The Upper Hand: Chuck & Chris Talk Hand Surgery Ulnar Shortening Osteotomy
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Sep 22, 2024 Two hand surgeons share their experiences and insights from a recent ASSH meeting, highlighting advancements in nerve surgery and pain management. They detail the complexities and techniques of ulnar shortening osteotomy, emphasizing diagnostic methods and surgical precision. Personal anecdotes add depth to their discussions on patient outcomes and healing processes. The duo also reflects on inspiring moments from their fellowship program and plans for a future meeting, blending humor and professional wisdom throughout their dialogue.
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Ulnar Shortening Osteotomy Effectiveness
- Ulnar shortening osteotomy is highly effective for ulnar-sided wrist pain.
- Confirm diagnosis with positive ulnar deviation discomfort and imaging showing ulnar impaction.
Ulnar Shortening Amount
- Aim for any ulnar shortening, even if not perfectly neutral.
- 3mm shortening is easier than 5-8mm, though the latter isn't overly complex.
Wafer Procedure Limitations
- Wafer procedures reduce impaction but don't enhance stability like osteotomy.
- Arthroscopic wafer isn't favored due to complexity and suboptimal results.