Management of Nondissociative Instability of the Wrist

Nicole A. Zelenski, Alexander Y. Shin

Research output: Contribution to journalReview articlepeer-review


Nondissociative carpal instability is instability of an entire carpal row and can lead to vague ulnar-sided wrist pain as well as a clunking wrist. The etiology of this process is most often generalized ligamentous laxity; however, it can infrequently occur as a result of trauma or malalignment of the radiocarpal joint. Whereas treatment remains controversial, the literature supports nonsurgical management and includes patient education, dynamic placement of orthoses, proprioceptive therapy, and extensor carpi ulnaris strengthening. If extensive nonsurgical therapy fails, surgical intervention includes soft tissue and bony procedures, all with high complication and failure rates and limited long-term outcome data.

Original languageEnglish (US)
Pages (from-to)131-139
Number of pages9
JournalJournal of Hand Surgery
Issue number2
StatePublished - Feb 2020


  • Carpal row
  • nondissociative wrist instability
  • ulnar-sided wrist pain
  • wrist

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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