Ulnar wrist pain in athletes caused by erosion of the floor of the sixth dorsal compartment: a case series.

BACKGROUND: Ulnar-side wrist pain can be disabling for athletes because of limitation of pronation-supination during sports such as tennis and golf. Erosion of the floor of the sixth dorsal space should be considered for unresponsive ulnar-side wrist pain. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Four athletes with severe unresponsive ulnar-side wrist pain were identified. Because the usual treatment regimens were ineffective in all cases, surgery was indicated to attempt mitigation of symptoms. During surgical exploration, all patients had inflammatory tendon changes and erosions in the floor of the sixth dorsal space, deep to the extensor carpi ulnaris. A soft tissue interposition flap fashioned from the roof of the sixth compartment was used to cover the defect. RESULTS: Patients were evaluated by reexamination for range of motion, ability to perform daily and sports activities, strength, and residual pain. All patients had relief of their symptoms, had normal range of motion with no residual pain, and returned to tennis and golf. Strength improved a mean of 15 lb after surgery. The follow-up was 19 to 40 months (mean, 33 months). CONCLUSION: Erosion of the sixth compartment floor has been given very little attention in the literature. It should be suspected when severe ulnar-side pain persists in athletes after the usual methods of treatment. The interposition surgery described herein has been effective in 4 cases previously unresponsive to the usual methods of treatment for chronic tendinitis of the extensor carpi ulnaris or triangular fibrocartilage rupture.

Síndrome do túnel ulnal bilateral associada a músculo pronador redondo acessório: relato de caso / Bilateral ulnar tunnel syndrome associated with an acessory pronator teres muscle: case report

Os autores descrevem caso de síndrome do túnel ulnal bilateral associado a um músculo anômalo. A possibilidade de compressao do nervo ulnal pelo pronador redondo acessório e o tratamento realizado sao discutidos.

Enxerto de osso primário retardado para perdas de osso nos metacarpos e falanges / Graft of retarded primary bone for bone losses in metacarpal and phalangeal bones: report of a case

Os autores propöem uma conduta dinâmica para tratamento das laceraçöes ao nível da mäo, que envolvem lesöes de várias estruturas. As indicaçöes desta conduta säo casos decorrentes de lesöes por arma de fogo e acidentes de trabalho, em que se verificam lesöes de pele, tendöes, nervos, vasos e perdas ósseas. O método de tratamento consiste em dois procedimentos cirúrgicos: desbridamento do ferimento e o restabelecimento do comprimento e substituiçäo da perda óssea