Ecu subluxation

i finally got an mri after ongoing wrist issues since last year and it came back as "tfcc appears degenerated, no fluid indicating tear" and "ecu tendon is subluxed". "All tendons, ligaments, carpal, spaces, look otherwise maintained."
The ortho told me the only way to get the tendon sheath to heal and prevent recurrent subluxation is to brace in a hard long arm cast for 6-8 weeks. Obviously, I don't want to be immobilized elbow to wrist for 2 months so I'm wondering if anyone else has dealt with this in any other way?
also, I've literally never felt it pop out and when the hand therapist who was casting my arm tried to move my hand palm up to elicit subluxation, she didn't feel anything pop out either. so I'm skeptical...

23 rounds a PT, ecentrics, RICE, dry needling, NSAIDs, slow weight loading, stretches, voltaren, braces both soft and hard, ergonomics You name it i have probably tried it in the course of 4 years. Today i have asked my dr if i could get the stabilization surgery and he said i am mot a candidate for it … Dunno what to do I am getting sick of this

I had an x-ray and MRI done: central TFCC tear in both wrists. I’ve been in a brace for 6 weeks, then on a physical therapy regiment. No change in pain.
I’m a fairly active person, mountain biking, swimming, and sailing. In fact, I’m preparing to sail full time, liveaboard in about 2 years which will use my wrists a lot (balancing, bracing, pulling rope, tying rope etc…) The pain is present at the extreme ends of wrist adduction(ulnar deviation) as well as supination. The pain is triggered when the muscles are not engaged and unexpected force moves my wrist into that extreme range. I don’t have joint instability.
My orthopedic surgeon gave me 2 treatment plans: Cortisone shot or wrist arthroscopy plus TFCC debridement. The right wrist shows some ECU wear on the MRI, but I’m not experiencing ECU subluxation. The pain I’m experiencing is identical on my right and left wrists, so I don’t think it’s from the ECU tendon wear. The surgeon recommends cortisone shots over surgery.
My understanding of the cortisone shot is it removes the pain and also reduces inflammation which may help me for months at a time. My hesitancy on this being a remedy is that it’s been 10 years and the pain persists. I would have expected a recovery or reduction in inflammation to occur in the last decade. I’m not active all the time and I’m rather sedentary during the winter months (December through March). I was also very sedentary from 2020 through 2022. There has been no change in pain. I have safety concerns and access to medical concerns while sailing full time. If I get a cortisone shot and the pain returns while sailing, access to relief may be days/weeks away and cause me to be diminished in functionality and a risk to my crew. If symptoms increase and I need surgery, then I’ve just kicked the can into a time frame where rest and time to recovery is not as simple as it is now; telework, living in a home with access to great medical professionals (John Hopkins).
Surgery, albeit an intrusive option, sounds like a more lasting solution. I’m aware of surgery creating new challenges like scar tissue.
I’m not opposed to either option, but my window to find a suitable treatment that matches my lifestyle is narrowing. Could you provide some guidance in helping me make a more informed decision on which route to take? How have your patients recovered from TFCC surgery? Does Cortisone injections offer lasting relief if
Thanks!

Hey all, I’m fairly new here but figured I’d reach out to see if anyone else has experienced this. So I’m 21 years old and was just recently forced to quit collegiate baseball due to my body slowly falling apart. It started with my throwing elbow in which I was experiencing severe pain when I would throw. I had it scoped and the surgeon didn’t find anything but inflammation. It’s been 1.5 years since the surgery and my elbow still hasn’t healed from the procedure-if anything it’s worse. Fast forward about 5 months from the initial injury, I experienced my ECU tendon snapping out with every swing. My doctors decided to play it conservative and just gave me a wrist widget, hoping it would heal within a month or so. Fast forward to today, both of my ECU tendons sublux and I’ve been stripped of baseball along with golf.
I’ve been meeting with different surgeons to find out who would operate on my left ECU near my wrist, but all of them stated that I would have to convince them to do the procedure.
I know I don’t have full on EDS but definitely have some sort of hyper mobility/collegen disorder. If anyone has experienced a similar procedure or have any input, it’s greatly appreciated.
Thanks!

