Ulnar sided wrist pain, often resulting from conditions like TFCC tears, DRUJ instability, or arthritis, can significantly impact daily activities. Effective management often involves the use of specialized splints to provide support and alleviate discomfort. Below is an overview of four clinically useful splints designed to address various aspects of ulnar sided wrist pain.
The 3pp® Wrist POP™ is designed to address carpal alignment and provide support to the distal radioulnar joint (DRUJ). Its unique design allows for two adjustable points of pressure over the ulna and under the radius, facilitating optimal alignment and reducing pain. The non-slip base sleeve ensures a secure fit, and the choice of 1/8” or 1/4” thick pads allows for customizable pressure application. This splint is particularly beneficial for individuals experiencing carpal instability, DRUJ instability, TFCC injuries, or general ulnar sided wrist pain.
2. 3pp® Carpal Lift™
The 3pp® Carpal Lift™ provides a dynamic lift to the ulnar carpal bones, offering support for conditions such as TFCC injuries, ulnar sided wrist pain, Guyon’s canal compression, or arthritis. Its soft, foam-lined orthosis is slip-resistant and breathable, ensuring comfort during use. The design leaves fingers and wrist free, allowing for functional movement while providing necessary support.
3. Wrist Widget
The Wrist Widget is designed to hold the radius and ulna together, providing support for TFCC injuries. Made of firm non-elastic material with hook closures, it offers an adjustable fit and pressure application.
4. Comfort Cool Ulnar Booster
The Comfort Cool Ulnar Booster realigns and stabilizes carpal bones, addressing ulnar wrist pain or mid-carpal instability. Its neoprene material provides compression and support. Adjustable straps allow for customization of compression levels, to support mid-carpal instability or ulnar sided wrist pain.
| 3pp® Wrist POP | 3pp® Carpal Lift | Wrist Widget | Comfort Cool Ulnar Booster | |
|---|---|---|---|---|
| Purpose | Addresses carpal alignment, DRUJ, and ulnar tendon support with adjustable palmar support over the ulna and under the radius. | Dynamic lift to ulnar carpal bones for TFCC, ulnar sided wrist pain, Guyon’s canal compression or arthritis. | Holds the radius and ulna together for TFCC injuries. | Realigns and stabilizes carpal bones for ulnar wrist pain or instability (especially low ulnar head and boost pisiform). |
| Comfort Features | Non-slip base sleeve with choice of 1/8” or 1/4” thick pads for pressure application; fully adjustable fit and pressure. | Soft, foam-lined orthosis that is slip resistant and breathable; fingers and wrist free. | Made of firm non-elastic material with hook closures; adjustable fit and pressure application. | 1/16” thick neoprene material with terry liner; pads are adjustable; wrist motion minimally adjustable. |
| Design | Wrist-based wrap provides point of pressure without limiting motion; support pieces can be individually positioned. | Hand-based, minimally wraps the wrist, crosses ulna bones; no pressure on ulna. | Single two-part wrap designed to unload ulna head by tightening pressure on the ulnar head. | Includes hand and wrist wrap with padding to apply pressure to targeted wrist areas; loop for custom pad positioning (extra foam pad provided). |
| Fit | Fully adjustable base sleeve and corrective strap; can place pads where needed. Velcro parts allow for corrective support. | Adjustable straps on dorsal hand that hook to orthosis; does not limit wrist motion. | Velcro closure holds securely around forearm without limiting wrist motion. | Strapping and pad apply pressure; can be trimmed for customized fit. |
Clinical Considerations
Selecting the right splint for ulnar sided wrist pain requires careful attention to the patient’s specific condition, symptom severity, and functional needs. Factors such as activity level, comfort preferences, and underlying joint instability should guide the choice.
✅ Conclusion
Effective management of ulnar sided wrist pain relies on a tailored, patient-centered approach. Specialized splints provide targeted support, helping to alleviate discomfort, stabilize joints, and improve wrist function. By understanding the unique features, indications, and benefits of each splint, healthcare professionals can make informed decisions that optimize patient outcomes and promote long-term wrist health.
