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Wrist Tendinopathies

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Other Names

  • Wrist Flexor Tendinopathy
  • Wrist Extensor Tendinopathy
  • Wrist Flexor Tendinitis
  • Wrist Extensor Tendinitis
  • Tenosynovitis

Background

  • This page refers to all the general tendinopathies that can affect the wrist including:
    • Extensor tendinopathy:
    • Flexor tendinopathy:
    • Ulnar-sided tendinopathy: FCU ECU
    • Radial sided tendinopathy: FCR, ECRB, ECRL

Extensor-sided Tendinopathies

Flexor-sided Tendinopathies


Pathophysiology


Risk Factors


Differential Diagnosis


Clinical Features

  • General: Physical Exam Wrist
  • History
    • Typically insidious and atraumatic in onset, although there can be acute presentations
  • Physical Exam
    • Symptoms should be exacerbated by recruiting the affected muscles which can help narrow down the etiology
    • For example, ECU tendinitis should involve pain with extension and ulnar deviation

Evaluation

Radiographs

Ultrasound

MRI


Classification

  • N/A

Management

Nonoperative

Operative

  • In refractory cases and depending on the pathology
  • Procedures include
    • Tenotomy

Return to Play

  • Widely variable

Complications

  • Chronic pain
  • Loss of ADLs

See Also


References


  1. Adams, Julie E., and Rohan Habbu. "Tendinopathies of the hand and wrist." JAAOS-Journal of the American Academy of Orthopaedic Surgeons 23.12 (2015): 741-750.
Created by:
John Kiel on 5 October 2019 13:51:58
Authors:
Last edited:
27 October 2020 23:13:07
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