title: Ulnar Impaction Syndrome: A case series investigating the appropriate diagnosis, management, and post-operative considerations.
abstract: Ulnar sided wrist pain is a common site for upper extremity disability. Ulnar impaction syndrome results in a spectrum of triangular fibrocartilage complex (TFCC) injuries and associated lunate, triquetrum, and ligamentous damage. Patients commonly present with insidious ulnar sided wrist pain and clicking, and a history of trauma or repetitive axial loading and rotation. In this case series, three patients presented to a sports chiropractor for evaluation and were subsequently diagnosed with ulnar impaction syndrome. Treatment strategies consist of conservative management, arthroscopic debridement or repair, arthroscopic wafer procedure, or ulnar shortening osteotomy. For the athlete, intervention should be individualized and sport-specific, considering athletic priorities, healing potential, return to play, and long-term health concerns.
authors.affiliation: Division of Graduate Studies, Sports Sciences, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada.
authors.forename: Erin
authors.initials: E
authors.lastname: Woitzik
authors.affiliation: Assistant Professor/Clinician, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada.
authors.forename: Chris
authors.initials: C
authors.lastname: deGraauw
authors.affiliation: Private Practice, Toronto, Canada.
authors.forename: Brock
authors.initials: B
authors.lastname: Easter
keywords: TFCC injury; abutment; athlete(s); chiropractic; management; ulnar impaction