Background: Wrist pain is frequently reported among housewives and linked to repetitive household tasks, yet the drivers of pain-related disability remain unclear. Beyond physical load, psychosocial factors such as catastrophizing, mood symptoms, and self-efficacy may shape severity and functional impact. Purpose: To evaluate the severity of wrist pain and wrist-related disability in Turkish housewives and to identify the psychosocial and symptom-related factors associated with these outcomes. Methods: This cross-sectional study was conducted with 92 Turkish housewives reporting wrist pain ≥ 3/10 on the Numeric Pain Rating Scale (NPRS) and who have been married for at least 1 year and performing at least 1 h of housework, via Google Forms. Fatigue and wrist pain were measured using the Numeric Rating Scale (NRS), as well as the Patient-Rated Wrist Evaluation-Turkish version (PRWE-T), Pain Self-Efficacy Questionnaire (PSEQ), Patient Health Questionnaire-4 (PHQ-4), and Pain Catastrophizing Scale (PCS). Sociodemographic data were also collected. Associations were analyzed with Spearman's correlation, and simple linear regression identified factors explaining wrist pain severity and disability. Results: PRWE-T total scores showed strong positive correlations with pain catastrophizing (p < 0.001), PHQ-4 depression (p < 0.001), and PHQ-4 anxiety (p < 0.001), while correlating negatively with pain self-efficacy (p < 0.05). PCS was also strongly correlated with PHQ-4 anxiety (p < 0.001) and PHQ-4 total (p < 0.001), but negatively with PSEQ (p < 0.001). Multivariable regression analyses have shown that PCS and fatigue may be predictory of wrist pain and disability. Additional factors included fatigue severity (p = 0.002), PHQ-4 depression (p < 0.001), and PHQ-4 anxiety (p = 0.001). Conclusions: These findings highlight the multidimensional nature of wrist symptoms in this population.

Background: Early-stage Kienböck disease (KD), particularly stages II and IIIA, requires timely intervention to prevent progression and preserve wrist function. This study evaluates the outcomes of a triple-modality approach combining distal radius core decompression, radial shortening osteotomy (RSO) and scapho-capitate K-wiring. Methods: A retrospective case series of 18 patients with stage II and IIIA KD were managed with this triple-modality approach at a single centre. Pain was assessed using the visual analogue scale score. Functional outcomes were assessed using the Modified Mayo Wrist Score (MMWS) and range of motion (ROM). Radiological staging was used to evaluate disease progression. Results: The mean follow-up was 24 months. Postoperative outcomes showed significant improvements in MMWS, with an average score increase from 58.5 ± 8.2 preoperatively to 81.2 ± 6.7 postoperatively (p < 0.001). ROM improved significantly for both volar flexion (from 46.2° ± 7.8° to 54.5° ± 9.1°, p = 0.02) and extension (from 51.1° ± 8.3° to 59.7° ± 8.6°, p = 0.01). Radiological analysis revealed no disease progression in 88% of cases, with no instances of carpal collapse or advanced arthritis during follow-up. Conclusions: The combination of distal radius core decompression, RSO and scapho-capitate K-wiring is a highly effective treatment for stage II and IIIA KD. This approach not only halts disease progression but also significantly improves wrist function and patient satisfaction. Level of Evidence: Level IV (Therapeutic).

Background: Ulnar styloid triquetrum impaction syndrome (USTI) is a rare cause of ulnar-sided wrist pain resulting from a mechanical conflict between an elongated ulnar styloid and the carpal bones. Despite various surgical options, there is no consensus on the optimal treatment. This study aims to systematically review and synthesise the available literature on the surgical treatment of USTI, focussing on clinical presentation, surgical techniques, outcomes and complications. Methods: A systematic review was conducted in accordance with PRISMA guidelines. Four databases (PubMed, Medline, Embase and Ovid) were searched for publications through May 2025 using terms related to USTI. Inclusion criteria were studies in English, French or German reporting surgically treated cases in adult patients. Outcomes assessed included pain, range of motion, grip strength, patient-reported outcome measures (PROMS) and patient satisfaction. Study quality was rated using OCEBM Levels of Evidence. Results: Twelve studies (two cohort, five case series and five case reports) were included. The majority were retrospective and of low methodological quality (Level 4 or 5). Surgical techniques included partial ulnar styloid resection (n = 8), complete resection (n = 2) and osteotomies (n = 2), with variable approaches to triangular fibrocartilage complex (TFCC) management. Postoperative outcomes generally showed pain relief, although data on range of motion, grip strength and PROMS were inconsistently reported. Complication rates were generally low, and patient satisfaction was high (when recorded). Conclusions: Surgical treatment of USTI yields good clinical outcomes in selected patients; however, the literature is limited by methodological weaknesses and heterogeneity in surgical technique and outcome reporting. Prospective studies with standardised measures are needed to optimise management strategies. Level of Evidence: Level III (Therapeutic).

Avascular necrosis involving more than one bone either simultaneously or sequentially is uncommon. We report a rare case of concomitant bilateral Kienböck disease and Legg-Calvé-Perthes disease. No definitive predisposing or precipitating factor could be identified. Because of persistent wrist pain, radial shortening osteotomy was performed sequentially on both wrists. At the latest follow-up, the patient's wrist pain had resolved, and he was satisfied with the clinical outcomes.

Carpal fractures are common orthopaedic injuries, with the scaphoid being the most frequently affected bone. Hamate fractures are uncommon and easily missed due to their subtle clinical presentation and difficulty in detection on standard radiographs, often being misdiagnosed as soft tissue trauma. Simultaneous involvement of the scaphoid and hamate is uncommon, and progression to dual non-union is even more so. We report a case of concurrent scaphoid and hook of hamate non-union to highlight the importance of early recognition and appropriate imaging to prevent delayed diagnosis and long-term complications. A 31-year-old male presented with a painful wrist and tender anatomical snuffbox following a fall. Radiographs confirmed a scaphoid fracture, treated nonoperatively in a cast. Symptoms persisted after eight weeks; thus, a CT was performed, confirming a suspected scaphoid non-union and a hook of hamate non-union fracture. Management involved fixation of the scaphoid fracture and excision of the hook of hamate, with the patient pain-free and at baseline mobility at four months.

Sonographers face exposure to repetitive physical stressors which may lead to the development of musculoskeletal symptoms (MSS) which in turn affect performance and occupational health.