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Ulnar Deviation or Ulnar Drift is the name given to a deformity of the hands in which there is gradual shifting of the radiocarpal joint and fingers in an ulnar direction . The ulna is a bone of forearm , which is present on the side of little finger . The deviation is due to chronic inflammation resulting in clothing and tear of condensation and ligament of the joint in the deal and fingers . The joint inflammation mostly affects the metacarpophalangeal joints as a result of usuallyRheumatoid Arthritis.1In this article , we will read in detail about the causes , symptom , treatments rendered , and some of the usage done for Ulnar Deviation / Drift .
What Is Ulnar Deviation or Ulnar Drift?
Ulnar Deviation or Ulnar Drift as stated is a deformity of the hand , in which the metacarpophalangeal joints bends or deviate towards the niggling finger . The ulna is a off-white , which is present in forearm and contributes in elbow andwrist joint . Ulnar bone lies on the side of little finger . Ulnar Deviation or Ulnar Drift is usually seen in people who are suffering from Rheumatoid Arthritis . Some consideration is also given to a aesculapian condition called Pigmented Villonodular Synovitis , which is also relate with Ulnar Deviation or Ulnar Drift . Ulnar Deviation or Ulnar Drift is a medical disorder , which also causes weakness of flexor muscles . Flexor muscles are innervate by ulnar heart . muscle innervated by median nerve function normal .
Causes of Ulnar Deviation or Ulnar Drift
The main drive of Ulnar Deviation or Ulnar Drift is Rheumatoid Arthritis . Rheumatoid Arthritis causes the inflammation of metacarpo - phalangeal marijuana cigarette . The synovial membrane and ligament supporting the joint become extremely lax and joint subluxated . Partial subluxation and joint laxity causes repositioning of the extensor muscle and flexor muscular tissue . shift of the extensor muscle and flexor musculus and its tendon causes pull of the finger and hand toward ulnar side resulting in ulnar deviation . In several cases tendon and ligament are ruptured leave in speedy deterioration of the joint and digression .
Symptoms of Ulnar Deviation or Ulnar Drift
Pain
Tingling and Numbness-
Joint Abnormality-
Joint Swelling-
Motor Function-
Diagnosis of Ulnar Deviation or Ulnar Drift
Clinical Examination-
Radiological Examination
Treatments for Ulnar Deviation or Ulnar Drift
The following are some of the treatments rendered for Ulnar Deviation / Ulnar Drift :
Conservative Treatment for Ulnar Deviation or Ulnar Drift-
Therapeutic Treatment for Ulnar Deviation or Ulnar Drift –
Physical Therapy (PT) for Ulnar Deviation or Ulnar Drift –
Intrinsic Supervised Physiotherapy Stretches For Ulnar Deviation or Ulnar Drift:
Splinting Therapy for Ulnar Deviation or Ulnar Drift –
Surgical Treatment for Ulnar Deviation or Ulnar Drift –
Prevention of Ulnar Deviation or Ulnar Drift
Joint Protection Techniques
References :
1 . Rheumatoid wrist joint deformities and their relation to ulnar drift .
Hastings DE , Evans JA ,
J Bone Joint Surg Am . 1975 Oct;57(7):930 - 4 .
2 . Ulnar deviation of the fingers as a clinical foretoken in the older .
Wigzell FW .
Age Ageing . 1976 Aug;5(3):132 - 40.2
3 . Grip strength characteristics using force - clock time curve in rheumatoid hands .
Dias JJ1 , Singh HP , Taub N , Thompson J.
J Hand Surg Eur Vol . 2013 Feb;38(2):170 - 7 . 3
4 . Long - term followup for arthritic arthritis patient in a multicenter outcomes subject area of silicone polymer metacarpophalangeal joint Arthroplasty .
Chung KC1 , Burns PB , Kim HM , Burke FD , Wilgis EF , Fox DA . 4
Arthritis Care Res ( Hoboken ) . 2012 Sep;64(9):1292 - 300 .
5 . A prospective study comparing result after reconstructive memory in arthritic arthritis patients with grave ulnardrift deformity .
Chung KC1 , Burke FD , Wilgis EF , Regan M , Kim HM , Fox DA .
Plast Reconstr Surg . 2009 Jun;123(6):1769 - 77 . 5
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