Universität zu Köln

Loew, S., Spies, C. K., Unglaub, F., Oppermann, J., Langer, M. and Erne, H. (2018). Diagnosis and treatment of degenerative disc lesions of the wrist. Orthopade, 47 (8). S. 670 - 677. NEW YORK: SPRINGER. ISSN 1433-0431

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Abstract

The triangular fibrocartilage complex (TFCC) widens the radiocarpal joint and takes part in load transmission from the carpus to the forearm. It is thereby prone to degenerative changes. The painful situation that can accompany degeneration is called ulnar impaction. Clinical examination helps differentiate between various causes of ulnar-sided wrist pain. Standard XaEurorays are needed to determine ulnar variance and stress radiographs can depict narrowing of the ulnocarpal joint space under load. MRI may prove degeneration of the TFCC itself or may indirectly confirm ulnar impaction in the presence of bone marrow edema in the ulnar head or at the proximal ulnar aspect of the lunate. If conservative treatment fails to alleviate symptoms, arthroscopy may be indicated. On the one hand, this completes the diagnostic cascade, and, on the other hand, allows decompression of the ulnocarpal joint space by resection of the TFCC with partial resection of the ulnar head (wafer resection). In the case of ongoing pain, ulnar shortening sufficiently alleviates ulnar-sided wrist pain. Thereby, modern standardized operation techniques are safe enough to ensure bone healing at the osteotomy site. The aim of alleviating ulnar-sided wrist pain is mostly achieved if the correct treatment option is chosen.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Loew, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Spies, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Oppermann, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Langer, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Erne, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-178469
DOI:	10.1007/s00132-018-3551-6
Journal or Publication Title:	Orthopade
Volume:	47
Number:	8
Page Range:	S. 670 - 677
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0431
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRIANGULAR FIBROCARTILAGE COMPLEX; ULNAR SHORTENING OSTEOTOMY; DISTAL RADIOULNAR JOINT; ULNOCARPAL ABUTMENT SYNDROME; SYMPTOMATIC CENTRAL TEARS; IMPACTION SYNDROME; RESECTION; VARIANCE; CLASSIFICATION; ARTHROSCOPIES Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/17846