A member 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?

3 doctors weighed in across 2 answers
Dr. Steven Brown answered

Specializes in Hand Surgery

When the length of the ulna causes carpal impingement and potential for continued or new problems

Answered 7/19/2021

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Dr. Richard Makowiec answered

Specializes in Hand Surgery

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.

Answered 8/2/2021

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