Ulnar Impaction Syndrome

Welcome to Texas State University's Evidence-based Practice project space. This is a wiki created by and for the students in the Doctor of Physical Therapy program at Texas State University - San Marcos. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

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Search Strategy

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Definition/Description

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Epidemiology/Etiology

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Characteristics/Clinical Presentation

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Differential Diagnosis

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Outcome Measures

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Examination

To diagnose ulnar impaction syndrome, the PT can perform the following:
- Complete wrist exam
- Palpation
      o Look for tenderness dorsally just distal to ulnar head
      o Look for tenderness just volar to the ulnar styloid process
- Ulnocarpal stress test
      o Place wrist in maximum ulnar deviation
      o Apply axial load to wrist
      o Passively rotate forearm through supination and pronation
      o + Test = reproduction of patient’s pain
- Compare to contralateral wrist
- Imaging – check for ulnar variation
      o Neutral rotation P-A radiograph with elbow in 90° flexion
      o Pronated grip P-A radiograph
      o May have subchondral sclerosis, cystic changes, or osteophyte formation

Medical Management

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Physical Therapy Management

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Key Research

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Resources

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Clinical Bottom Line

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Recent Related Research (from Pubmed)

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References

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