Month: May 2019

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The ECU (extensor carpi ulnaris) tendon can become painful and swollen from a repetitive twisting of the forearm.

The ECU tendon is one of the main muscles to move the wrist, helping it to extend and move to the side in an ulnar direction, but it also plays an important role in stabilising the ulnar side of the wrist during forearm rotation. The tendon lies in a sheath (the 6th dorsal compartment) which holds the tendon stable against the ulnar styloid. It can become inflamed within the sheath during overuse activities that require combined and repetitive wrist extension, ulnar deviation and rotation such as tennis, and golf.

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Carpal Tunnel Syndrome is a fairly common condition in the hand that typically presents with nocturnal symptoms of numbness, pins and needles and tingling in the thumb, index, middle and one side of the ring fingers, aggravated by sleeping with a bent wrist.

However, Carpal Tunnel Syndrome can also be caused by repetitive, strong and/or sustained gripping during day time activities and then symptoms might be more prevalent during the day than at night.

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A Smith’s fracture is a fracture to the distal radius (wrist). It is often called a reverse Colle’s fracture; the more common type of distal radius fracture.

A Colle’s fracture occurs from falling and landing on an extended wrist (palm side of the hand). The fracture can often displace backwards in the direction of the injury. Whereas a Smith’s fracture is caused by falling with the wrist flexed and the fracture can displace forewards, also in align with the direction of force.

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