Wrist Pain on Ulnar Side

Common Reason is Positive Ulnar Variance 






Xray Wrist AP radiograph


This causes Ulnar Abutment syndrome. 


Which structure gets involved ? 

            TFCC

TFCC Anatomy 

Pyramid shaped fibrocartilaginous structure found at distal aspect of ulna. 



Comprises of fibrocartilaginous disc(a meniscus like structure) and a sling of ligaments and acts as a key stabilizer of DRUJ and ulnocarpal joint. 


Management of This condition 

    Non operative 

        Splints

        Analgesia 

        Avoid aggravating activities 

    Operative 

        Arthroscopic wafer resection of ulna

        Open Ulnar shortening Osteotomy


A look about TFCC repair 





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