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DOI: 10.1055/s-0044-1787156
Guidelines for the Diagnosis and Treatment of Ulnar Impaction Syndrome (2024)
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).![](https://www.thieme-connect.de/media/jws/EFirst/lookinside/thumbnails/10-1055-s-0044-1787156_2400021-1.jpg)
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.
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.
Ethical Review Committee Statement
Not applicable.
Work Location Statement
The guideline is developed in Shanghai, China.
Author Contributions
Wendong Xu initiated the guideline and wrote the manuscript. Yaolong Chen 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.
Publication History
Received: 24 February 2024
Accepted: 29 April 2024
Article published online:
27 May 2024
© 2024. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
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