+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A comparison of ulnar shortening osteotomy alone versus combined arthroscopic triangular fibrocartilage complex debridement and ulnar shortening osteotomy for ulnar impaction syndrome



A comparison of ulnar shortening osteotomy alone versus combined arthroscopic triangular fibrocartilage complex debridement and ulnar shortening osteotomy for ulnar impaction syndrome



Clinics in Orthopedic Surgery 3(3): 184-190



This study compared the results of patients treated for ulnar impaction syndrome using an ulnar shortening osteotomy (USO) alone with those treated with combined arthroscopic debridement and USO. The results of 27 wrists were reviewed retrospectively. They were divided into three groups: group A (USO alone, 10 cases), group B (combined arthroscopic debridement and USO, 9 cases), and group C (arthroscopic triangular fibrocartilage complex [TFCC] debridement alone, 8 cases). The wrist function was evaluated using the modified Mayo wrist score, disabilities of the arm, shoulder and hand (DASH) score and Chun and Palmer grading system. The modified Mayo wrist score in groups A, B, and C was 74.5 ± 8.9, 73.9 ± 11.6, and 61.3 ± 10.2, respectively (p < 0.05). The DASH score in groups A, B, and C was 15.6 ± 11.8, 19.3 ± 11.9, and 33.2 ± 8.5, respectively (p < 0.05). The average Chun and Palmer grading score in groups A and B was 85.7 ± 8.9 and 84.7 ± 6.7, respectively. The difference in the Mayo wrist score, DASH score and Chun and Palmer grading score between group A and B was not significant (p > 0.05). Both USO alone and combined arthroscopic TFCC debridement with USO improved the wrist function and reduced the level of pain in the patients treated for ulnar impaction syndrome. USO alone may be the preferred method of treatment in patients if the torn flap of TFCC is not unstable.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 051114241

Download citation: RISBibTeXText

PMID: 21909465

DOI: 10.4055/cios.2011.3.3.184


Related references

A comparison of combined arthroscopic triangular fibrocartilage complex debridement and arthroscopic wafer distal ulna resection versus arthroscopic triangular fibrocartilage complex debridement and ulnar shortening osteotomy for ulnocarpal abutment syndrome. Arthroscopy 20(4): 392-401, 2004

Management of Peripheral Triangular Fibrocartilage Complex Tears in the Ulnar Positive Patient: Arthroscopic Repair Versus Ulnar Shortening Osteotomy. Yearbook of Hand and Upper Limb Surgery 2011: 12-13, 2011

Management of peripheral triangular fibrocartilage complex tears in the ulnar positive patient: arthroscopic repair versus ulnar shortening osteotomy. Journal of Hand Surgery 35(10): 1607-1613, 2010

Comparison of clinical outcomes after ulnar shortening osteotomy for ulnar impaction syndrome with or without arthroscopic debridement. Journal of Hand Surgery European Volume 44(6): 589-593, 2019

The Outcomes of Arthroscopic Repair Versus Debridement for Chronic Unstable Triangular Fibrocartilage Complex Tears in Patients Undergoing Ulnar-Shortening Osteotomy. Journal of Hand Surgery 41(5): 615-623, 2016

Arthroscopic Wafer Procedure Versus Ulnar Shortening Osteotomy as a Surgical Treatment for Idiopathic Ulnar Impaction Syndrome. Arthroscopy 34(2): 421-430, 2018

Arthroscopic distal metaphyseal ulnar shortening osteotomy for ulnar impaction syndrome: a different technique. Journal of Hand Surgery 38(11): 2257-2262, 2013

Combined ulnar shortening osteotomy and elastic suspended fixation in treatment of ulnar impaction syndrome. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 32(8): 993-996, 2018

Metaphyseal Versus Diaphyseal Ulnar Shortening Osteotomy for Treatment of Ulnar Impaction Syndrome: A Comparative Study. Journal of Hand Surgery 42(6): 477.E1-477.E8, 2017

Outcomes of Ulnar Shortening for Ulnar Impaction Syndrome Using the 2.7 mm AO Ulna Shortening Osteotomy System. Journal of Hand Surgery Asian-Pacific Volume 23(1): 82-89, 2018

Comparison of ulnar shortening osteotomy and the wafer resection procedure as treatment for ulnar impaction syndrome. Journal of Hand Surgery 25(1): 55-60, 2000

Repair of the triangular fibrocartilage complex after ulnar-shortening osteotomy: second-look arthroscopy. Journal of Hand Surgery 32(4): 445-449, 2007

How does ulnar shortening osteotomy influence morphologic changes in the triangular fibrocartilage complex?. Clinical Orthopaedics and Related Research 472(11): 3489-3494, 2014

Repair of the Triangular Fibrocartilage Complex After Ulnar-Shortening Osteotomy: Second-Look Arthroscopy. Yearbook of Orthopedics 2008: 178-180, 2008

Comments inspired by two letters on ulnar shortening osteotomy for ulnar impaction syndrome. Journal of Hand Surgery 19(5): 871-872, 1994