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Related Concept Videos

Bones of the Upper Limb: Ulna01:15

Bones of the Upper Limb: Ulna

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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...
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Influence of Dynamic Factors on Ulnar Impaction Syndrome: An Axial Compression Test Using Fresh-Frozen Cadavers.

Kinshiro Nabeshima1, Yusuke Matsuura1, Takahiro Yamazaki1

  • 1Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

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|April 3, 2026
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Summary

Dynamic ulnar impaction increases with axial load, causing the ulna and lunate to shift closer. This biomechanical study clarifies the mechanism of ulnar impaction syndrome.

Keywords:
Biomechanicscadaveric studycartilage compressionulnar impaction syndromewrist joint

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Area of Science:

  • Orthopedic biomechanics
  • Upper extremity anatomy
  • Wrist joint mechanics

Background:

  • Ulnar impaction syndrome is a clinical concern.
  • The biomechanical basis of dynamic ulnar impaction requires further elucidation.

Purpose of the Study:

  • To biomechanically analyze dynamic ulnar impaction under axial loading conditions.
  • To investigate the relationship between applied load and changes in ulnar variance.

Main Methods:

  • Ten fresh-frozen cadaveric upper limbs were utilized.
  • Axial loads (0-300 N) were applied to the wrist with the elbow at 90° flexion.
  • Posteroanterior radiographs were obtained to measure ulnar variance and ulna displacement.

Main Results:

  • Mean ulnar variance increased from 1.70 mm to 3.00 mm with increasing load.
  • A significant positive correlation (r = 0.67) was found between axial load and ulnar variance.
  • The ulna displaced distally (1.12 mm) and radially (0.81 mm); the lunate shifted proximally (0.38 mm) and ulnarly (0.43 mm).

Conclusions:

  • Axial loading linearly increases ulnar variance, demonstrating dynamic ulnar impaction.
  • Findings enhance understanding of dynamic ulnar impaction biomechanics.
  • Load-dependent changes are crucial for assessing and treating ulnar impaction syndrome.