Ulnar Sided Hand / Wrist Pain For Over 6 Months?


Dec 13, 2014

I've been having pain in my right wrist and hand for over 6 months now. It mostly feels like a dull ache/pain and often tenderness which is on the little finger side (ulnar side) of my hand which comes and goes. Recently (within the last month or 2) the pain has spread up to my little finger knuckle joint which also feels tender when the pain flares up, the ache sometimes extends into my forearm as well still on that one side. I've had routine hand x rays (AP, lateral, oblique) which was said to be normal and also an ultrasound of median nerve and flexor tendons which was normal (will upload x ray image on here). In the past I have fallen off the skateboard a few times, the worst fall caused me to have stabbing pains in my right wrist when it happened and for a few days it hurt to do anything with it, it never swelled, and it settled to a mild pain, I had problems for a few months after that, I couldn't do the pushup position without that wrist hurting a fair bit, and it still is sore when I try now but not as bad, that fall would've been over a year ago though.

When I went to a new Dr about it they did this test which pulled my arm back and stretched my ulnar nerve and I nearly jumped out of my skin, I had severe pain shoot down my arm and into my hand and fingers, so he has ordered me a nerve conduction test because he thinks it might be something to do with the ulnar nerve because of the area of pain and that positive ulnar stretch test. This confuses me because I don't have typical nerve pain or symptoms ( like tingling, numbness or electric shock like pain). My hand just feels achy, sore and tender. I feel like it is most tender when I press around the hamate bone area on the palm and also on the top of the hand where the base of the 4th and 5th metacarpal/hamate bone is, but nothing showed on the x ray so this confuses me. One thing I did notice though was a little black triangular shaped thing near the base and right side of my 5th metacarpal bone on the x ray, now i've only studied a tiny bit of radiography and I know nothing about the hand, but that doesn't look normal to me?

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I am 4 months post op after having a standard USO. Doc removed 4 mm of bone and plated on the outside. The good news is the pain I had become so used to as a result of UIS has subsided but as I recover, i note new aches and pains which I don't like. Since the day after the op i have had quite agonising pain in my elbow. At no point did I have any above elbow immobilisation. All short arm casts for about 7 weeks in all. The pain has improved but still there and worsens when I straighten my arm - leaving me in a constant state of holding my elbow at 90.

Has anyone else had this after USO? If not - did you have above elbow casts/splints? If so, what was it like and did it subside???

The other problem I am having is when i try to pronate my arm (to get my palm facing down). It feels like as the ulna and radius cross with the twist, the screw(s) which protrude through the ulna, seems to be catching on the radius. it is very sore and most of the time stops me pronating.

If you have experienced anything like this please let me know whether it got better. i am already getting worried that the op has caused some kind of issue with my elbow and also that I will have to have plate removed. not part of the plan at all.

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I had my ulna shortened in September 2015, and the plate is causing me all kinds of pain. The whole entire ulnar side of my forearm hurts all the time, and any kind of pressure on the plate makes the pain much worse! My next appointment with the surgeon's office is April 14th, and then we'll discuss the removal of the plate and screws. Also, I have a ganglion cyst that appeared under one of my debridement scars that they may need to remove. AND- there is a ligament on the palmar side of my wrist, just below my pisiform bone that is causing a bit of pain. My doctor said that it's not unusual for it to happen, as it can "stretch" too far after the shortening, but it's not exactly common either.

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My surgeon is suggesting that I get the ulnar shortening surgery to relieve pressure the ulnar side of the wrist as I've torn several ligaments in the wrist. I had a wrist arthroscopy last month so he could see the extent of damage and so he can plan for future surgery if needed. The damage turned out far more extensive than the MRI/arthrogram showed. I have a partial tear of the scapholunate ligament, complete tear of the lunotriquetral ligament and I've worn through the TFCC. I have the typical ulnar sided pain, and pain around the lunate bone but lately, I'm experiencing more and more problems on the thumb side of the wrist.

Has the ulnar shortening surgery helped relieve or reduce symptoms for anyone who also tore ligaments?

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Honestly, how bad is this thing? I've watched video's of it, prior posts about it.

I've read up about as much as i think possible, would just like to get some live feedback on it. For the most part I've got full function of my hand/wrists, its just somewhat painful sometimes, and when washing my hands, the wrist can feel loose and unstable.

I've had to reschedule my appointment a few times because of work so it's been about two months since I've spoken to my doc(George White, Orlando), I think his plan was 4 weeks cast, 4 weeks sling, 4 weeks PT. is that about the norm?

I "broke" my wrist..i think? when i was around 10, all i remember is when i fell off the monkey bars my ulna/radius was pushed up against my wrist(never broke skin). I'm relatively thin, 5'9 150, and my ulna's have always been slightly pronounced, never thought much of it until in august at the gym. I picked up a heavier dumbbell than i should have and i think my ulna slipped from the set position it's been in all these years and it throbs constantly/causes pain working out now. Its quite a bit longer than it should be so we're getting this done.

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Hi I had ulnar shortening on my right arm on 11/9/13 and have been placed in a full arm cast until I have it taken off on 30/10/13, can anyone advise me on the physio process after the opp and what I'm likely to be able to achieve after periods of time, I'm currently off work as my job needs me to be able to use my arms/ hands at all times, I'm also right handed.

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I have my ulnar shortening osteotomy (USO) booked in 5 days time with my pre-op assessment tomorrow.

I have founds tonnes of useful info but I'm now starting to realise everyone is different.

The main thing I'm finding is the difference in recovery and outcomes with different types and lengths of immobilisation.

So far Im being led to believe that those with some form of above elbow immobilisation in the initial stages have better outcomes compared to those with only below elbow who seem to have had more pain, less motion, and in some cases delayed or malunion of the ulna as well as more pain or issues with the plate or surgery site.

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I am to return to work in 2 weeks( being off for 2 mo) and I do not see me accomplishing that. I am a data entry worker and need to meet stats every hr. Is this a realistic thing.

What are your therapies that worked. How long was people off before doing a job like mine- posting medical payments.

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First, I am having this procedure due to my winning the genetic lottery and having an abnormally long ulna. This didn't start giving me pain until about a year ago. I woke up one morning and my right wrist hurt like I had slept on it wrong. When the pain didn't go away I went to a local urgent care to see if I possibly sprained it - I had been doing a lot of yoga at the time. They took x-rays, said it must be a strain or pulled muscle, gave me a splint and sent me on my way. For the last year I wore a brace on and off when my wrist gave me pain. The pain has never been constant, it comes and goes. The most disturbing thing about it is that when I rotate my wrist there is something in there that snaps and cracks - probably the TFCC, I learned from my research. I finally decided to see an orthopedist about my wrist as I figured it might be carpel tunnel from my office job. My ortho showed me the long ulna bone in the x-rays, which there is no denying - the ulna is visibly longer than the radius, even to an untrained eye. My MRI shows that there is wear on my TFCC, but no tear. I am developing cysts on my lunate bone, which is from the pressure from my long ulna. My doctor said that the way to fix this was the ulnar shortening osteotomy, which is coming next week.

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