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Lunate cyst treatment

Arthroscopic treatment has been proposed as an alternative for lunate cysts. The present study consisted in evaluating the feasibility and outcomes of arthroscopic treatment for lunate and scaphoid cysts. The main objective was to evaluate the postoperative clinical outcomes at 3 and 18 months ganglion cyst of the lunate bone. (B) Close-up view of cyst. Fig 2. Computed tomography scans of the wrist of a 63-year-old man with an intraosseous ganglion cyst of the lunate bone. (A) Frontal view showing that the cyst is on the scaphoid side of the lunate and is communi-cating with the articulation. (B) Frontal view showing the cyst

Arthroscopy-assisted treatment of scaphoid and lunate

The first step of treatment was to locate the lunate bone. Then, resection of the arthrosynovial cyst was performed using a 2.5-mm shaver (2.5-mm arthroscopic shaver blade; Stryker Formula Aggressive Cutter) (Fig 5) Lunate bone: in the wrist can have cystic changes. Sometimes this is normal or from a slight bit of arthritis but there are conditions where the lignite blood supp Read More. 2 doctors agree. 0. 0 comment. 0. 0 thank. Send thanks to the doctor Localization of the cyst is particularly important with this technique, as the cyst may be volar or dorsal. Figure 23.3 shows a typical coronal CT scan in which the ganglion located close to the scapholunate ligament can be seen to perforate the cortex of the lunate at the site of attachment of the ligament. It is a common radiological finding. This case report illustrates an unusual presentation of a cyst in the lunate with successful treatment. Standard of care includes curettage and bone grafting with minimal recurrence reported Described treatment options for a UBC include simple observation, curettage and grafting (autogenous or allogenous), steroids, demineralized bone matrix, and bone marrow injection [ 1, 3 ]. The incidence of UBCs involving the wrist bones and lunate has not been clearly defined in the literature [ 10 ]

Treatment options depend upon the severity and stage of the disease. In very early stages, the treatment can be as simple as observation, activity changes, and/or immobilization. For more advanced stages, surgery is usually considered. Surgery may be done to change forces across the lunate and wrist joint or to improve vascularity of the lunate Scapholunate Torn Ligament. A ligament is a thick band of tissue that connects two bones. There are many ligaments in the wrist. When a ligament is injured, this is referred to as a sprain. A very common ligament injured in a sprained wrist is the scapholunate ligament. This ligament is in the middle of the wrist between the scaphoid and lunate. diagnosis of symptomatic ganglion cyst of the lunate was made and operative intervention in the form of cyst excision and bone grafting was undertaken. The wrist was approached through a dorsal incision centered over the lunate. A defect in the lunate was visualized wit

If there is gapping and increased angulation between the scaphoid and lunate on x-rays, or if treatment without surgery hasn't been successful, then surgery is warranted. If the x-rays don't show gapping, but treatment with a cast or brace has not been successful, arthroscopy is an option

Intraosseous ganglion cyst of the lunate is an uncommon lesion and cause of wrist pain. Histopathologically it is identical to the common dorsal wrist ganglion and treatment by arthrotomy, curettage of the ganglion and bone graft resulted in clinical improvement in nine patients, six of whom became symptom-free Surgical treatment was performed through a dorsal approach. A fluid-filled soft tissue mass in the lunate bone was observed. Excision of the ganglion cyst and curettage of the affected bone were.. Surgical treatment is generally successful as long as the stalk of the cyst is excised. Osteophyte excision with capsulectomy is the mainstay of treatment for mucous cyst with underlying arthritis of the distal interphalangeal joint or interphalangeal joint of the thumb Causes of Subchondral Bone Cysts. Osteoarthritis (OA) is the most common. It breaks down the cartilage. OA can happen from simple wear and tear over time, or because of a sudden injury to a joint.

