{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T16:40:09Z","timestamp":1747068009970,"version":"3.40.5"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Ulnar impaction syndrome occurs when excessive load across the ulnocarpal joints results in pathologic changes, especially over the articular surface of the ulnar head and proximal ulnar corner of the lunate. The 2 main surgical options in ulnar impaction syndrome are ulnar shortening osteotomy and wafer procedure, whether open or arthroscopically, to decompress the ulnocarpal joint load. However, all of these techniques have their shortcomings and drawbacks. The current study demonstrates a novel technique to decompress the ulnocarpal joint load: the \u201creverse wafer procedure\u201d for ulnar impaction syndrome. In this surgical technique, we resected the proximal ulnar side of the lunate instead of partial resection of the thin wafer of the distal ulnar head dome in the standard wafer procedure. This technique avoids iatrogenic central tear of triangular fibrocartilage and distal radioulnar joint portal arthroscopy, which is technically demanding while preserving the distal radioulnar joint.<\/jats:p>","DOI":"10.1097\/bth.0000000000000453","type":"journal-article","created":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T12:00:07Z","timestamp":1694606407000},"page":"16-18","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Reverse Wafer Procedure for Ulnar Impaction Syndrome"],"prefix":"10.1097","volume":"28","author":[{"given":"Ismail Bulent","family":"Ozcelik","sequence":"first","affiliation":[{"name":"Hand and Upper Extremity Surgery Unit, Yeniyuzyil University, Gaziosmanpasa Hospital, El Istanbul Hand and Microsurgery Group, Ni\u015fanta\u015fi University School of Health Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohd Hanifah","family":"Jusoh","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Hand and Microsurgery Unit, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Cavit","sequence":"additional","affiliation":[{"name":"Istanbul Haydarpasa Numune Training and Research Hospital, Hand and Upper Extremity Surgery Clinic, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2024,3]]},"reference":[{"key":"R1-20250512","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.hcl.2012.05.018","article-title":"The management of ulnocarpal abutment and degenerative triangular fibrocartilage complex tears in the competitive athlete","volume":"28","author":"Jarrett","year":"2012","journal-title":"Hand Clin Aug"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.arthro.2004.01.013","article-title":"A comparison of combined arthroscopic triangular fibrocartilage complex debridement and arthroscopic wafer distal ulna resection versus arthroscopic triangular fibrocartilage complex debridement and ulnar shortening osteotomy for ulnocarpal abutment syndrome","volume":"20","author":"Bernstein","year":"2004","journal-title":"Arthroscopy"},{"key":"R3-20250512","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/S0266-7681(98)80090-9","article-title":"Ulnar impaction syndrome in the ulnar negative and neutral wrist. 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