Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / Diseases and Disorders / Arthritis / November 2006

Tip: Looking for answers? Try searching our database.

ulnar shortening osteotomy

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
delcorso - 13 Dec 2004 02:55 GMT
Hi everyone!
Just wondered if any of you have experience with a ulnar shortening
osteotomy.  I have been seeing a hand surgeon (my RD referred me to
him) and after tests, etc...he told me that he wants me to have this
procedure and a wrist synovectomy.  I'm really nervous about it and
will be seeking a second opinion this week to ease my mind.  He said
that my ulnar bone is too long and it's tearing the TFC ligament,
along with causing degeneration of the cartilage.
The procedure involves breaking the ulnar bone and removing a small
section of it.  It's then put back together with a plate.  It's a very
long recovery....2 weeks or more in a long cast above my elbow.  Then
6-8 weeks in a short cast, followed by at least 6-8 weeks in a splint.

This is my 3rd surgery in 2 years and I'm worn out.  I probably
shouldn't complain, but I was all set for arthroscopy to do a wrist
synovectomy and found out that it wasn't going to be so easy.  Bummer.

Hope you're all doing well.
Carol
RoseB - 13 Dec 2004 03:05 GMT
>This is my 3rd surgery in 2 years and I'm worn out.  I probably
>shouldn't complain, but I was all set for arthroscopy to do a wrist
>synovectomy and found out that it wasn't going to be so easy.  Bummer.
>
>Hope you're all doing well.
>Carol

Well, shoot! I am so sorry to hear you news. I can understand why you
are worn out.
I have not had the procedure so have nothing to say on that, but just
wanted to wish you luck if you decided to go through the procedure,
and extend my concern for your having to go through surgery again.

    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
delcorso - 14 Dec 2004 03:08 GMT
Thank you, Rose!  I appreciate your kind words.  I've been pretty
upset about all of this.
Carol

> >This is my 3rd surgery in 2 years and I'm worn out.  I probably
> >shouldn't complain, but I was all set for arthroscopy to do a wrist
[quoted text clipped - 13 lines]
>
>      Please remove "Ima" to reply.
donnah - 13 Dec 2004 13:35 GMT
(((Carol)))
JMO, of course, but please do get that second opinion.
The osteotomy done on my right leg caused more problems than
expected...the plate and screws finally had to be removed because of
the pain I had. But a leg and arm are way different <s>, and I'm sure
there have been improvements in technique and materials since then.
I hesitated about sharing this with you because I don't want to scare
you! But in hopes it will help you make an informed decision...
Best wishes on whatever you decide to do!
donnah

> Hi everyone!
> Just wondered if any of you have experience with a ulnar shortening
[quoted text clipped - 19 lines]
> Hope you're all doing well.
> Carol
delcorso - 14 Dec 2004 03:10 GMT
Donnah, these are my concerns....I wonder if they will be long term
negative effects of this surgery.  I sure don't want to end up with
more discomfort than I have now.  I'm thinking I'm going to put this
off for awhile til I find out if it's the best thing to do.
Thanks for sharing your experiences!
Carol

> (((Carol)))
> JMO, of course, but please do get that second opinion.
[quoted text clipped - 30 lines]
> > Hope you're all doing well.
> > Carol
donnah - 14 Dec 2004 13:16 GMT
Carol, I hope I did not frighten you by sharing my experience...it was
not my intent! At the same time, I felt strongly that you needed to
get that second opinion.
And I do want to say again (sorry for repeating myself!) that
techniques and materials have improved...by arming yourself with every
fact you can find, you can make a better decision.
Good luck in whatever you decide...
donnah

> Donnah, these are my concerns....I wonder if they will be long term
> negative effects of this surgery.  I sure don't want to end up with
[quoted text clipped - 47 lines]
>> > Hope you're all doing well.
>> > Carol
Nann Bell - 13 Dec 2004 15:05 GMT
(((((Carol))))))  I have no knowledge of the procedure, but I'd agree with
donnah on the second opinion.  Don't you have an orthopod you really like and
trust?  See what he says for starters. Or maybe see about getting another
opinion from a physiatrist?  Mike's ex (a pathologist, herself) always says
don't see a surgeon unless you're planning to have surgery as cutting is the
only treatment they know.

hell, I still have pain from the arm bone I broke in second grade, 40 years
ago.  I can't see doing this without a compelling reason and the knowledge
that it is absolutely necessary.

(the recovery time sounds about right though - when I shattered my wrist in
'94, I was in an external fixator for 10 weeks, then ordered not to do
anything remotely risky to it for another month.)

Can't blame you at all for being tired of surgery, sometimes the body and
mind just need a break to rest and catch up.  That is another consideration
to weigh in making the decision.  You will heal much faster and more
thoroughly when you are ready to have the surgery.
Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

delcorso - 14 Dec 2004 03:22 GMT
Hi Nann,
I'm definitely going to get a second opinion.  In fact, I called the
ortho who did my knee arthroscopy last summer.  His son was in my
first grade class last year and I really like and trust him.  I'm sure
he wouldn't want to do extensive hand/wrist surgery, but I trust him
to give me an honest opinion.  He has no connections to the hand
surgeon and he's a DO who does surgery as a last resort.  In fact, my
GP says that if he does surgery on someone, there's no other way of
dealing with it.  I thought this ortho may know of a good hand surgeon
for me to see for another opinion.  I have an appt. with him on the
21st.

