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 that site it was cut before the patient can return to activities.

Modern Orthopaedics of New Jersey, Wayne, Parsippany, Dr. Peter DeNoble MD and Dr. David Ratliff MD. Orthopedic Surgeons, Hand Surgeon
DRUJ Instability/Arthritis, Ulnocarpal Impaction, DIP Pinning for Mallet Finger


The orthopedic surgeons here are also specially trained in the field of hand and wrist surgery and treat all conditions, from very straightforward to the most complex. Furthermore, we believe that even the simplest problems of the hand and wrist deserve evaluation from a hand specialist who has an expertise in understanding of the intricate anatomy of the hand.

Every Patient Matters

Every patient receives an in-depth consultation to devise a treatment plan that is right for their problem. Our specialists prefer non-operative and non-invasive treatments whenever possible, including physical therapy, medications, and/or injections. When we require surgery, we will then use minimally invasive surgical techniques to fix your problem, whether it is fixing a broken bone or repairing a tendon. Our goal is always to get you back to living your life normally as soon as possible.

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Please call us at (973) 898-5999.