Overview
Ulnar shortening osteotomy reduces ulnar length to relieve ulnar‑sided wrist pain.

Indications
Ulnar impaction syndrome or TFCC problems with positive ulnar variance.

Procedure overview
A segment of ulna is removed and the bone is fixed with a plate.

Recovery
Immobilization followed by rehabilitation.

Risks and complications
Non‑union, hardware irritation.

Alternatives
Arthroscopic wafer procedure in select cases.