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[Bursitis of the ulnar recess]
1Klinik für Handchirurgie, Abteilung I, Rhön-Klinikum, Bad Neustadt/Saale. hahn@hand.franken.de
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|February 24, 2001
Summary
Cortisone injections effectively relieved wrist pain in patients with swelling of the ulnar recessus, particularly those without prior trauma or surgery. Patients with a history of surgery or trauma did not experience pain relief from this treatment.
Area of Science:
- Orthopedics
- Rheumatology
- Anatomy
Context:
- Wrist pain and swelling in the ulnar recessus are common complaints.
- Previous surgical intervention or trauma may affect treatment outcomes.
Purpose:
- To evaluate the efficacy of cortisone and lidocaine injections into the ulnar recessus for treating wrist pain.
- To explore the underlying pathology of ulnar recessus swelling based on anatomical and evolutionary factors.
Summary:
- Twenty patients with wrist pain and ulnar recessus swelling were treated with corticosteroid and local anesthetic injections.
- A significant majority (71%) of patients without prior surgery or trauma experienced sustained pain relief.
- Patients with a history of surgery or trauma showed no improvement following the injection therapy.
Impact:
- Corticosteroid injections offer a potentially effective, minimally invasive treatment for specific cases of ulnar recessus-related wrist pain.
- This study suggests that the patient's history, specifically prior surgery or trauma, is a critical factor in treatment success.
- Further research into the anatomy and evolution of the ulnar recessus may elucidate the mechanisms of this condition and guide future therapeutic strategies.