Conclusion
Arthroscopic wafer resection of the distal ulna has several distinct advantages that make it the surgical procedure of choice for the treatment of UIS with symptomatic Palmer IIC and select IID tears. Contraindications to the use of the arthroscopic wafer procedure include: LTJ instability typical of a Palmer IIE degenerative pattern, DRUJ instability or arthrosis, and excision of the ulnar dome in excess of 4 mm.
Recent clinical reviews of the arthroscopic wafer procedure indicate very good results; minimal complications when compared to open surgical procedures; minimal need for subsequent repeat surgery, such as plate removal, following osteotomy; and the ability to thoroughly evaluate the wrist joint for any associated intra-articular injuries. There is greater patient acceptance of the arthroscopic procedure over competing open surgical procedures. The rehabilitation following arthroscopy is relatively quick and better tolerated by patients.
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Hanker, G.J. (2005). Arthroscopic Management of Ulnar Impaction Syndrome. In: Geissler, W.B. (eds) Wrist Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/0-387-27087-6_10
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