Ulnocarpal impaction occurs when the distal ulna and carpal bones, primarily the lunate, bump into one another and cause pain.
Ulnocarpal impaction occurs when the distal ulna and carpal bones, primarily the lunate, bump into one another and cause pain. This may be caused by positive ulnar variance, radial shortening from a previous distal radius fracture or ligament tears. Pain is usually on the pinky side of the wrist and is worse with activities that cause ulnar deviation of the wrist. Radiographs may show positive ulnar variance, meaning the ulna bone is higher than the radius, and possibly sclerosis of the lunate bone or ulnar head from impaction. This also may predispose patients to TFCC tears. Conservative management consists of bracing and cortisone injections, although a surgical procedure may be the best option if pain and dysfunction persist.
As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free.