Outcomes of Ulnar Shortening Osteotomy Fixed With a Dynamic Compression System

Functionality After Arthroscopic Debridement of Central Triangular Fibrocartilage Tears With Central Perforations

“…Therefore, arthroscopic debridement for patients within this range is a sensible initial treatment procedure in face of high complication rates of ulnar shortening. 28 The statistical analysis revealed a significant difference between the UPV group and those 9 patients (USO group) who needed ulnar shortening as an additional procedure regarding preoperative ulnar variance. The USO group had a higher mean variance but a smaller peak value, at 3.6 mm, in comparison with the UPV group.…”

“…Nevertheless, shorter postoperative recovery and the lower risk of complications are in favor of arthroscopic debridement. 28 These additional considerations encouraged us further to maintain our algorithm of initial arthroscopic debridement of Palmer type 2C articular disc lesions regardless of ulna length. Moreover, ulnar shortening osteotomy carries the risk of nonunion and potentially requires hardware removal.…”

“…Moreover, ulnar shortening osteotomy carries the risk of nonunion and potentially requires hardware removal. 28 The strength of our study was its sole focus on Palmer type 2C TFC lesions to create a homogeneous study population. We applied very strict inclusion and exclusion criteria and very carefully selected our patients to generate findings, which were as meaningful as possible.…”

Variations in Postoperative Immobilization Following Common Hand Surgery Procedures

“…For example, a review of the literature reveals an accepted range of immobilization from 2 to 8 weeks following ulnar shortening osteotomy for the treatment of ulnar impaction syndrome. 1,2,3,5 To investigate these differences, we designed a survey to gain insight into variations that exist in postoperative immobilization of the hand and wrist. The purpose of this study was to (1) report variations in the duration of immobilization for common hand surgery procedures and (2) to determine whether there is any correlation between surgeon's years of experience and duration of postoperative immobilization as has been observed at our institution.…”

“…1,2,3,5 To investigate these differences, we designed a survey to gain insight into variations that exist in postoperative immobilization of the hand and wrist. The purpose of this study was to (1) report variations in the duration of immobilization for common hand surgery procedures and (2) to determine whether there is any correlation between surgeon's years of experience and duration of postoperative immobilization as has been observed at our institution. We hypothesized that there would be wide variations in the duration of immobilization for common hand surgery procedures and that with increased years of surgeon experience, duration of postoperative immobilization may decrease for common hand procedures.…”