Pediatric Ulnar-sided Wrist Pain: A Review of the Current Literature

Susanne M Roberts1, Matthew W Konigsberg

  • 1From the Department of Orthopedic Surgery, Columbia University Medical Center, New York, NY.

Insights

Pediatric ulnar-sided wrist pain presents diagnostic challenges due to varied causes and communication difficulties in children. A thorough understanding of anatomy and pathologies is crucial for effective management and improved patient outcomes.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Pediatric Rheumatology

Background:

  • Ulnar-sided wrist pain in pediatric patients is diagnostically challenging due to overlapping symptoms and skeletal immaturity.
  • Differential diagnoses in children differ from adults, necessitating consideration of syndromes and developmental variations.
  • Clear articulation of symptoms can be limited in pediatric patients, emphasizing the need for careful history taking and physical examination.

Purpose of the Study:

  • To highlight the diagnostic and therapeutic challenges of pediatric ulnar-sided wrist pain.
  • To emphasize the importance of a comprehensive approach considering pediatric-specific factors.
  • To underscore the need for a thorough understanding of anatomy and pathologies for optimal patient care.

Main Methods:

  • Review of pediatric ulnar-sided wrist pain etiologies.
  • Analysis of diagnostic considerations in pediatric patients.
  • Discussion of surgical and nonsurgical management strategies.

Main Results:

  • Pediatric ulnar-sided wrist pain requires consideration of unique etiologies beyond adult pathologies.
  • Skeletal immaturity and potential syndromes are key factors in pediatric wrist pain.
  • Effective diagnosis relies on detailed history and focused physical examination.

Conclusions:

  • Accurate diagnosis and treatment of pediatric ulnar-sided wrist pain demand specialized knowledge.
  • Understanding pediatric-specific anatomy and pathologies is essential for successful outcomes.
  • A systematic approach to evaluation and management improves patient care for pediatric wrist pain.

Related Concept Videos

Bones of the Upper Limb: Ulna01:15

Bones of the Upper Limb: Ulna

The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
2.5K
Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
1.2K
Bones of the Upper Limb: Radius01:09

Bones of the Upper Limb: Radius

The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
2.4K
Assessment of radial pulse01:11

Assessment of radial pulse

Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
989