirm or rule out pathologies, but abnormal findings also may present in asymptomatic athletes. Initial treatment is usually nonoperative with splinting, load management, activity modification, strengthening the components of the kinetic chain of the particular sport, and pain management. Surgery is usually indicated in ulnar-wrist pain pathology such as hook of hamate fractures and required in associated instability. Future research should address specific treatment and rehabilitation protocols, emphasizing the complete kinetic chain along with the injured wrist.This publication has 47 references indexed in Scilit:
- Sports-related extensor carpi ulnaris pathology: a review of functional anatomy, sports injury and managementBritish Journal of Sports Medicine, 2013
- The prevalence, variety and impact of wrist problems in elite professional golfers on the European TourBritish Journal of Sports Medicine, 2013
- Hamate Hook Nonunion Treated With a Hook PlateTechniques in Hand & Upper Extremity Surgery, 2012
- Triangular Fibrocartilage Complex Injuries in the Elite AthleteHand Clinics, 2012
- Hook of Hamate and Pisiform Fractures in Basketball and Hockey PlayersHand Clinics, 2012
- Treatment of Fracture of Hook of the Hamate in Baseball PlayersHand Clinics, 2012
- The Management of Ulnocarpal Abutment and Degenerative Triangular Fibrocartilage Complex Tears in the Competitive AthleteHand Clinics, 2012
- Treatment of ECU Injuries in Professional Baseball PlayersHand Clinics, 2012
- Central TFCC Tears in Baseball PlayersHand Clinics, 2012
- Autologous growth factor injections in chronic tendinopathy: a systematic reviewBritish Medical Bulletin, 2010