Currently AD 15Y getting medboarded for bilateral wrist issues ( Left wrist ECU subluxation and Right wrist TFCC tear) during the medboard process I was in a car accident and while bracing before impact, the energy transfered through my right hand to my wrist, shoulder blade and neck. My usability of my right wrist and hand has now worsened. PEBLO has "OKed" me for surgery on the left as it is my dominant hand and on the waitlist pending updated mri of my right wrist to see if further damage is present.
My question is should hold off the surgery until I get out through the VA? I will eventually need surgery on both wrists. My mum used to work for the VA hospital and knows the horror stories of veterans waiting for care. I've heard improvements have been done through the news but I am sure going through this community would give me better insight.
Also, my plan is to get out medically from army and go back to school via Gi bill and get my 2nd bachelors in advertising. I was originally going to work on helicopters components in line with my MOS, but considering my wrist issues I feel it would be safer to return to my creative nature.
Potential options I am weighing:
° Get out no surgery, get care through VA eventually. ° Get surgery on left, get out, get care through VA eventually for right wrist. ° Get surgery on both wrists, get out with lower VA percentage or possibly found fit for duty.
Please let me know your experiences and advice.
Thank you,

• H20

Around a year ago I had surgery to repair a subluxated ECU tendon in my right wrist which was a massive success. Unfortunately after the surgery I still had significant FCU tendonitis, with the main symptom being pressure based pain and crepitus. I should add that the pain is so bad that I could no longer use a mouse, and I was instead using a trackball as a workaround. This had been ongoing for around 8 years, and before that I had tried every possible medical solution under the sun except surgery, because I had not spoken with a doctor who had been knowledgeable enough to diagnose the condition, sadly. I'm sure everyone in this sub is familiar with how incredibly dismissive doctors are when they don't know what is wrong.
So after the rousing success of my first surgery, I was eager to give it another shot. Unfortunately, MRI did not really show anything weird with my FCU tendon, unlike my ECU tendon previously. The surgeon offered to remove my pisiform bone, as he said that is pretty much the only thing that could be wrong with my hand, and I said yes, considering all alternatives had failed. He assured me that the pisiform bone is not really important, and I would maintain strength/full range of motion.
During the surgery he discovered that my pisiform bone was about 2-3x as large as it should have been, and was "stretching" my FCU tendon. He was initially worried the tendon was torn, but it seemed to be OK. I'm relatively tall (6'5) but I have extremely small hands for my size. He said that the bone would be appropriately sized for someone with normally proportioned hands at my height. Honestly, it was hilarious because I've been insecure about my small hand size since I was a teenager, and now I find out that they are also apparently responsible for giving me chronic pain. Great.
That was 3 months ago. Since then the swelling has almost completely gone down, but unfortunately it's still quite painful. I will say that it's maybe 10-20% less painful than before, as I no longer have days where I'm in so much pain I can't even touch the computer. But the main annoying thing is there is still SIGNIFICANT painful popping/crepitus of my tendon/tendon sheath which is super frustrating. Honestly, at this point I don't think there is anything else that can be done, and what I have is now pain for life. Maybe in the future I'll find the motivation to try something again, but for now I'm giving up to focus on my other chronic pain. I've been fighting lower back pain and sciatica for around 5 years, hip tendonitis for 6 years, achilles heel tendonitis and TMJ problems for 1.5 years, and more recently rotator cuff problems and numbness in the entirety of my right arm, possibly from thoracic outlet syndrome. Which means I can't walk, sit, use a computer, or really do anything except lay down without being in pain. And some days even laying down is painful.
I'm scheduled for another hand surgery (this time my left hand) as well as double jaw surgery early next year, which I've needed since I was 18. On top of all of it, I just got diagnosed this year at the grand age of 30 with ADHD. Which makes me feel like even more of a freak. It's just been one big never ending nightmare and every day I hope that I will wake up and be normal.
/vent over