Arthroscopically assisted treatment of intraosseous ganglions of the lunate: a new technique. Ashwood N(1), Bain GI. Author information: (1)Department of Surgery and Trauma, Royal Adelaide Hospital, University of Adelaide, Adelaide, Australia Usually surgical treatment is preferred for lunate dislocation even in normal cases as it provides better stability and proper healing of the bones. Pins are inserted temporarily to keep the bones in position after lunate dislocation surgery, which are removed later Radial shortening to correct negative ulnar variance is the most common surgical therapy with good results. Other operative procedures include ulnar lengthening, revascularization, lunate excision with or without prosthetic replacement, and inter-carpal fusion. Proximal row carpectomy (PRC) is used as a salvage procedure in refractory cases 1

Arthroscopic Treatment of Intraosseous Ganglion Cyst of

Single wrist intraosseous thecal cysts are most common in the lunate and scaphoid bones (9). In clinical treatment, tumor excision is the best strategy for painful ganglia, and is usually followed by autogenous bone grafting in the traditional treatment (10, 11) Subchondral bone cysts (SBCs) are sacs filled with fluid that form inside of joints such as knees, hips, and shoulders. The sac is usually primarily filled with hyaluronic acid. Hyaluronic acid is. The first step of treatment was to locate the lunate bone. Then, resection of the arthrosynovial cyst was performed using a 2.5-mm shaver (2.5-mm arthroscopic shaver blade; Stryker Formula Aggressive Cutter) (Fig 5).On the basis of the computed tomography (CT) scan information, we were able to locate the intraosseous ganglion cyst of the lunate bone This article documents the outcome of treatment of intraosseous ganglia and simple bone cysts of the carpal bones by curettage and injectable calcium phosphate bone cement (CPC) grafting. The patients consisted of five men and three women. One had a cystic lesion in the scaphoid, one in the hamate, and five in the lunate Ganglion cyst symptoms. Wrist ganglions are more common in women with 70% occurring in people between the ages of 20-40. They appear around the wrist joint as a small lump or swelling. Some are painless, however, others cause wrist pain which can vary from mild to severe. Pain may be aggravated by moving your wrist or direct impact or trauma to.

Ganglion cysts arising from the scapholunate ligament. Typical dorsal capsular ganglion cyst (arrow), lobulated and positioned adjacent to the dorsal component of the scapholunate ligament, from which it arises (S=scaphoid, L=lunate). Sagittal image showing a partially intraosseous ganglion cyst at the dorsal margin of the lunate Frequently, a fall onto the wrist leads to a sprain or partial tear of the ligament. Over time, a fluid-filled cyst called a ganglion can form over the ligament. This is often called a scapholunate ganglion. As the ganglion gets bigger, it can press on other structures and cause pain particularly with movement of the wrist cyst through a small flap (3-4 mm) carefully cut in the scapho-lunate interosseous ligament, which is a good way of treating the cyst without creating a new defect in the articular cartilage of the lunate and avoids development of a scapho-lunate dissociation. Recurrences of IOG cyst are rare (1, 2, 6, 7) Surgical treatment of the IOG of the lunate bone is indicated even in asymptomatic cases if continuous monitoring of the patient through radiography reveals progressive growth of the cyst, because it leads to bone replacement and erosion, resulting in pathologic fractures [15,16] (100%) ganglion cysts excised over a 25-year period. Clay and Clement10 showed this in 47 of 62 (76%) cases and found most of the remainder to have arisen from the region of the capitate. In 1985, Gunther6 presented a series of patients in which he showed that an occult scapholunate ganglion cyst could be the cause of wrist pain and tenderness

Varies: The term fraying is not usually used to describe a bone as much as soft tissue structures such as a tendon or ligament. In general, abnormalities of the lunate bone are typically either post traumatic or from an inflammatory/arthritic condition. Treatment is based primarily on the specific diagnosis Bone Cyst Treatment. Most often bone cysts resolve with time. Repeated X-rays are usually done to make sure the cyst is getting smaller. If a pathologic fracture occurs, the cyst may need to be surgically cleaned and then packed with bone graft to fill in the bone and encourage bone healing

Any cyst in a high stress area, such as the peritrochanteric region of the femur will require open reduction and internal fixation in addition to the definitive treatment described above. Even a biopsy in this region is enough to initiate a fracture and will probably require internal fixation before the patient can be safely mobilised Unicameral bone cyst of the lunate in an adult: case report Hakan Gündeş*, Mustafa Sahin, Tugrul Alici Abstract We report a case of a symptomatic unicameral (simple) bone cyst of the lunate in a 42-year- old woman. The lesion was treated with curettage and cancellous autogenous iliac bone grafting. At five years of follow-up th true relationship between lunate cyst and the degree of ulnar positive variance or age. Results: In total, 241 patients had ulnar positive variance on their wrist and 41 patients (17%) had lunate cyst. The prevalence of lunate cyst was significantly higher in group 1 (6 patients [60%] vs. 35 patients [9.26%], P < .001, respectively). However

