MUSCULOSKELETAL IMAGING

Differential Diagnosis of Ulnar Side Wrist Pain

Common Causes

Ulnar side wrist pain can arise from multiple anatomical structures and pathological processes. A systematic approach to differential diagnosis is essential for accurate assessment and appropriate management.

  • Pisiform Triquetral Joint disease
  • FCU / ECU tendon disorders
  • Ulnar & Median nerve compression
  • UCL/TFC/LTL complex
  • Hamate fracture
  • Abutment syndromes
  • Kienbock's disease
  • Intraosseous ganglion
  • Hamatolunate impingement
  • Pisiform fracture
Clinical Approach: Consider patient history, mechanism of injury, location of pain, and associated symptoms when evaluating ulnar-sided wrist pain. Imaging should be targeted based on clinical suspicion.