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Extensor carpi ulnaris injuries in tennis players: a study of 28 cases
  1. B Montalvan1,
  2. J Parier2,
  3. J L Brasseur3,
  4. D L Viet4,
  5. J L Drape5
  1. 1Sports Medicine, French Tennis Federation, Paris, France
  2. 2Physical Medicine Sports Medicine, French Tennis Federation
  3. 3French Tennis Federation
  4. 4Hand Surgeon, Medical School, Paris
  5. 5Université Cochin, Paris
  1. Correspondence to:
 Dr Montalvan
 French Tennis Federation, 2 avenue Gordon Bennett, Paris 75016, France; bernard.montalvan2{at}


Pain on the ulnar side of the wrist is common among elite tennis players. Ten years of experience has allowed identification of a pathology involving the extensor carpi ulnaris (ECU) tendon. On the basis of 28 clinical cases seen over the last five years, three clinical patterns are described: (a) acute instability of the ECU; (b) tendinopathy; (c) ECU rupture. Each of these clinical entities requires a different therapeutic approach. A review of the relevant anatomy is provided.

  • ECU, extensor carpi ulnaris
  • MRI, magnetic resonance imaging
  • extensor carpi ulnaris
  • tennis
  • wrist
  • tendinopathy

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  • Informed consent was obtained for publication of figure 3

  • Competing interests: none declared