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Handchirurgie Scan 2016; 05(02): 137-152
DOI: 10.1055/s-0041-110617
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© Georg Thieme Verlag KG Stuttgart · New York

Untersuchung und MR-Morphologie des ulnokarpalen Handgelenkschmerzes

Ulrich Frank
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Publication History

Publication Date:
21 June 2016 (online)

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Zusammenfassung

Die Untersuchung des ulnokarpalen Anteils des Handgelenks ist ausgesprochen schwierig.

Diese Arbeit soll eine sinnvolle Zusammenstellung hilfreicher Tests abbilden, die im Ambulanzalltag rasch durchgeführt werden können und zur exakten Diagnosefindung beitragen. Die Bedeutung einer hochwertigen MRT-Untersuchung wird durch die Darstellung der einzelnen Krankheitsbilder betont. In Tab. 2 am Ende des Beitrags sind nochmals alle beschriebenen Tests aufgelistet und – da durch einzelne Test mehrere Pathologien aufgedeckt werden können – die entsprechenden möglichen Diagnosen aufgeführt.

 

  • Literatur

  • 1 Shin AY, Deitch MA, Sachar K et al. Ulnar-sided wrist pain: diagnosis and treatment. Instr Course Lect 2005; 54: 115-128
    Google Scholar
  • 2 Garcia-Elias M. Clinical examination of the ulnar-sided painful wrist. In: del Piñal F, Mathoulin C, Nakamura T, eds. Arthroscopic Management of Ulnar Pain. Berlin: Springer; 2012: 26
    CrossrefGoogle Scholar
  • 3 Watson HK, Weinzweig J. Physical examination of the Wrist. Hand Clin 1997; 13: 17-34
    Google Scholar
  • 4 Scharizer E. Klinische Untersuchung der Hand. Nigst H, Scharizer E, Hrsg. Untersuchung der Hand. Stuttgart: Hippokrates; 1991: 29-31
    Google Scholar
  • 5 Shaaban H, Giakas G, Bolton M et al. The Distal Radioulnar Joint as a load-bearing mechanism – a biomechanical study. J Hand Surg 2004; 29A: 85-95
    Google Scholar
  • 6 LaStayo PC, Weiss P. The GRIT: A quantitative measure of Ulnar Impaction Syndrome. J Hand Ther 2001; 14: 173-179
    CrossrefGoogle Scholar
  • 7 Tay SC, Tomita K, Berger RA. The “ulnar fovea sign” for defining ulnar wrist pain: an analysis of sensitivity and specificity. J Hand Surg 2007; 32A: 438-444
    Google Scholar
  • 8 Nakamura T. Anatomy and biomechanics of the DRUJ. In: del Piñal F, Mathoulin C, Nakamura T, eds. Arthroscopic Management of Ulnar Pain. Berlin: Springer; 2012
    CrossrefGoogle Scholar
  • 9 Berger RA, Dobyns JH. Physical examination and provocative maneuvers of the wrist. In: Gilula LA, Yin Y, eds. Imaging of the wrist and hand. Philadelphia: WB Saunders; 1996
    Google Scholar
  • 10 LaStayo P, Howell J. Clinical provocative tests used in evaluating wrist pain: a descriptive study. J Hand Ther 1995; 8: 10-14
    CrossrefGoogle Scholar
  • 11 Nakamura R, Horii E, Imaeda T. The ulnocarpal stress test in the diagnosis of ulnar-sided wrist pain. J Hand Surg 1997; 22B: 719-723
    Google Scholar
  • 12 Beckenbaugh RD. Accurate evaluation and management of the painful wrist following injury. Orthop Clin North Am 1984; 15: 289-306
    Google Scholar
  • 13 Morrissy RT, Nalebuff EA. Dislocation of the distal radioulnar joint: antomy and clues to prompt diagnosis. Clin Orthop Relat Res 1979; 144: 154-158
    Google Scholar
  • 14 Cooney WP, Bishop AT, Linscheid RL. Physical examination of the wrist. In: Cooney WP, Linscheid RL, Dobyns JH, eds. The Wrist: Diagnosis and Operative Treatment. Maryland Heights, MO: Mosby; 1997
    Google Scholar
  • 15 Ruland RT, Hogan CJ. The ECU Synergy Test: An aid to diagnose ECU tendonitis. J Hand Surg 2008; 33A: 1777-1782
    Google Scholar
  • 16 Garcia-Elias M. Tendinopathies of the extensor carpi ulnaris. Handchir Mikrochir Plast Chir 2015; 47: 281-289
    Google Scholar
  • 17 Reagan DS, Linscheid RL, Dobyns JH. Lunotriquetral sprains. J Hand Surg 1984; 9A: 502-551
    Google Scholar
  • 18 Kleinman WB. Stability of the distal radioulnar joint: biomechanics, pathophysiology, physical diagnosis, and restauration of function: what we have learned in 25 years. J Hand Surg 2007; 32A: 1086-1106
    Google Scholar
  • 19 Watson HK, Weinzweig J. Triquetral impingement ligament tear syndrome. J Hand Surg 1999; 24B: 350-358
    Google Scholar
  • 20 Helal B. Racquetʼs players pisiform. Hand 1978; 10: 87-90
    Google Scholar
  • 21 Wright TW, Moser MW, Sahajpal DT. Hook of the hamate pull test. J Hand Surg 2010; 35A: 1887-1889
    Google Scholar