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A 32-year-old carpenter has a 6-month history of ulnar-sided wrist pain that is worsened opening a jar, squeezing a wet towel, typing, or changing a gearshift. Radiograph and MRI images are detailed in Figures A through C. All of the following concerning ulnar shortening osteotomy are true EXCEPT:
Care should be taken to avoid the dorsal sensory branch of the ulnar nerve
Results are encouraging even for those with degenerative changes in the distal radioulnar joint
Placement of the plate to the dorsal surface of the ulna can cause tendinitis of the extensor carpi ulnaris
Concomitant arthroscopy may be indicated for patients with concurrent tears of the triangular fibrocartilage complex
Degenerative cystic changes of the ulnar carpal bones can resolve after the ulnar shortening osteotomy
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An ulnar shortening osteotomy would be MOST indicated for which of the following patients presenting with longstanding ulnar sided wrist pain refractory to conservative measures?
34-year-old female with an ulnar neutral wrist and distal radioulnar joint incongruity
34-year-old female with an ulnar positive wrist and distal radioulnar joint incongruity
34-year-old female with an ulnar negative wrist and distal radioulnar joint incongruity
78-year-old female with ulnar positive wrist and distal radioulnar joint arthritis
78-year-old female with ulnar negative wrist and distal radioulnar joint arthritis
A 42-year-old construction worker presents with pain in his right wrist. A current radiograph of the wrist is shown in Figure A. He reports that rotating activities, such as turning a screw driver, are bothersome and the pain is preventing him from working. A current MRI reveals a TFCC tear, and nonsurgical treatment has failed to provide relief. Treatment should now consist of:
Repair of the ulnar styloid nonunion
Darrach resection of the distal ulna
Complete ulnar head resection
Ulnar hemiresection arthroplasty and TFCC reconstruction/repair
Isolated arthroscopic TFCC reconstruction
The Fovea Test is used to evaluate for TFCC tear or ulnotriquetral ligament tear...
Physical exam showing Ballottement test
Dr. Jack Choueka performs an ulnar shortening osteotomy for a TFCC tear with uln...