Ulnocarpal Impaction.

Hand Clin · Nov 2021 · Review

Leibig N, Lampert FM, Haerle M

Centre for Hand and Plastic Surgery, Orthopedic Clinic Markgröningen, Kurt-Lindemann-Weg 10, Germany

Hand & Upper Extremity

SUMMARY — THE REDUCTIONThis review covers ulnocarpal impaction syndrome, its diagnosis via positive ulnar variance and lunate changes on imaging, and treatment with ulnar shortening or arthroscopic wafer procedures.
Abstract, as published

Ulnocarpal impaction syndrome is a common cause for ulnarsided wrist pain caused by an abutment between the ulnar head and the lunotriquetral complex. This pain is typically triggered by load bearing and rotation of the forearm. Radiographic examination is often associated with positive ulnar variance and cysts in the lunate, edema of the ulnoproximal lunate is shown in MRI. Operative treatment aims to reduce load on the lunate, either by open ulnar shortening osteotomy or arthroscopic wafer procedure.

Featured in the 2026-08-23 issue.

← Advanced Imaging of Ulnar Wrist Pain.Upper Extremity Injuries in Rock Climbers: Diagnosis and Mana… →

The Reduction is a free email digest of newly published orthopaedic literature — a handful of new papers in the subspecialties you choose, each summarized like this one. Subscribe free or browse the archive.