Ulnar Abutment Syndrome in the Athlete

Ulnar abutment (ulnocarpal impaction) syndrome may be a source of ulnar-sided wrist pain in the athlete. This condition results from excessive load transfer across the triangular fibrocartilage complex and ulnocarpal joints with characteristic degenerative changes. It frequently occurs in patients w...

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Bibliographic Details
Published inThe Orthopedic clinics of North America Vol. 51; no. 2; p. 227
Main Authors Acott, Thomas R, Greenberg, Jeffrey A
Format Journal Article
LanguageEnglish
Published United States 01.04.2020
Subjects
Arthralgia - complications
Arthralgia - surgery
Arthralgia - therapy
Athletic Injuries - complications
Athletic Injuries - surgery
Athletic Injuries - therapy
Bone Malalignment - complications
Bone Malalignment - surgery
Bone Malalignment - therapy
Humans
Osteotomy
Ulna - injuries
Ulna - surgery
Wrist Injuries - complications
Wrist Injuries - surgery
Wrist Injuries - therapy
Ulnar abutment syndrome
Ulnar metaphyseal closing wedge osteotomy
Ulnar-wrist pain
Ulnocarpal impaction
Athlete
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Summary:Ulnar abutment (ulnocarpal impaction) syndrome may be a source of ulnar-sided wrist pain in the athlete. This condition results from excessive load transfer across the triangular fibrocartilage complex and ulnocarpal joints with characteristic degenerative changes. It frequently occurs in patients with either static or dynamic ulnar positive variance. Treatment is tailored to the athlete and their sporting demands. Surgical treatment focuses on addressing ulnar variance to unload the ulnocarpal joint, with multiple surgical options, including the metaphyseal closing wedge osteotomy achieving this goal. This review focuses on the presentation, biomechanics, and treatment options for ulnar abutment syndrome in the athlete.
ISSN:1558-1373
DOI:10.1016/j.ocl.2019.11.007