Ecu Subluxation
IF YOU HAVE ECU SUBLUXATION, PLEASE SCHEDULE AN APPOINTMENT WITH ONE OF OUR ORTHOPEDIC SPECIALISTS AS SOON AS POSSIBLE.
What is ECU Subluxation?
ECU subluxation occurs when the extensor carpi ulnaris (ECU) tendon partially dislocates from its normal position in the wrist. This condition often arises from repetitive wrist movements or acute trauma, such as a sudden twist or impact. Athletes, particularly those in sports involving extensive wrist use like tennis or golf, frequently experience ECU subluxation.
Patients with ECU subluxation typically report pain and a snapping sensation on the ulnar side of the wrist, especially during rotation or gripping activities. Swelling and tenderness may accompany these symptoms. Diagnosing ECU subluxation involves a physical examination, where a doctor observes wrist movement and listens for the characteristic snapping sound. Imaging tests, such as ultrasound or MRI, can confirm the diagnosis and assess the extent of the injury.
ECU Subluxation Procedure
The ECU subluxation procedure aims to stabilize the extensor carpi ulnaris (ECU) tendon to prevent recurrent dislocation and alleviate symptoms. Surgeons typically perform this procedure under local or general anesthesia. They begin by making a small incision over the ulnar side of the wrist to access the affected tendon.
During the procedure, surgeons evaluate the condition of the ECU tendon and surrounding structures. They may repair any damaged ligaments or tissues contributing to the subluxation. In some cases, they may deepen the tendon groove or reconstruct the tendon sheath to secure the ECU tendon in its proper position.
Post-surgery, patients wear a splint or brace to immobilize the wrist and promote healing. Physical therapy follows to restore strength, flexibility, and range of motion in the wrist. Patients gradually resume activities under the guidance of their healthcare team to ensure a full recovery. With successful treatment, most individuals experience significant improvement in wrist function and reduced pain from ECU subluxation.
Rehabilitation and Recovery?
Rehabilitation and recovery for ECU subluxation focus on restoring wrist stability and function while minimizing pain and preventing recurrence. Initially, patients wear a splint or brace to immobilize the wrist and protect the repaired ECU tendon. This phase allows for initial healing and reduces stress on the injured area.
Once the splint is removed, physical therapy begins to strengthen the wrist muscles and improve range of motion. Therapists guide patients through exercises that gradually increase in intensity and complexity, targeting specific movements that challenge the ECU tendon’s stability. Techniques such as ultrasound therapy, manual therapy, and stretching may also be incorporated to reduce inflammation and improve tissue healing.
Throughout rehabilitation, patients follow a structured program tailored to their individual needs, progressing from basic exercises to functional activities that mimic daily tasks or sports-related movements. Regular monitoring by healthcare providers ensures proper recovery progress and adjustments to the rehabilitation plan as necessary, aiming for a full return to normal activities without pain or limitation caused by ECU subluxation.
IF YOU WOULD LIKE TO SPEAK TO AN ORTHOPEDIC HAND AND WRIST SPECIALIST IN DALLAS, FORT WORTH, OR THE LONE STAR STATE, GIVE US A CALL AT 817-697-4038, OR CONTACT US OVER THE WEB. TELE-MEDICINE APPOINTMENTS ARE ALSO AVAILABLE.