I am grateful to the online community for those hard times when you´re feeling a bit lost regarding an injury. Therefore I decided to write this article about a relatively successful story on TFCC and high performance climbing. Of course, it´s impossible to summarize everything in a single post but here´s the best I could do and if you need further info, please do not count on me but rather seek for professional help. Bear in mind that delegating your issue to a doctor is not what I am talking about. It´s a team work where you play the most crucial role which is owning the injury with intelligence, patience and hard work.
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Quick intro:
I am 44 years old based in Brazil, been climbing for more than half of my life. Fully dedicated to the most injury intensive discipline (bouldering) for the past 13 years. It´s common for me to climb/train 6 times per week. Max grade V13, achieved around 10 years ago, however I will "clickbait" you by stating that I have reassured that grade today even at this age, whilst dealing with a TFCC injury (acquired 1 year ago) plus a near-retirement acute cervical radiculopathy (2 years ago).
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Shameful story on how I got TFCC:
I slept over my hand twisted under the pillow. I can´t recall how many times i´ve done that but I guess it was a stupid habit. Woke up with a numb/burning wrist. I thought it was just a mild thing (who would think it could be so dangerous during your sleep?). On a sidenote: I suffered a severed cervical radiculopathy the year before. Months of paresthesia on the same arm (80% loss of power), which leaded to atrophy and a long recovery process. This is another long story but worth mentioning as it might be related to a possible fragility on the wrist (along with so many years of climbing).
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Symptoms and 1st year:
I could not do certain types of moves such as ulnar deviation and wrist extension, which compromises a lot of underclings, crossovers, diagonal holds. All unbearable. To understand exactly what sort of motion is f*cked up was the 1st step in progressing positively with this injury. It took a while to get acquainted with it. It was a fundamental starting point of my rehab journey. Few months went by with various empirical treatments and conservative climbing. Lots of ups and downs until I eventually decided to give up due to worsening of the injury (pain tolerance is your enemy here). Went to a surgeon with my MRI and was ready for surgery. To my surprise, he was doubtful about his clinical examination (could not reproduce expected pain in many tests). We discussed. Perhaps my historical active background could be backing up the injury? My arm had 20+ years of climbing strengthening at a reasonable level. Anyhow, I just got a useless cortisone shot and we decided to go the usual/primary way - physical therapy.
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Summary of things I´ve tried:
Without a controlled study with other patients, all I am stating here should be taken with a grain of salt.
- First of all, do an MRI. Make sure you have clear diagnostics on your wrist. It is a very complex part of your body. Other things might produce pain on the ulnar side, such as the ECU.
- At my age I strongly believe that surgery was not 100% guarantee of solving my problem (to a sports high performance standpoint). Be conscious as well that cartilage is a non-vascular thing (unlikely to regenerate on its own). So depending on the severity of your tear, the surgeon might be your only hope.
- Research PT online and with professionals (there is a Facebook group exclusively talking about this, look out for the wrist widget folks - they are fully into this topic)
- Regarding Wrist widget: did not do any miracle for me. I gave up on it when it started to hurt more than help. But many people claim it´s good. So try it out, just never rely on it to do risky moves, it won´t save you. To avoid overloading the painful wrist positions is the way to go, at least in the first months.
- Icing, massage, cupping, acupuncture etc.: migh help in the beginning during peak inflammation. Again, don´t expect anything other than a momentary relief. Be patient.
- Generic bracing: useless. Get an orthosis (I did my own custom made splint) fitting the wrist perfectly in order to prevent the "forbidden/painful moves" (ulnar deviation and wrist extension in my case). I used it everyday in the beginning, then transitioned to wear it only during sleep (a very important period for recovery). I feel this was one of the most important measures during the whole process.
- Wrist exercises: I would start with just isometrics. Think about "shielding" the area. Motion at a initial stage was risky for me as it borderlines with pain. And painful exercises was a step back in my experience. Climbing itself will make your wrist stronger, as long as you stick to neutral hand positions. Radial deviation was allowed for me so I trained lotsa "gaston" (shouldery) moves and so forth. Crossovers and underclings forbidden. You will learn how to read lines and foresee dangerous moves to your wrist. Your body will adapt in order to not expose your wrist and I consider this an evolution of your technique towards a healthier style.
- The above info will guide you for the year following your injury. One might take a full rest for the first couple of weeks but I do recommend to restore climbing activity at your weekly routine asap. Full rest will weaken your body and increase the risk of reinjury later on. I know, it sucks to climb while avoiding all the painfull wrist positions (that suspended all of my projects). Patience is key and with time and careful tests you will start regaining back some of those moves without pain.
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Second year - PROGRESS SO FAR:
- I did not do a new MRI (very expensive here). However, I went from a clearly disabled climber to almost lifetime peak at 44. Peaking is relative. For sure I am physically more fragile. But climbing is way more than your fingers, biceps and forearms (our brain is the most important "muscle" :-). So overall I am blown away by what I have done this season, including first ascents of hard boulders such as this one: (completely pain free, btw)
🎥 https://www.youtube.com/watch?v=-L-xKgzvVrg
- Today I know exaclty how to reproduce the pain in my TFCC. I know how to "reawake" the injury. It did not went away and I still sleep with my splint. But I have a well shielded/strong wrist now, a well adapted technique, capable of doing 80% of the moves previously "forbidden". The remaining 20% I feel ok in letting go. Just feel content about climbing hard again. Underclings, diagonal ulnar-deviated holds, I am back on them! Pain will only appear when I apply "110%" power on those hand positions that should not be forced even before the injury. Sometimes I tape it for prevention, but above all I better evaluate moves prior to blindly trying hard on them, which is a good practice for any other injury out there.
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I hope this report gives hope (i.e.: hard work inspiration) for those who are struggling with injury.
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Cheers!
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F 27, no other health issues, normal weight Have been having wrist problems for 2 years and been diagnosed multiple times until i started PT today. My hand will be put in a cast next Thursday and i would like to know how well conservative treatment is in the future, and whether or not will i be able to be back to moderate activity. Can it be completely cured or just managed ?

