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J Wrist Surg 2025; 14(01): 002-013
DOI: 10.1055/s-0044-1787156
Special Review: Ulnocarpal Impaction Syndrome

Guidelines for the Diagnosis and Treatment of Ulnar Impaction Syndrome (2024)

Wendong Xu
1   Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, People's Republic of China
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
,
Pak Cheong Ho
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
3   Department of Orthopedics and Traumatology, Prince of Wales Hospital, Chinese University of Hong Kong, Hongkong SAR, People's Republic of China
,
Toshiyasu Nakamura
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
4   Department of Orthopedic Surgery, School of Medicine, International University of Health and Welfare, Tokyo, Japan
,
Jeffrey Oscar Ecker
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
5   Hand and Upper Limb Centre and Wrist + Hand Institute, Perth, Australia
,
Keiji Fujio
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
6   Department of Orthopedics, Kyoto University, Kyoto, Japan
,
Joo Yup Lee
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
7   Department of Orthopedic Surgery, Eunpyeong St. Mary's Hospital, Seoul, South Korea
,
Shanlin Chen
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
8   Department of Hand Surgery, Beijing Ji Shui Tan Hospital, Beijing, People's Republic of China
,
Siu Cheong Jeffrey Justin Koo
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
9   Department of Orthopedics and Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hongkong SAR, People's Republic of China
,
Ping Tak Chan
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
10   Department of Orthopedics and Traumatology, Tuen Mun Hospital, Hongkong SAR, People's Republic of China
,
Andrew Yuan Hui Chin
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
11   Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore, Singapore
,
Young Kuen Lee
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
12   Department of Orthopedic Surgery, Chonbuk National University Medical School, Jeonju, Korea
,
Jui Tien Shih
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
13   Department of Orthopedic Surgery, Centre for Sports Medicine Armed Forces Taoyuan General Hospital, Taoyuan, Taiwan, People's Republic of China
,
Wing Lim Tse
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
14   Department of Orthopedics and Traumatology, Prince of Wales Hospital, Hongkong SAR, People's Republic of China
,
Abhijeet L. Wahegaonkar
2   Asian Pacific Wrist Association, Hongkong SAR, People's Republic of China
15   Division of Hand and Microvascular Services, Sancheti Hospital, Pune, Maharashtra, India
,
Yaolong Chen
16   Research Unit of Evidence-Based Evaluation and Guidelines, Chinese Academy of Medical Sciences (2021RU017), School of Basic Medical Sciences, Lanzhou University, Lanzhou, People's Republic of China
17   WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou University, Lanzhou, People's Republic of China
18   Lanzhou University GRADE Center, Lanzhou, People's Republic of China
› Institutsangaben
Funding New clinical methods for restoring functions in paralyzed limbs and lost speech, along with the development of new brain–computer interface neuroregulation technologies (2022YFC3602700 and 2022YFC3602701).
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Abstract

Background Ulnar impaction syndrome (UIS), also known as ulnar impaction or ulnar abutment, is a degenerative condition causing pain on the ulnar side of the wrist. It can lead to wrist bone necrosis, resulting in wrist joint stability disruption and a significant wrist function impairment. The global understanding of this condition varies, contributing to substantial differences in clinical outcomes.

Purposes This paper underscores the necessity of developing evidence-based clinical guidelines for UIS to guide clinicians in their diagnostic and therapeutic approaches.

Materials and Methods In collaboration with the Asian Pacific Wrist Association, a team of experts from various fields within the Hand Surgery Department at Huashan Hospital has collectively formulated the “Clinical Practice Guidelines for Ulnar Impaction Syndrome (2024)” (hereinafter referred to as the “Guidelines”). The development process adhered to the guidelines outlined in the World Health Organization's handbook for guideline development.

Results Ten key questions and 21 recommendations are formed. The Guidelines provide recommendations for UIS diagnosis, criteria for selecting conservative or surgical interventions, options for surgical procedures, and address various related issues.

Conclusions The collaborative effort aims to standardize clinical practices, enhance diagnostic accuracy, and improve treatment outcomes for individuals affected by UIS, with these recommendations intended to serve as a valuable reference for healthcare professionals.

Keywords

ulnar impaction syndrome - diagnosis - treatment - guidelines

Note

The guideline is developed in Shanghai, China.


Authors' Contributions

W.X. initiated the guideline and wrote the manuscript. Y.C. was responsible for the methodology. All authors contributed to the scoping of the guidelines and development of the key questions and recommendations. All authors approved the final manuscript.




Publikationsverlauf

Eingereicht: 24. Februar 2024

Angenommen: 29. April 2024

Artikel online veröffentlicht:
27. Mai 2024

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