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Journal of Hand Surgery (British and European Volume)
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The Gymnast’s Wrist: Acquired Positive Ulnar Variance Following Chronic Epiphyseal Injury

A. R. TOLAT
P. L. SANDERSON
L. DE SMET
J. K. STANLEY

From The Hand Unit, Wrightington Hospital, Wigan, and Universitaire Ziekenhuizen Leuven, Pellenberg, Belgium

Correspondence: John Stanley, Department of Hand Surgery, Wrightington Hospital, Appley Bridge, Nr Wigan, Lancs WA16 9EP.

Five cases of symptomatic acquired positive ulnar variance are described. All cases occurred due to premature physeal closure of the growth plate in teenage girl gymnasts. All cases demonstrated ulno-carpal impingement, for which we describe a clinical test.

Arthroscopic assessment of the wrist allowed us to assess the integrity of the TFCC (triangular fibrocartilaginous complex) and decide on the most appropriate surgery. Two patients needed distal ulna recession and one needed shaving for a TFCC perforation, with a good result.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 6, 678-681 (1992)
DOI: 10.1016/0266-7681(92)90200-L
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