Hey all,
During the covid lockdowns I injured my wrist. I'd been putting a lot of strain on it because I worked as a typist at the time, was playing a lot of guitar, but at the exact moment I was using those squeezy grip exercisers. Felt pain on my pinky side of my wrist, rested it a bit, and it seemed to get better but then I noticed for a while I'd get pain on the top of my hand when using a mouse. Adjusted my habits, waited a bit, symptoms kept coming and going and eventually I noticed the ECU tendon seemed inflamed and like it would slip out and slide over the bone when I'd turn my wrist. Googled around, saw what it might be, and after a few months eventually saw a physio who gave me some isometric exercises, but these just seemed to make things more painful. I stuck with them for a couple of weeks but only resting makes the symptoms ease.
A few years go by, and I've settled in to a basic routine with it, I rest my hand, don't do anything exacerbating, take fish oil and it settles down. I start playing guitar again, or doing the isometrics and it flairs up. The acute pain is long gone, but it just because a warm, dull, ache on the pinky side of my wrist for hours / days, and the join becomes very clicky and snappy. Tendon seems thick and to pop out more.
So I finally went to doctor for this, he referred me for an ultrasound, was fully expecting the sheath to be torn or some sign of inflammation but apparently there are no signs of anything wrong with the structures in my wrist. This is good news, I know, but now I don't really know how to go forward. I did find an exercise in a friction massage video relieved symptoms but I don't know if this is a long term strategy. Should I just settle in for chronic tendon pain and accept maybe not playing guitar anymore? I can live with that, but it's the back and forth, I'm finding hard.

Looking for some advice on ecu tendon subluxation/instability. I’ve had the subluxation on and off for years and it is never painful, but can mess with certain movements.
I’ve recently been progressing dumbbell curls pretty intensely (hitting 45 lbs for reps) and it’s happening while I’m coming out of the bottom of the movement and actively supinating.
Any tips on any specific wrist or forearm strengthening I can do create more stability in the region?
Current plan: - drop weight a bit and up the reps (was working in 5-8 rep range, will probs go 8-12, maybe 10-15) - start doing the gmb wrist prep routine again - maybe invest in a wrist widget, tho I’m always concerned bracing is just a bandaid

