Santa Clara, CA
A 50-year-old female asked:
When is an ulnar reduction necessary with a tfcc tear to the central disc and positive ulnar variance lot of wrist pain after fall 2 months ago?
2 doctor answers • 3 doctors weighed in

Dr. Steven Brownanswered
Hand Surgery 41 years experience
When the length of the ulna causes carpal impingement and potential for continued or new problems
Created for people with ongoing healthcare needs but benefits everyone.
Answered Jul 19, 2021

Dr. Richard Makowiecanswered
Hand Surgery 29 years experience
If you have ulnar positive variance (a long ulna relative to the radius) and you have pain/loss of function that persists despite care with bracing, injections, therapy etc., then treatment with and ulnar shortening osteotomy ( a joint leveling procedure ) with or without wrist arthroscopy may be indicated.
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed Aug 02, 2021
Last updated Aug 2, 2021
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