sports injuries in hand - crr suva...sports injuries in hand dr s. kämpfen grundkurs sgsm-ssms sion...
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![Page 1: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/1.jpg)
SPORTS INJURIES IN HAND
Dr S. Kämpfen
Grundkurs SGSM-SSMS Sion 2014
![Page 2: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/2.jpg)
EPIDEMIOLOGY
Incidence of hand, finger and wrist injuries in sports :
3% – 9 %
![Page 3: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/3.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures 2) Scaphoid Fractures 3) Rotatory Subluxation of the scaphoid 4) Kienbock Disease 5) De Quervain Tenosynovitis 6) Intersection Syndrome 7) Wartenberg Syndrome
![Page 4: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/4.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures
![Page 5: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/5.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures
![Page 6: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/6.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures
![Page 7: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/7.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures
![Page 8: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/8.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures
![Page 9: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/9.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures
![Page 10: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/10.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures
![Page 11: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/11.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures
![Page 12: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/12.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures
![Page 13: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/13.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures
![Page 14: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/14.jpg)
RADIAL-SIDED WRIST PAIN
1) Distal Radius Fractures
![Page 15: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/15.jpg)
RADIAL-SIDED WRIST PAIN
2) Scaphoid Fractures
![Page 16: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/16.jpg)
RADIAL-SIDED WRIST PAIN
2) Scaphoid Fractures
- 70% of all carpal fractures - Most frequent wrist fracture in the athlete - Hockey, football, boxing, basketball
![Page 17: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/17.jpg)
RADIAL-SIDED WRIST PAIN
2) Scaphoid Fractures
![Page 18: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/18.jpg)
RADIAL-SIDED WRIST PAIN
2) Scaphoid Fractures
![Page 19: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/19.jpg)
RADIAL-SIDED WRIST PAIN
2) Scaphoid Fractures
![Page 20: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/20.jpg)
2) Scaphoid Fractures
RADIAL-SIDED WRIST PAIN
Non-union
![Page 21: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/21.jpg)
RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid
Pathomechanics : - Wrist hyperextension
- Ulnar deviation - Intracarpal supination
![Page 22: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/22.jpg)
RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid
Mayfield's stages of progressive perilunate instability
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RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid
Watson's maneuver : Pressure applied over scaphoid tubercle while moving the wrist from an ulnar to radial direction. A positive test elicits pain and a palpable clunk or snapping
![Page 24: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/24.jpg)
RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid
Measurement of the scapholunate angle (30 – 60 ° = normal)
![Page 25: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/25.jpg)
RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid
Treatment options :
- Acute injuries (< 3 weeks) → open reduction + repair of the ligament - Subacute (between 3 weeks and 3 months) → controversial - Chronic → Ligamentoplasty, full or partial wrist fusion or proximal
row carpectomy
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RADIAL-SIDED WRIST PAIN
3) Rotatory Subluxation of the scaphoid ?