Age: 30
Sex: Male
Height: 5”6
Weight: 180
Race: Caucasian
Duration of complaint: 3 weeks
Location: Canada
Any existing relevant medical issues: None
Current medications: BPC 157 , TB-500 (not prescribed)
Onset:
3 weeks ago , I injured my wrist somehow from Jiu Jitsu. On my way home I was noticing ECU subluxation when I probated and supinated my wrist. There was no “ouch” injury during class , didn’t even notice it and actually had a great session.
Symptoms:
No pain when pronating or supinating wrist currently , however ulnar side of wrist feels a little sore after. No pain weight bearing either , I did some Dumbbell Bench Press with 45 pounds and these were pain free however I didn’t want to risk injury so I’ll probably stop this for now.
Ligament or tendon pops out and is unstable when loading the wrist in ulnar deviation. This causes pain and discomfort where I want to drop the object. I tried doing the rehab exercise where you hold a hammer from the bottom end facing away from you and lifting it with ulnar deviation. This causes pain.
Treatment:
Been wearing a wrist widget and trying to not aggravate the wrist tendon from “popping” out. So I’ve just been running and resistance training lower body. Two days ago I rubbed my eye and I felt the ligament or tendon “move” again , so I am assuming it hasn’t fully healed or at all …
I’ve been using BPC and TB-500 (peptides) in hopes of healing this as well as using a NSD Powerball for rehab. Seems to be getting better not sure as I don’t want to test any ulnar deviation movements in fear of possible re-tearing.
Been using a Thermotex Infrared heating pad on wrist and forearm in hopes of bringing or circulation to the site of Injury.
Been taking 20g of Collagen as I heard this can help accelerate healing with these type of injuries.
My family physician did a x-ray and ultrasound. Only findings were ECU subluxation when pronating and supinating wrist which doesn’t tell us much as we already knew this. Still waiting for my referral to a hand and wrist specialist.
Anybody deal with this injury before ? Just want to get some insight while I am waiting for my referral. It is quite a depressing situation for me as I cannot partake in my after work hobby but it could be worst I guess. Hopefully I won’t need surgery for this but I know we won’t find out until I get an MRI which can take forever lol. Anyways thank you for your time and I’d appreciate any feedback and advice !

Does anybody know wrist injury specialist, good ortho doctor? (ECU subluxation injury)

Hello, I am looking for an expert opinion to help me make the best decisions for recovery. Unfortunately in my country you have to advocate to your GP for treatment and the wait times are long (although it’s paid for by the government).
My background: I am 37 years old: 160 lbs athletic build - active in weight training, rock climbing, jogging and cycling.
Circumstances surrounding injury: August 2022 (10 months prior to this post), while in a handstand, I fell towards my fingers and overextended my left wrist. It was sore but nothing significant. Still sore the next day. Remained sore for over a week and I became concerned.
The pain is on the top of the wrist. Almost in the middle - maybe slightly towards the thumb side, but almost right in the middle.
I can push down in that area and feel pain in a soft tissue, and also pain if I push down on one of the bones.
I am unable to bend my wrist backwards (barely past straight). I am also unable to put weight on my hand if bent back at all. I can’t mantle over objects (like how you would jump over a fence, or out of a swimming pool). I cannot hold myself in a push-up position without extreme pain. I can however hold myself with a fist and straight wrist in the push-up position pain free.
I am able to bend my wrist forward without issue. I still have nearly all my grip strength and my wrist can be used under load as long as I remain in a straight wrist position (sometimes there is pain depending on what I am doing).
I can rock climb as long as I stick to pulling motions only with the left wrist.
Investigations and treatment so far as a chronology:
First physiotherapist thought I may have pinched something in my wrist. Told me to keep using it as much as possible in a pain free range of motion. After several months without improvement I contacted a different physiotherapist.
Second physiotherapist gave me a series of exercises. Mostly invoked wrist curls. I did gain strength, but my pain free range of motion did not increase.
After several months I went to my GP and she ordered an X-ray
X-ray: X-ray results according to my nurse practitioner: “some tissue degradation and possible arthritis” put ice on it if sore. She refused to investigate further.
Thankfully I had an appointment with a hip surgeon (unrelated injury) and he was kind enough to order an MRI.
I have the results below. I’m not really sure how to interpret the results.
MRI results:
Impression * MRI of the left wrist demonstrate ulnar subluxation of the ECU tendon relative to the ulnar groove with mild peritendinous edema and mild tendinosis. The appearance is suggestive of an ECU subsheath tear. Correlation with ulnar-sided pain is recommended.* Mild edema within the mid to distal pole of the scaphoid. No discrete fracture is definitively identified; however, this could reflect sequelae of a recent contusion, particularly given the provided history of a FOOSH injury. Associated moderate regional capsular thickening and edema as well as a joint effusion. Narrative MRI LEFT WRISTCLINICAL HISTORY: Wrist pain, radial sided. Reduced range of motion and pain. FOOSH mechanism 6 months ago.TECHNIQUE: 3T axial and coronal PD FS, T1; sagittal PD fat-sat; Isotropic 3D isotropic MEDIC T2* acquired coronally with multiplanar off-axis reformations for more optimal visualization of the TFC and hyaline cartilage.COMPARISON: No recent relevant imaging of the left wrist is available for comparison on our system.FINDINGS:TFCC: Unremarkable.DRUJ: Unremarkable.Scapho-Lunate Ligament: The volar band of the scapholunate ligament is slightly thickened/attenuated. The dorsal band is intact. No widening of the scapholunate interval.Luno-triquetro Ligament: Intact.Radiocarpal Joint: Normal alignment. Small radiocarpal joint effusion.Midcarpal Joint: Normal alignment.STT Joint: Unremarkable.CMC Joints: Unremarkable.Carpal Bones: Mild edema within the mid to distal pole of the scaphoid. No definite discrete fracture is identified. There is associated mild to moderate regional capsular edema and small joint effusion. The remainder of the carpal bones are unremarkable.Extensor Tendons: The extensor carpi ulnaris tendon is alternately subluxed relative to the ulnar groove and perched upon the tip of the ulnar styloid (series 4, image 32; series 5, image 32). There is associated mild surrounding peritendinous edema. The ECU subsheath is not visualized; however, the extensor retinaculum appears intact. The tendon itself demonstrates mild focal intrasubstance signal heterogeneity reflective of tendinosis. No tenosynovitis. Small volume of fluid within the prestyloid recess with evidence of synovitis.The remainder of the extensor tendons are unremarkable.Flexor Tendons: Unremarkable.Median Nerve: Normal thickness and signal.Ulnar Nerve: Normal thickness and signal. Guyon's canal is unremarkable.Muscles: The visualized musculature of the hand and wrist demonstrates normal bulk and attenuation.
I have an upcoming appointment with a sports medicine physician.
Thank you for any help and advice

