Injuries to the Extensor Carpi Ulnaris and Its Investments in the Athlete

  • Rodney J. French
  • Thomas J. GrahamEmail author
Part of the In Clinical Practice book series (ICP)


While not common in general practice, extensor carpi ulnaris (ECU) injuries are one of the more commonly seen pathologies in both the weekend sportsperson and the elite athlete. An accurate diagnosis is critical and can generally be made on history and physical examination alone when the clinician has a good understanding of the relevant anatomy. MRI and ultrasound are useful adjuncts in confirming the diagnosis especially if other concurrent injuries are suspected. Initial nonoperative treatment employing structured stabilisation/mobilisation protocols is recommended as most athletes can return to play within 6–8 weeks. Surgery is sometimes required for chronic cases or acute injuries with gross instability, but surgery can often be safely postponed to the end of season, thereby allowing for full recovery in time for the start of the next season.


Extensor carpi ulnaris Subsheath Instability Tendinosis 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Surgery of the Hand and Wrist, Division of Plastic SurgeryUniversity of British ColumbiaVancouverCanada
  2. 2.Department of Orthopedic SurgeryNYU Langone HealthNew YorkUSA

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