![Page 27: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/27.jpg)
RADIAL-SIDED WRIST PAIN
3) Perilunate dislocation
![Page 28: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/28.jpg)
RADIAL-SIDED WRIST PAIN
3) Trans scapho perilunate fracture dislocation
![Page 29: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/29.jpg)
RADIAL-SIDED WRIST PAIN
3) Trans scapho perilunate fracture dislocation
![Page 30: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/30.jpg)
RADIAL-SIDED WRIST PAIN
3) Trans scapho perilunate fracture dislocation
![Page 31: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/31.jpg)
RADIAL-SIDED WRIST PAIN
4) Kienbock Disease
- Avascular necrosis of the lunate - Etiology (controversial) : trauma, poor blood supply - Active individual between 20 and 25 years - Examination : swelling, tenderness, ↓ ROM, ↓ strength
![Page 32: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/32.jpg)
RADIAL-SIDED WRIST PAIN
4) Kienbock Disease
![Page 33: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/33.jpg)
RADIAL-SIDED WRIST PAIN
4) Kienbock Disease Treatment :
• Ulna minus → radial shortening procedure
• Ulna positive / neutral wrist → revascularization, STT fusion, capitate shortening
• Arthritic changes / carpal collapse → PRC or radiocarpal fusion
![Page 34: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/34.jpg)
RADIAL-SIDED WRIST PAIN
5) De Quervain Tenosynovitis
• Most common form of tenosynovitis reported in the athlete • Most often racquet sport • Repetitive ulnar deviation
![Page 35: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/35.jpg)
RADIAL-SIDED WRIST PAIN
5) De Quervain Tenosynovitis
Finkelstein test
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RADIAL-SIDED WRIST PAIN
5) De Quervain Tenosynovitis
Treatment :
• Splinting and steroid injection (80% successful) • Operative decompression
![Page 37: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/37.jpg)
RADIAL-SIDED WRIST PAIN
6) Intersection Syndrome
• Repetitive wrist flexion and extension against resistance • Rowing, weight lifting, gymnastics
![Page 38: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/38.jpg)
RADIAL-SIDED WRIST PAIN
6) Intersection Syndrome
Treatment :
• Nonoperative treatment is usually successful • Splinting, NSAID and steroid injection • Surgical exploration and debridement
![Page 39: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/39.jpg)
RADIAL-SIDED WRIST PAIN
7) Wartenberg Syndrome
• Pain, numbness and tingling (dorsoradial aspect of the hand and thumb)
• ↑ symptoms during wrist flexion and ulnar deviation
![Page 40: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/40.jpg)
RADIAL-SIDED WRIST PAIN
7) Wartenberg Syndrome
Treatment :
• Nonoperative management : rest, ice, splinting • Surgical decompression of the nerve • Early motion to prevent adhesions
![Page 41: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/41.jpg)
ULNAR WRIST PAIN
1) TFCC Tears 2) Ulnar impaction Syndrome 3) Hamate Fractures 4) Lunotriquetral Instability 5) Extensor carpi ulnaris (ECU)
tendonitis 6) Pisotriquetral arthrosis
![Page 42: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/42.jpg)
ULNAR WRIST PAIN
1) TFCC Tears
• Fall on an outstretched, pronated
hand • Popping with forearm rotation
![Page 43: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/43.jpg)
ULNAR WRIST PAIN
1) TFCC Tears
![Page 44: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/44.jpg)
ULNAR WRIST PAIN
1) TFCC Tears
• PA and lateral view (ulnar variance) • MRI with arthrography • Arthroscopy
![Page 45: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/45.jpg)
ULNAR WRIST PAIN
1) TFCC Tears
• Most common of the traumatic tears in athletes are central tears (Palmer 1A)
![Page 46: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/46.jpg)
ULNAR WRIST PAIN
1) TFCC Tears
Arthroscopic debridement
![Page 47: SPORTS INJURIES IN HAND - CRR Suva...SPORTS INJURIES IN HAND Dr S. Kämpfen Grundkurs SGSM-SSMS Sion 2014 EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% –](https://reader033.vdocument.in/reader033/viewer/2022060400/5f0df8c97e708231d43cfcf9/html5/thumbnails/47.jpg)
ULNAR WRIST PAIN
1) TFCC Tears
1A 1B 1C 1D
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ULNAR WRIST PAIN
2) Ulnar impaction Syndrome Fraying of the articular disc but no perforation
2A + chondromalacia of the ulnar head, lunate, and triquetrum
2B + perforation of the TFC in the center of the disc
2C + lunotriquetral tear
2D + degenerative arthritis of the ulnocarpal joint and distal radioulnar joint
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ULNAR WRIST PAIN
2) Ulnar impaction Syndrome
Arthroscopic wafer procedure
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ULNAR WRIST PAIN
2) Ulnar impaction Syndrome
ulnar-shortening procedure