So like the title says I developed RSI 7 years ago, specifically I was having ulnar sided wrist pain, first in my right hand and then also in my left hand, and then into my elbows. Mostly when, writing, using the computer, playing video games, or cutting vegetables/meat whatever. My primary symptom besides pain was a "snapping" noise with rotation or ulnar deviation. And then an odd popping in my pisiformis, especially when I was typing or using the mouse.
Like all people, I went to the doctor and got the dreaded generic diagnosis of "tendonitis," and was recommended PT. PT didn't help me, neither did NSAIDS, or anything else I tried. And eventually, after seeing countless doctors who had nothing new to say, and one frustrated PT who eventually told me that it was "all in my head." I quit receiving treatment, and resigned myself to permanently using a trackball, which was the only thing that enabled me to continue working. I had also completely given up almost all of my hobbies, and instead of doing things I would just watch TV, because doing anything caused me pain.
Now, I will say that at this point, I had not gotten an MRI. I had pushed for one, but all doctors/surgeons whomever denied me one and said it was unnecessary. However, in the last year, I moved from the USA to Austria, and got put on their public healthcare. I decided I would try one last time, and the very first surgeon I spoke with ordered an MRI.
Surprise surprise, my ECU tendon has been dislocated this entire time! Specifically I had what is called "ECU subluxation," which is extremely rare. Usually, people get this from playing tennis I guess, but for me I was apparently just born with it in both of my ECU tendons. I got surgery to repair it, and the pain disappeared after the surgery. FYI wrist surgery is no joke, my hand was stiff for months afterwards and it took a lot of PT to get my range of motion back.
Unfortunately, my journey is not completely over. Remember the popping with my pisiformis? Well, it turns out that I also have FCU tendonitis in addition to the subluxated ECU tendon. FCU tendonitis is also very rare. I'm in PT right now to treat specifically, it, but so far it hasn't improved much.
Luckily, the ECU tendonitis was by far the most debilitating aspect, and I can now sort of use a mouse, if I take breaks with the trackball. I want to get "fully better," but I also feel that maybe I should just be happy I've had any improvement in my quality of life at all. Also the surgery was free, so that's a bonus. I still need to have the surgery done on my left hand though, but that's for the future. I also have various other chronic health problems, like sciatica and TMD. I need to get jaw surgery in the future as well. I guess I was just born wrong.
I guess the point of my post is that sometimes there is a mechanical issue with your tendons. And that if you can't get doctors to take you seriously in America move to another country.