ER treatment:

Arthroscopic Treatment of Intraosseous Ganglion Cyst of

Regenerative medicine treatment. Bone marrow aspirate and concentration is a newer procedure that might be appropriate for early stage avascular necrosis of the hip. Stem cells are harvested from your bone marrow. During surgery, a core of dead hipbone is removed and stem cells inserted in its place, potentially allowing for growth of new bone Ganglion cysts are soft tissue swellings occurring most commonly in the hand or wrist. Apart from swelling, most cysts are asymptomatic. Other symptoms include pain, weakness, or paraesthesia. The two main concerns patients have are the cosmetic appearance of the cysts and the fear of future malignant growth. It has been shown that 58% of cysts will resolve spontaneously over time Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex (updated 1 July 2021), Cerner Multum™ (updated 1 July 2021), ASHP (updated 30 June.

  1. Kienböck's disease is a disorder of the wrist.It is named for Dr. Robert Kienböck, a radiologist in Vienna, Austria who described osteomalacia of the lunate in 1910. It is breakdown of the lunate bone, a carpal bone in the wrist that articulates with the radius in the forearm. Specifically, Kienböck's disease is another name for avascular necrosis (death and fracture of bone tissue due to.
  2. MNT also looks at the treatments and risk factors. When sacs of fluid form inside an individual's joints, it is known as a subchondral bone cyst. Osteoarthritis and rheumatoid arthritis can lead.
  3. Ganglion Cyst Symptoms and Signs The cyst contains clear fluid similar to synovial fluid. They often found around the wrist joint, especially at the scapho-lunate joint, which accounts for 80% of all ganglion cysts. Ganglion Cyst Causes The exact cause of ganglion cysts is still unknown
  4. If the cyst returns many years after treatment, it most likely represents a new ganglion. A study of the rate and risk of recurrence after open excision of ganglion cysts in 628 patients reported an overall recurrence rate of 3.8% and found male sex and surgeon experience to be significant risk factors for recurrence. [ 33

lunate bone cyst Answers from Doctors HealthTa

Arthroscopically Assisted Treatment of Intraosseous

Subchondral Bone Cysts are referred to fluid filled sacs like structures that form in various joints of the body. The cyst usually forms in the subchondral area of the joint which is just underneath the cartilage. An individual is predisposed to developing Subchondral Bone Cysts when he or she is either obese or is heavily nicotine dependent The recurrence rate after any treatment is low. 3. No true fracture was reported due to intraosseous ganglia, Intraosseous ganglion cyst of the lunate: diagnosis and management Tomography in frontal projection of lunate cysts situated towards the radial aspect. Fiy. 6. l'omography of (a) and (1)) cavities in ulnar portion, and (c) dorsal cavity. ((1) Large irregular cyst with proximal defect in the lunate. In this group all gradations from shallow depressions to rounded.

(PDF) Intraosseous Ganglion Cyst of the Lunat

  1. The scapholunate (SL) ligament, which is the most commonly injured ligament of the wrist, connects these bones. Following a scapholunate (SL) ligament tear or injury, patients in the Atlanta, GA area can come to Dr. Steven Bailey at The Hand Center at Crawford Plastic Surgery for treatment that relieves pain and restores wrist function
  2. Scapholunate Ligament Injuries. As the ligament that connects the scaphoid and lunate wrist bones together, the scapholunate ligament helps to stabilize the wrist during movement. When this tissue becomes torn, whether fully or partially, common symptoms include pain, reduced mobility, swelling, and tenderness
  3. BACKGROUND: Intraosseous ganglion (IOG) cysts rarely have been reported in the carpal bones and lunate is the most common area of involvement. They can present as chronic wrist pain accompanied by a radiolucent lytic lesion in the lunate bone
  4. The success rate of single aspiration of dorsal ganglion cysts can be increased by approximately 27% if the wrist is splinted for 3 weeks afterward. Richman JA, Gelberman RH, Engber WD, et al. Ganglions of the wrist and digits: results of treatment by aspiration and cyst wall puncture
  5. Practice Essentials. Carpal dislocations represent a continuum of wrist injury that can lead to lunate or perilunate dislocation. The lunate cup commonly is directed in a volar direction in dislocation because of the mechanism of the injury. Perilunate dislocations result from dislocation of the distal carpal row. [ 1

