pain n tenderness at ulnar styloid process

[vivek_jaglanpt]

hi everyone i hav a patient of colles fracture which he got with 6 months ago.now the bone is united but he has pain and tenderness at ulnar styloid process .also his wrist flexion is restricted.i am giving -wax at wrist joint,us around ulnar styloid process.aso i m giving wrist mobilisation to improve wrist flexion.main problem is the pain at ulnar styloid process is not settling down.please suggest some treatment for this.it will be thankfull to u all.

[oscar]

What activites bring on the pain? Have you assessed for a TFCC (triangular fibrocartillage complex) leision? It's quite rare but falls onto outstretched hands can sometimes cause damage to the cartillage between the radius, ulna and carpal bones- I damaged my own TFCC a few years ago and specifically got pain around the ulnar styloid process upon putting pressure through my hand and with racket sports like tennis etc...luckily it's settled and doesn't give me much bother now.

There is a special test that you can use to assess for this (unfortunatley I can't really describe it but there will be some stuff on the net), MRI diagnosis is needed to confirm whether there is a tear or not.

It may not be this but thought I'd throw it out there just in case!

[vivek_jaglanpt]

thanks for the reply sir.yes he got problem at tfcc.also he feel pain while playing racket sports earlier and has stopped playing due to the same.thank u

[linbin]

hi
colle's fracture alters the normal biomechanical alignment of the wrist.normally the radial articular surface is a bit ulnarly and volarly oriented.this orientation will be altered as a sequelae of colle's fracture.this will inturn alter the normal carpal movements. resulting in restriction of flexion and ulnar deviation.associated tfcc involvement worsens the clinical presentation

[Laura01]

Hi Oscar, is the test you mean kind of like a scoop test, similar in principle to the meniscal tests of the knee?

[ChrisG9]

Hello, I broke my wrist about a year ago (when I was 15), not too sure of the specifics but it was a compression break and it happened when I landed heavily on my hand playing football.

My wrist bones moved up onto each other so I had a big lump where my bones had pushed up. I had my wrist pulled back into position (hopefully into the correct position) and then had it set into a cast immediately.

I now have a small range of movement in my wrist but most movement causes me a fair bit of pain (even typing this is causing me some pain).

I need some advice on what to do. The main area for my pain is the styloid process on the ulnar. (I think I'm right in saying that this is the 'nobbly part' at the bottom of the hand.)

If anyone could help me, I would be very very generous as this part of my wrist is hurting me a lot most of the time. I don't know whether to go and seek professional advice or whether there are any specific exercises that could ease the pain and strengthen my wrist, giving me a wider range of movement.

As it is, I have only been using my left hand for a short while as the pain used to be unbearable even to twist a bottle top. I started doing some exercises like clenching my fist and rotating my hand. These seem to have helped a bit but not a great deal.

If anyone could give me some advice it would be very much appreciated.

Sorry if I went on about unnecessary information, I don't really know anything about it I just really need some advice.

Thank you.

If it is easier, I can recieve personal emails at chrisgirdlestone@hotmail.co.uk



EDIT: Reading the posts in this thread, I googled a Triangular Fibrocartilage Complex (TSCC) injury. I have these symptoms and I am 99% sure this is what I am experiencing if this is the case what should I do? Please help

[wendy howard]

Hello,

The pain you are describing occurs in about 50% of all wrist fractures.

Try the weight bearing test. Simply place your hand on a bathroom scale with the elbow straight and push down to the point of pain. Compare to the other side.

TFCC injuries can be treated and helped with a great splint- do a google search.

Before you buy anything though, try to understand what those numbers are. If your weight bearing is normal and pain free, then look at the ECU tendon.

Hope that helps!

Wendy