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Extensor carpi ulnaris injuries in tennis players: a study of 28 cases
B Montalvan1, J Parier, J L Brasseur
1Sports Medicine, French Tennis Federation, 2 avenue Gordon Bennett, Paris 75016, France. bernard.montalvan2@libertysurf.fr
British Journal of Sports Medicine
|April 25, 2006
Summary
Elite tennis players often experience ulnar wrist pain due to extensor carpi ulnaris (ECU) tendon issues. This study identifies three distinct ECU pathologies: instability, tendinopathy, and rupture, each needing specific treatment.
Area of Science:
- Orthopedics
- Sports Medicine
- Hand Surgery
Background:
- Ulnar-sided wrist pain is a frequent complaint in elite tennis players.
- The extensor carpi ulnaris (ECU) tendon is implicated in this specific wrist pain.
- Previous research has not fully delineated the distinct clinical presentations of ECU tendon pathology in athletes.
Purpose of the Study:
- To describe and differentiate three clinical patterns of extensor carpi ulnaris (ECU) tendon pathology.
- To guide therapeutic approaches based on the identified clinical entities.
- To review the relevant wrist anatomy concerning the ECU tendon.
Main Methods:
- Retrospective case series analysis of 28 elite tennis players with ulnar-sided wrist pain over five years.
- Clinical evaluation focusing on the extensor carpi ulnaris (ECU) tendon.
- Categorization of cases into distinct clinical patterns.
Main Results:
- Three primary clinical patterns of ECU tendon pathology were identified: acute instability, tendinopathy, and complete rupture.
- Each pattern presented with unique clinical findings and required tailored management.
- Anatomical review highlighted the biomechanical factors contributing to ECU tendon injury in tennis.
Conclusions:
- Extensor carpi ulnaris (ECU) tendon pathology presents in distinct forms in elite tennis players.
- Accurate diagnosis of ECU instability, tendinopathy, or rupture is crucial for effective treatment.
- Understanding ECU anatomy and its role in wrist function is essential for managing athletic injuries.
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