Tuesday 19 February 2013

Ulno carpal abutment


22 yr old male with h/o injury as a child c/o ulnar sided pain od 3 Yrs duration. Xr and MRI shows 4mm long ulnar + with ? Central tear 
of tfcc with triquetrum. chondromalacia

Plan.
 Wrist scopy  and  if central tear - debride the tear and shave the distal ulna thru the tfcc
If peripheral do a ulnar shortening  and dcp plating with peripheral repair of tfcc.

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