Treatment: Non-surgical. Aspiration involves puncturing the cyst with a needle and draining the fluid. This causes the cyst to shrink and relieves pressure on the nerves. The cyst can grow back after aspiration. A wrist brace may be recommended to limit movement, since movement can cause the cyst to expand and cause more pain Clinical Features and Treatments of Carpal Bone Cysts Chul-Hyung Lee, 1 Dong-Hyuk Sun, 1 Youn-Min Lee, 2 Suk-Hwan Song, 2 and Seung-Koo Rhee 1 1 Department of Orthopedic Surgery, Sun General Hospital, Daejeon, Korea.: 2 Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea Subchondral sclerosis is a disease that affects the bones and specifically the joints, of people who have osteoarthritis.Subcrondal sclerosis causes joint pain and numbness due to increased bone density and mass, producing a thin layer of bone beneath the cartilage in the joints.This disease is chronic and painful, but it is easy to detect and includes several different treatments Ulnar impaction syndrome, also known as ulnar abutment or ulnocarpal impaction or loading, is a painful degenerative wrist condition caused by the ulnar head impacting upon the ulnar-sided carpus with the injury to the triangular fibrocartilage complex (TFCC).. Differentiation from ulnar impingement syndrome is critical, which is due to a shortened ulna that abuts and causes radial remodeling A wrist defect often requiring surgical intervention is scapholunate advanced collapse (SLAC.) SLAC is a condition of progressive instability that causes advanced radiocarpal and midcarpal osteoarthritis. SLAC describes a specific pattern of progressive subluxation with loss of articulation between the scaphoid and lunate bones

[Intraosseus synovial cysts of the lunate bone: diagnostic problems]. Intraosseous ganglia is one of the most frequent lytic defect at the wrist. Its location in the lunate may be discovered by chance on an X-ray performed for another reason, or because of wrist pain and very rarely for a lunate fracture. Surgical treatment consisted in. Anatomic Features. The lunate bone (semilunar bone) is a bone of the carpus. The name derives from the Latin luna, which means moon, because the shape of the bone resembles a crescent moon.The lunate bone is situated in the center of the proximal row of the carpus and articulates with the radius and the scaphoid, triquetrum, and capitate bones and in 45% of cases with the hamate bone Kienbock's disease can eventually affect the structure and function of the wrist. Treatment for Kienbock's disease includes immobilization, anti-inflammatory and pain medications, therapy, and surgery. The lunate bone is one of the small bones in the wrist. The lunate bone is part of the proximal carpal row A ganglion cyst is a fluid-filled bump associated with a joint or tendon sheath. They most often occur at the back of the wrist, followed by the front of the wrist. Onset is often over months. Typically there are no further symptoms. Occasionally pain or numbness may occur. Complications may include carpal tunnel syndrome.. The cause is unknown. The underlying mechanism is believed to involve.

Unicameral bone cyst of the lunate in an adult: case

This case report analyzes conservative management treatment for Grade I and Grade II lunate movement is minimal towards radial styloid (average of 5.9 mm and average of 5.6 mm, excision of ganglion cyst that had developed between the bones in order to decrease the pain, and TFCC debridement. While in cast, therapy wa I have a small cyst in the lunate bone in my right hand diagnosed September 09. Certain movements cause discomfort but over the past 2 weeks I have been taking Ibupofen and today I have worn a support bandage as I don't want my wrist to bend. After discovery of the cyst, the hospital said no further treatment was required. What is the prognosis SO scaphoid and lunate also have this mechanism. Due to high movement involved in this joint, the excess production of fluid, instead of getting self absorbed, has found an alternative way out , and hence is getting collected elsewhere. This has taken a form of a cyst. Treatment is simple. If no problem, keep it untouched Kienbock's Disease is the avascular necrosis of the lunate which can lead to progressive wrist pain and abnormal carpal motion. Diagnosis can be made with wrist radiographs in advanced cases but may require MRI for detection of early disease. Treatment is NSAIDs and observation in minimally symptomatic patients

