Pediatric Ulnar-Sided Wrist Pain

A Review of the Current Literature

Susanne M. Roberts, MD; Matthew W. Konigsberg, MD


J Am Acad Orthop Surg. 2022;30(15):711-720. 

In This Article

Abstract and Introduction


Patients presenting with ulnar-sided wrist pain can pose a diagnostic and therapeutic challenge to physicians because there are several pathologies with similar signs and symptoms. In comparison with adult patients, other etiologies must be considered in the pediatric patient, given the skeletal immaturity and potential for known or unrecognized syndromes. In addition, these patients may not be able to articulate their symptoms as clearly as an adult patient, further stressing the importance of obtaining a pertinent history and performing a focused physical examination. Having a thorough understanding of the anatomy, the varying pathologies, and the indications for surgical and nonsurgical management will assist in improved patient outcomes.


Ulnar-sided wrist pain in the pediatric population may have a variety of etiologies including overuse, congenital, posttraumatic, or idiopathic causes. It is important to obtain a focused history and perform a thorough physical examination to properly diagnose and treat each patient. Physicians treating pediatric patients with ulnar-sided wrist pain must account for the remaining skeletal growth, as well as any concurrent symptoms or syndromes, because these may affect diagnosis and treatment options. Here, we will discuss many of the different etiologies of ulnar-sided wrist pain in the pediatric population.