Background: Extensor carpi ulnaris (ECU) tendinopathy is characterized by pain along the dorsal and ulnar aspect of the wrist and distal forearm. It is common in athletes who play stick and racquet sports due to repetitive motion and axial-loading through the wrist and forearm. Conservative therapeutic options include rest, the use of anti-inflammatory medications, and various injections. Rehabilitation via occupational or physical therapy includes therapeutic exercise, splinting, activity modification, manual therapy, and modalities.
Methods: A narrative review of the literature on ECU tendinopathy is presented, and a case study approach is used to highlight the clinical management of this condition in an elite athlete.
Results: An approach of medical management and rehabilitation allowed this patient to successfully return to play.
Conclusions: A combination of conservative measures and rehabilitation can be used to treat ECU tendinopathy and permit patients to be symptom-free and return to their desired activities.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067837 | PMC |
http://dx.doi.org/10.1177/15589447221127331 | DOI Listing |
Cureus
October 2024
Department of Orthopedic Surgery, University of Tsukuba, Tsukuba, JPN.
Distal ulnar metaphyseal fractures are often treated conservatively with good clinical outcomes. Extensor carpi ulnaris (ECU) tendinopathy after conservative treatment for distal ulnar metaphyseal fractures has not been reported. We present a case of a 20-year-old university baseball player who developed ECU tendinopathy after conservative treatment for a distal ulnar metaphyseal fracture.
View Article and Find Full Text PDFJ Hand Microsurg
August 2024
Instituto Vita, São Paulo, SP, Brazil.
Phys Ther Sport
May 2024
La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, Victoria, Australia; The Australian Ballet, Southbank, Victoria, Australia; Victorian Institute of Sport, Albert Park, Victoria, Australia.
Objective: Determine the capacity of individual items on the Tendinopathy Severity Assessment - Achilles (TENDINS-A), Foot and Ankle Outcome Score (FAOS), and Victorian Institute of Sports Assessment - Achilles (VISA-A) to differentiate patients with mild and severe tendon-related disability in order to provide clinicians the best questions when they are consulting patients with Achilles tendinopathy.
Design: Cross-sectional.
Participants: Seventy participants with Achilles tendinopathy (61.
Br J Sports Med
May 2024
La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, Victoria, Australia.
Objective: To evaluate the construct validity (structural validity and hypothesis testing), reliability (test-retest reliability, measurement error and internal consistency) and minimal important change (MIC) of the 13-item TENDINopathy Severity assessment-Achilles (TENDINS-A).
Methods: Participants with Achilles pain completed an online survey including: demographics, TENDINS-A, Foot and Ankle Outcome Score (FAOS) and Victorian Institute of Sport Assessment-Achilles (VISA-A). Exploratory factor analysis (EFA) assessed dimensionality.
JBJS Case Connect
January 2024
American Sports Medicine Institute, Birmingham, Alabama.
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