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Management of Ulnar Impaction

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Wrist and Elbow Arthroscopy

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Abstract

The cornerstone of ulnar abutment syndrome is unloading the ulnocarpal joint by recession of the distal ulna. In the presence of a central perforation of the TFCC it is possible to perform the recession arthroscopically. Arthroscopic wafer resection allows quicker recovery and avoids the morbidity and complications of ulnar shortening. Wafer resection, however, is limited to cases where only a few millimeters of ulna shortening is needed. Additionally, in the presence of advanced LT instability, diaphyseal shortening of the ulna may be preferable.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Loyola University Medical Center, 2160 South 1st Avenue, Maguire Bldg-Room 1700, Maywood, IL, 60458, USA

    Megan Anne Meislin M.D.

  2. Department of Orthopaedic Surgery, Griffith University and Gold Coast University Hospital, Southport, QLD, 4215, AUSTRALIA

    Randy Bindra M.D., FRCS

Authors
  1. Megan Anne Meislin M.D.
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  2. Randy Bindra M.D., FRCS
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Correspondence to Randy Bindra M.D., FRCS .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, University of Mississippi, Jackson, Mississippi, USA

    William B. Geissler

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Meislin, M.A., Bindra, R. (2015). Management of Ulnar Impaction. In: Geissler, W. (eds) Wrist and Elbow Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1596-1_8

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  • DOI: https://doi.org/10.1007/978-1-4614-1596-1_8

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1595-4

  • Online ISBN: 978-1-4614-1596-1

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