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15 Απρ 2024 · Provocative tests include the ECU subluxation test, ulnocarpal stress test, LT ballottement test, and piano key test also need to be completed and will further help to ascertain the location of injury.
A myriad of different wrist pathologies can be seen in tennis players ranging from metacarpal and carpal stress fractures to triangular fibrocartilage injuries and ulnar impaction. These vary depending upon the nature of the player, stroke mechanics, and time point within the season.
During the press test, a seated patient reports ulnar wrist pain when asked to grip the sides of a chair and push themselves up into a standing position . Tests for DRUJ laxity include the piano key and ballottement tests.
Understanding surface anatomy is critical for proper diagnosis of ulnar wrist pain. Specific provocative maneuvers can help differentiate between competing diagnoses of ulnar wrist pain.
In many cases of ECU subluxation, the patient may report painful snapping over the ulnar styloid of the wrist that limits athletic participation. A detailed physical examination starts with discussion of both mechanism of injury and symptom history.
1 Ιαν 2012 · Ulnar-sided wrist pain is a challenging clinical condition, difficult to manage. It may result from intracapsular injury or from pathology outside the capsule. Arthroscopy may help solving the first, but it has little to offer to assess most extracapsular problems....
This article reviews the pertinent history and physical examination maneuvers necessary to arrive at the proper diagnosis of patients with ulnar-sided wrist pain. Surface anatomy is stressed along with provocative maneuvers for maximal efficacy.
