Ulnar Impaction Syndrome: Difference between revisions
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== Examination == | == Examination == | ||
To diagnose ulnar impaction syndrome, the PT can perform the following:<br>- Complete wrist exam<br>- Palpation<br> o Look for tenderness dorsally just distal to ulnar head<br> o Look for tenderness just volar to the ulnar styloid process<br>- Ulnocarpal stress test<br> o Place wrist in maximum ulnar deviation<br> o Apply axial load to wrist<br> o Passively rotate forearm through supination and pronation<br> o + Test = reproduction of patient’s pain<br>- Compare to contralateral wrist<br>- Imaging – check for ulnar variation<br> o Neutral rotation P-A radiograph with elbow in 90° flexion<br> o Pronated grip P-A radiograph<br> o May have subchondral sclerosis, cystic changes, or osteophyte formation<br><br> | |||
== Medical Management <br> == | == Medical Management <br> == |
Revision as of 22:09, 24 October 2011
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Examination[edit | edit source]
To diagnose ulnar impaction syndrome, the PT can perform the following:
- Complete wrist exam
- Palpation
o Look for tenderness dorsally just distal to ulnar head
o Look for tenderness just volar to the ulnar styloid process
- Ulnocarpal stress test
o Place wrist in maximum ulnar deviation
o Apply axial load to wrist
o Passively rotate forearm through supination and pronation
o + Test = reproduction of patient’s pain
- Compare to contralateral wrist
- Imaging – check for ulnar variation
o Neutral rotation P-A radiograph with elbow in 90° flexion
o Pronated grip P-A radiograph
o May have subchondral sclerosis, cystic changes, or osteophyte formation
Medical Management
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