I 45f, slipped and fell back in February of this year. They did x-rays at the time and didn't find a break so they put me in a brace for about 2 months. That didn't help anything so they switched braces and added physical therapy. That still didn't fix my problem so they did an MRI last month they found the ECU subluxation, the dislocated tendon, and the rupture of the subsheath. On the other side they said that a muscle was trapping a tendon on the thumbside. He did a steroid shot under the thumb, still waiting for that to help. I've been in a long arm cast for a couple of weeks now but still having a lot of pain and a lot of movement in that wrist. I've been staggering Tylenol and ibuprofen and I used the last of my leftover oxycodone from a kidney stone. Earlier today I asked for more pain meds he said no, just ibuprofen and switched my cast so that my hand is in a neutral position. Now it hurts even more than it did before. Its throbbing in the wrist and then up towards my elbow. I can't seem to get any answers on anything else I can try to alleviate the pain. Any suggestions? Please and thank you so much!

I have trigger finger and an ecu subluxation all in one hand from overuse caused by origami and the other crafts I do. was wondering if anyone else is in the same boat with origami injuries?

I'm a 33M, 5'10 160lbs. I was diagnosed with ECU subluxation about 2 months ago.
After conservative treatment methods like casting failed I was sent for an MRI last Friday. The specialist who ordered it is out of the office this week so I'm just waiting to hear back, but checked out the online report in the mean time.
The ECU does subluxate and is improperly perched along the inner margin of the ulnar styloid. The report says that this may suggest some laxity in the subsheath. The ECU is also mildly thickened and heterogenous.
My question is about some of the wording in the report. Specifically "There is not a distinct tear of the ECU tendon subsheath. The full extent of the subsheath is only partially visualized and difficult to separate from adjacent structures. No surrounding soft tissue edema is identified."
Does this imply that the subsheath may still have a tear and it's just not visible?
I only ask because my last MRI was for my hip labrum which they weren't sure if there was a tear, but during surgery it ended up being a pretty massive tear that needed 5 anchors.

It could be that your dog did something cute. It could be that you got a promotion. Or it could be that you just had a nice time on a hike. Or maybe your drive home was extra nice one day.
Whatever it is please post about it. I wanna hear about the good things in your lives. It's so easy to just think about the negative, sometimes we forget about all the good things.
I'll go first! My good thing that happened recently is that I beat the odds on my wrist. I subluxated my ECU tendon and was scheduled for surgery. When that date rolled around and I was cut out of my castings, everything looked and felt okay! I avoided 5 or 6 months of healing and therapy!
That's a really big thing there but leave some good things that are going on with you! (On mobile sorry for the formatting)

Age: 33 Gender: Male Weight: 77kgs
About 18 months ago, I noticed my worst was in pain when I would twist it. Hand therapist thought it was a subluxation of the ECU tendon and put em in a splint for a few months -didn't help.
Referred to hand surgeon. MRI showed inflammation in the wrist. Cortisone seemed to really help and was almost feeling 90%. After 2 to 3 months, cortisone wore off and pain got worse (and didn't feel like just the wrist, the whole hand would ache). Since then, it's gotten slightly better but every days different, some days it feels good (in that no pain, just can't twist it fully) and others it aches.
Went to a rheumatologist who is confident it's not a rheumatoid arthritis and was confident a tablet he put me on would fix it (Meloxicam Sandoz). 2 months and it hasn't helped.
What could be going on here? My surgeon essentials says their is inflammation their and he is not sure why. He said there isn't anything sinister going on (so not a cancer or growth or anything).
I don't rememeber a traumatic event but think I might have done something whilst doing weights during one of our lockdowns.
No history of arthritis or anything in my family.
Any thoughts here?