Kienbock's Disease: Symptoms & Treatment - The Hand Societ

Arthroscopic surgical treatment involves using a combination of suction punch and motorized shaver to resect the stalk of the cyst along with a 1-cm-diameter area of dorsal capsule at its attachment to the dorsal portion of the scapholunate interosseous ligament SLAC stands for scapho-lunate advanced collapse. It is a painful condition of the wrist. The scaphoid and lunate are two small bones in the wrist held tightly together by a band of tissue called the scapholunate ligament. When this ligament is injured the unstable wrist bones very gradually develop painful arthritis over months and years

Scapholunate Torn Ligament The Hand Societ

  1. Kienböck's disease, is a rare, debilitating condition that can lead to chronic pain and dysfunction. It happens when one of the eight small carpal bones in the wrist, the lunate bone, becomes.
  2. Dorsal Wrist Ganglion Cyst; Scapholunate Injury or Instability; Carpal Tunnel Syndrome; How to Apply Tape. Use rigid athletic tape that is 1-2 cm in width. Use a marker to indicate four bony landmarks on the wrist: Dorsal ridge of scaphoid, listers tubercle, triquetrum, pisifor
  3. Learn more at https://prohealthsys.com
  4. Ganglion cysts do not normally result in other symptoms, but if the cyst puts pressure on a nerve, it can cause pain, tingling and muscle weakness. Treatments. Ganglion cysts do not typically require treatment unless they become painful or interfere with normal function. Most will disappear over time. However, if necessary, nonsurgical options.
  5. Synovial Cyst Treatment. Synovial cyst treatment will depend on its size and location, as well as the accompanying symptoms. Cases of a serious nature will require surgery to remove cysts. Many physicians recommend nonsurgical treatments to treat synovial cysts. These include prescribed and over-the-counter pain relievers like injections
  6. However, if the cyst is painful, interferes with function, or has an unacceptable appearance, there are several treatment options available. Learn more about ganglion cyst. Kienböck's Disease. Kienböck's disease is a condition where the blood supply to one of the small bones in the wrist, the lunate, is interrupted

Scapholunate Ligament Tear Symptoms, treatment, surgery

  1. (2015) Cerlier et al. Arthroscopy Techniques. Intraosseous ganglion cysts are rare causes of wrist pain. Surgical treatment of this pathologic condition yields good results and a low recurrence rate. The main complications are joint stiffness and vascular disturbances of the lunate bone. Wrist ar..
  2. g outward from the scapholunate ligament. On the flexor (palmar) side, they are most commonly found in the palmar radioscaphoid or scapholunate spaces - between the radius and the carpal bones
  3. Discuss treatment option for Keinbock disease, based on the Stage and specific etiology. Lunate intraosseous ganglion: Intraosseous ganglia are true cysts which have low T1 signal and high T2 signal on MRI. Sharp, smooth margins on both MRI and radiography allow distinction from Kienböck disease
Intraosseous Ganglion Cyst of The Lunate Bone: Two Case

Intraosseous ganglion cyst of the lunate: Diagnosis and

Lecture kist

(PDF) Intraosseous Ganglion Cyst of The Lunate Bone: Two

However, if a ganglion cyst in the wrist puts pressure on the nerves, it can cause pain, tingling, and muscle weakness; it can also hinder joint movement. If this occurs, NYU Langone doctors may recommend treatment in order to shrink the cyst and alleviate uncomfortable symptoms. Ganglion cysts can often be treated without surgical intervention A Scapho-Lunate Dissociation is a injury in your wrist. Two of your wrist bones, the Scaphoid and the Lunate, drift apart when an important ligament is torn (the SL Ligament). Our ligaments connect one bone to another. They keep our bones in alignment and they prevent our bones from wobbling all over the place Treatment Options for Kienbock's Disease. Treatment depends on the stage and severity of the disease. Observation and immobilization may be sufficient in the early stages. For more advanced stages, surgery may be considered to reduce the load on the lunate bone by lengthening, shortening or fusing various bones in the forearm or wrist In 1995, Osterman and Raphael presented a technique for the arthroscopic treatment of ganglion cysts arising from the dorsal portion of the scapholunate interosseous ligament and manifesting as dorsal space-occupying lesions. 2 The initial skepticism regarding treatment of this lesion has been quelled, and arthroscopic treatment of dorsal cysts.

