Ulnar Shortening Osteotomy or Wafer Procedure

This procedure is for patients with chronic DRUJ (distal radioulna joint) instability or DRUJ arthritis.

Ulnar Shortening Osteotomy or Wafer Procedure

If a patient has positive ulnar variance and persistent pain despite conservative management, they may be a candidate for an ulnar shortening procedure. This can be done through a wrist arthroscopy often performed at the same time as a TFCC debridement or repair. The procedure involves using an instrument to shave down the most distal portion of the ulnar head so that it no longer impacts the carpal bones. An ulnar shortening osteotomy involves cutting out a piece of the ulnar shaft to shorten the whole bones and fixing it with a plate and screws. In this case, the bone needs to heal at the site it was cut before the patient can return to activities.

DRUJ Instability/Arthritis, Ulnocarpal Impaction, DIP Pinning for Mallet Finger


Our world-class orthopedic surgeons have years of experience treating wrist conditions. We believe that even the simplest problems should be evaluated by a specialist.

Personalized care

As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free. 

Get in touch

Please contact us using the below form or call (973) 898-5999 to request an appointment today.