Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive ulnar-sided wrist pain, localized swelling, and restricted range of motion. Symptoms are chronic, non-radiating, and exacerbated by wrist rotation and weight-bearing. No history of acute trauma. Denies constitutional symptoms such as fever or night sweats.
Clinical Examination Findings
Physical exam reveals a firm, non-tender, palpable mass over the distal ulna. Localized swelling noted with mild tenderness to palpation. Wrist range of motion is limited in supination and pronation. Neurovascular status is intact distally with no sensory deficits or motor weakness in the ulnar nerve distribution.
Treatment Protocol
Recommended management includes surgical curettage with high-speed burring and adjuvant therapy (e.g., phenol or cryotherapy) followed by bone grafting or cementation (PMMA). In cases of extensive cortical destruction, distal ulnar resection and reconstruction with an endoprosthesis or arthrodesis may be required. Post-operative immobilization followed by physical therapy for functional restoration.