Ganglion cysts of the hand and wrist - Musculoskeletal

Subchondral Bone Cyst: Symptoms, Causes, and Treatment

The Wrist and Hand | Musculoskeletal KeySingapore Sports and Orthopaedic Clinic - Part 4SLAC & SNAC WRIST

Arthroscopically assisted treatment of intraosseous

Masses including ganglion cysts (noncancerous tumors). Ulnar artery thrombosis. Blood clot in the ulnar artery. Kienbock's disease. Loss of blood supply leading to the death of the lunate bone on the ulnar side of the wrist. Infection. From a prior penetrating injury or underlying condition that lowered resistance to developing an infection Arthroscopic treatment of dorsal ganglion cysts is now routine for the experienced arthroscopist. 3-5. Volar ganglia occur less frequently than the more common dorsal carpal ganglion cyst, accounting for approximately 20% of wrist ganglia. They are sac-like structures (with no true cellular lining) filled with a thick viscous fluid consisting. The scapholunate (SL) ligament connects the scaphoid bone to the lunate bone in the wrist. It is as important as the ACL in the knee. The scaphoid and lunate bones are two of the eight small bones of the wrist, called carpal bones.. The carpal bones are aligned in two rows: the scaphoid, lunate, triquetrum, and pisiform bones comprise the.

Lunate DislocationCausesSymptomsTreatmentRepairBraces

(c) Intraosseous ganglia are localized at the insertions of the scapholunate or lunotriquetral ligaments as sharply circumscribed and marginally sclerosed cysts either on the radial or ulnar side of the lunate. (d) Lunotriquetral synchondrosis shows an irregular joint space and signal alterations at the lunate and triquetrum 23670 Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed 23680 Open treatment of shoulder dislocation, with surgical or anatomical neck fracture

Arthroscopic Resection of Arthrosis of the Proximal Hamate

Kienböck disease Radiology Reference Article

PA views demonstrate scapholunate widening (separation > 3mm), joint space narrowing between the scaphoid and radial styloid and sclerosis (increased bone density/hardening). Lateral views demonstrate DISI deformity (flexed scaphoid and extended lunate). Radiolunate joint is spared; Treatment: Non-surgica In adults, non-operative treatment of Kienbock's Disease is ineffective. In Kienbock's Disease without lunate collapse, a simple, minimally-invasive outpatient surgery called 'Core Decompression' can be performed. (Wrist Figure 12) Avascular necrosis (AVN, or bone death from the loss of its blood supply) can occur in many different. Treatment of acute lunate and perilunate dislocations. J Hand Surg Am 2008; 33:1424. Scalcione LR, Gimber LH, Ho AM, et al. Spectrum of carpal dislocations and fracture-dislocations: imaging and management. AJR Am J Roentgenol 2014; 203:541. Innes L, Strauch RJ. Systematic review of the treatment of Kienböck's disease in its early and late stages A Scapholunate Ligament Tear benefits from accurate diagnosis and timely treatment. Call Dr. Pruzansky at 212-249-8700 to schedule an appointment and maintain wrist stability. YouTube. Video description: The soft bulging tissue above between the lunate, left, and scaphoid, right, represent a partial tear of the scapholunate interosseous ligament

Trauma: Midcarpal instability following distal scaphoid

Ganglion cysts are mucin filled synovial cysts containing paucicellular connective tissue. They may be filled with fluid from a tendon sheath or joint. Ganglion cysts are most commonly found (70%) on the dorsal aspect of the wrist arising from the scapholunate ligament or scapholunate articulation Scapho Lunate Ligament. The Scapho-lunate ligament rupture is the commonest ligament injury in the wrist. It connects the scaphoid and lunate bones together and stops them from being prised apart. If left untreated the wrist can deteriorate and become arthritic over the following 5-10 years Dorsal wrist impingement syndrome is a wrist condition that causes pain along the back (dorsal) side of the wrist. A pinching discomfort, or pain, is felt when the wrist is bent backwards (extended). This may be brought on by downward dog, plank or other poses during yoga, when doing pushups, or simply when pushing yourself up from a chair