The value of the pronated-grip view radiograph in assessing dynamic ulnar positive variance: a case report.
Positive ulnar variance affects surgical decision making when ulnar wrist pain is refractory to conservative treatment and is either secondary to a posttraumatic triangular fibrocartilage tear or associated with ulnar impaction syndrome. In such settings, ulnar recession may be necessary to diminish load transmission across the ulnocarpal joint. We present a case of a 24-year-old man with chronic right ulnar wrist pain that illustrates the efficacy of the pronated-grip radiograph in assessing dynamic ulnar positive variance.
Tomaino
M M
MM
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Rubin
D A
DA
D000328:Adult; D018771:Arthralgia / Q000000981:diagnostic imaging / Q000209:etiology; D001182:Arthroscopy; D002358:Cartilage, Articular / Q000473:pathology / Q000601:surgery; D002908:Chronic Disease; D003937:Diagnosis, Differential; D018737:Hand Strength; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011403:Pronation; D011859:Radiography; D016059:Range of Motion, Articular; D012680:Sensitivity and Specificity; D014457:Ulna / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D014955:Wrist Joint / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery