Ulnar Shortening Surgery for Tendonitis Relief - Orthopedics

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Ulnar shortening surgery is a procedure that can be considered for patients suffering from conditions such as ulnar impaction syndrome, which can lead to tendonitis and other wrist-related issues. In your case, the presence of calcific tendonitis in the right wrist and discomfort near the ulnar bone suggests that the elongated ulnar bone may be contributing to your symptoms.

Understanding Ulnar Shortening Surgery
1. Indications for Surgery: Ulnar shortening surgery is typically indicated when the ulnar bone is excessively long, leading to pain and dysfunction in the wrist. This condition can cause increased pressure on the triangular fibrocartilage complex (TFCC), which is crucial for wrist stability and function. If your X-ray confirms that your ulnar bone is indeed longer than normal, it may be beneficial to assess the TFCC for any associated injuries, as these can complicate your symptoms.

2. Impact on Tendonitis: The surgery aims to relieve the pressure on the wrist structures, including the TFCC and surrounding tendons. By shortening the ulnar bone, the surgery can potentially alleviate the mechanical stress that contributes to tendonitis. However, it is essential to note that while the surgery may help reduce pain and improve function, it does not guarantee complete resolution of tendonitis, especially if there are other underlying factors contributing to your condition.

3. Recovery Period: The recovery period following ulnar shortening surgery can vary based on individual factors, including the extent of the surgery and your overall health. Generally, patients can expect a recovery period of about 6 to 12 weeks. During this time, you may need to wear a splint or brace to immobilize the wrist and allow for proper healing. Physical therapy is often recommended to regain strength and mobility in the wrist after the initial healing phase.

4. Postoperative Care: After surgery, it is crucial to follow your surgeon's postoperative care instructions closely. This may include managing pain with medications, performing gentle range-of-motion exercises as advised, and gradually increasing activity levels. Regular follow-up appointments will be necessary to monitor your healing progress and address any concerns.

5. Potential Risks and Complications: As with any surgical procedure, there are risks involved, including infection, nerve injury, and complications related to anesthesia. Additionally, there is a possibility that the surgery may not fully resolve your symptoms, and further interventions may be necessary.

6. Consultation and Further Evaluation: Before proceeding with surgery, it is advisable to have a thorough consultation with your orthopedic surgeon. They may recommend imaging studies, such as an MRI, to evaluate the TFCC and assess the overall condition of your wrist. This comprehensive evaluation will help determine the best course of action tailored to your specific situation.

In summary, ulnar shortening surgery may be a viable option for addressing your wrist pain and tendonitis, particularly if the elongated ulnar bone is contributing to your symptoms. However, it is essential to evaluate the condition of the TFCC and discuss all potential risks and benefits with your healthcare provider. With appropriate surgical intervention and rehabilitation, many patients experience significant improvement in their symptoms and quality of life.