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Ulna Shortening Osteotomy: Tried And True

By Kevin D. Plancher MD, MPH

Ulna shortening osteotomy, when used for the ulna positive patient with a TFCC tear as taught to us by Andy Palmer years ago, is a true and tried method to resolve wrist pain in many athletes. It is important, though, when completing the osteotomy, to ensure that the bone is irrigated to avoid a lengthy time for healing. While some feel that no cast is needed postoperatively, and I applaud them, I have found casting is necessary for over 8 weeks to ensure complete consolidation prior to returning to high velocity sports. I use the JAMAR to determine return to play and the nondominant side must be at least 10% of the dominant side. Be mindful that the plate placed on the ulna side of the bone may necessitate removal in the thin patient.

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