For around a year I've been rock climbing. It's how I've made friends, where I go for stress relief, it's how I made it through several tough times in my life. About 3 months ago I hurt my wrist. At first it wasn't bad, but after 2 weeks of progressive pain increse, I saw a doctor. The first person told me to squeeze a stress ball and get over a mental block keeping me from using my hand. Whatever sprain was there is gone now. The second doctor said it was a sprain, maybe a mild tear. Well 2 weeks after those 2 diagnoses, it wasn't better yet. So I saw a hand and wrist expert. Got an MRI and it turns out that I subluxated my ECU tendon and damaged the subsheath holding it to the ulnar bone. The treatment was a short cast apparently to give the sheath time to recover. Since then I've been in 3 different casts, 2 short and one long where I am today, awaiting surgery to reconstruct the sheath and finally get on the several month long road to recovery.
My physical health has deteriorated rapidly. I expect weight changes +- 10 pounds a week. I have lost so much muscle mass since working out has been impossible since being casted. I used to not be able to fit a finger into my cast. Now I can fit 3. The circumference of my arms and legs have dropped by about 3 inches each. My physical health has suffered drastically.
That's where I am now 3 months into my injury. What's worse than the physical changes to my body have been the mental changes. I used to feel like I could do anything. I had confidence. I was smart. Now I wake up every day feeling like I've let myself down again. Like somehow my wrist being in a cast makes me less than anyone else. After 3 months of not having my stress relief, I'm a ball of anxiety about not being good enough. About not being good enough to have argued for the proper treatment at the start. About not being smart enough to know what's wrong. I don't understand why I'm feeling the way I am. Deep down I know it's illogical. I know it's wrong but that doesn't change how I feel.
It's taken me a long time to even feel like I belong here, posting about an injury 3 months into treatment that hasn't healed a bit. It's hard feeling like I'm worth someone's time anymore. I lost everything I've worked for. I'm back home from school, so I don't even have that to distract me anymore. I'm just lost. Any advice on what to do to try and regain some of that self worth back would be super helpful.

I see most of the posts here are more regarding career related topics so apologies if I'm out of place with this question.
So about 7 weeks ago I started having some major ECU subluxation. That mixed with some prior De Quervain's Tenosynovitis prompted my orthopedic surgeon to recommend a spica cast for 6 weeks.
I had the cast removed a few days ago, and initially felt pretty decent aside from some expected stiffness and itchy dry skin. Since nothing felt off, I didn't have much for questions. She told me to expect some pain and possible swelling and gave me a wrist splint to wear for 3 weeks. I take it off 4-5 times a day for some general wrist and thumb stretches.
How long does the pain associated with the 6 weeks of lack of movement typically take to subside? When googling it I could only find things specifically related to broken wrists which implied up to a year. That seems a bit long for not breaking anything, but I also have no reference point or idea about this sort of thing lol.
I'm not looking for straight up how to get better or medical advice, I'm mostly just curious what to expect on average.
I should add I go back in ~3 weeks and will very likely be starting OT then, unless the subluxation is still occurring.
Thanks for taking the time to read my post, and if this isn't the proper place for something like this feel free to let me know and I'll remove it. Happy Holidays!

Hi, y'all! I've been having issues with my wrists for 4.5 years now and am finally getting them checked out. My appointment with the orthopedist had to be pushed back from last week to the end of the month, so it's gonna be a bit until I can see what he recommends.
My question for y'all is: has anyone dealt with an ECU tendon subluxation/subsheath tear? A TFCC tear? What was your experience? What treatment were you given, and how did it work out for you?
For ganglion cysts, I've seen plenty of people mention them on here -- what was your experience for those?
It looks like the typical treatment for the tears is either immobilising the wrist for a length of time as a conservative measure to see if it will heal on its own or surgery. I also am starting to look for a physical therapist that specialises in hands/wrists since that will be likely be needed.
Feeling a bit stressed about the idea of all this. Even if all goes well, it's a long time to have a hand out of commission (and twice in a row), and my job(s) really require hands. The idea of things not going well is definitely concerning since it's such an important body part. Trying to mentally prep myself for any and all possibilities.
I'm also trying to consider how my EDS will impact any of it. I don't think my doctor is particularly knowledgeable about EDS and its complications. Any input on experiences or anything would be most appreciated! 💜