The hand surgeon is very reputable....does a lot of lectures,
research, etc.....I know he's an excellent doc, but even great doctors
don't always use the least invasive methods.  I called his office
today and told his secretary about my anxiety regarding this surgery.
I also told her I was going to get a 2nd opinion to ease my mind.  She
said that they don't want me to have the surgery unless I'm feeling
comfortable with it.  Also, my RD told me to get a 2nd opinion.  He
said that there are probably other ways of dealing with this
problem....just like with any profession, you can ask 4 different
excellent professionals how to solve a problem and end up with 4
different viable ways.  He said I should go with the one I'm most
comfortable with.  I thought that sounded like a good way to think of
it.

On the other hand, I'm real tired of living in a wrist splint and
having pain all the way up into my shoulder now.  This is a no win
situation!!!  UGH!

Thank you for responding, Nann!!  I do appreciate the advice!
Carol

> (((((Carol))))))  I have no knowledge of the procedure, but I'd agree with
> donnah on the second opinion.  Don't you have an orthopod you really like and
[quoted text clipped - 15 lines]
> to weigh in making the decision.  You will heal much faster and more
> thoroughly when you are ready to have the surgery.
Nann Bell - 16 Dec 2004 01:52 GMT
It sounds to me like you are really on top of this, Carol!  Lining up all
your good docs for consultations, et al.  I hear you about the wrist splint.  
Had an RD who tried to talk me out of carpal tunnel surgery (he was very
anti-invasive procedures, really screwed up some folks I know that way).  I
told him I was the one who had lived in the braces 20-22 hours/day for 18
months and I....... HAD......... HAD.........IT!!!!!!  He finally told me to
go ahead then, but was really pissy to me about it afterwards.  I soon fired
him.  You've good good docs though who want you to be comfortable with your
decision.  Wishing for better days ahead!

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

> Hi Nann,
> I'm definitely going to get a second opinion.  In fact, I called the
[quoted text clipped - 28 lines]
> Thank you for responding, Nann!!  I do appreciate the advice!
> Carol
DeeTee and Bob Taggart - 13 Dec 2004 18:16 GMT
{{{{{{{Carol}}}}}}}

Sweetheart, you need a break! Ooooops! Poor choice of words.  Just know that
we love you.  Get a second opinion and let us know what you choose.

Hugs, DeeTee
________________________________
DeeTee and Bob Taggart
http://www.marykay.com/dtaggart3
http://mysite.verizon.net/vze8fwov/
________________________________
> Hi everyone!
> Just wondered if any of you have experience with a ulnar shortening
[quoted text clipped - 15 lines]
> Hope you're all doing well.
> Carol
delcorso - 14 Dec 2004 03:23 GMT
DeeTee!!!  Did you have to use that word (break!!!)??  YUCK!!
Kidding aside, thanks of thinking of me!
Carol
> {{{{{{{Carol}}}}}}}
>
[quoted text clipped - 26 lines]
> > Hope you're all doing well.
> > Carol
d'huit - 13 Dec 2004 20:24 GMT
> Hi everyone!
> Just wondered if any of you have experience with a ulnar shortening
[quoted text clipped - 15 lines]
> Hope you're all doing well.
> Carol

((((((((((((((((carol)))))))))))))))))) boy, sweetie, no wonder you're worn
out.  i can see why you'd be concerned and bummed out.  i know you're tired
of surgeries, hon.  try to lay that aside a minute and listen to what your
"gut" is telling you about this.

definitely take your films and test results to an orthopod who is NOT a
surgeon, carol.  good thinking on your part.  it might well be the best
procedure for you, or maybe not.

i'd also be talking to the referring doctor about it, your rd, i think you
said.  level with that doctor about your feelings about this.   your
feelings about this need to be heard by a doctor, for your own peace of
mind.

i have some questions-- like how long has this situation been bothering you
and was it an acute onset or something that developed gradually?  i mean,
when your growth plates quit growing, they don't grow anymore, as i
understand it.  for women, i think that's around the age of 18-20.   and has
this "tearing of your tfc ligament" been going on since then, since the
final bone growth was laid down?  if not, why now?  what else could it be
that has shortened the ligament since then?

is the plate going inbetween the two forearm bones, or on the outside of
your ulnar bone where you are going to have to be careful about bumping it?
not that it will be damaged by light bumping, but it does cause pain to run
it into something.

personally, i was told by an ortho-surgeon and an orthopod that bone
fracture plates should not be left inside a patient for life, for lots of
very good reasons.  you need to know if he intends to leave the plate and
screws in and why.  or if he is considering removing it, or somebody else
removing it, sometime in the future when you have solid bone there.

not to scare you, sweetie, but most doctors and surgeons do this----they
tell you "only so much", unless you ask questions.  the catch 22 is that
most of the time we don't know enough to be able to ask questions and they
know that.  i'd suggest looking up this procedure on the web, so that you
can ask questions, the answers of which might be important to you, if you
knew enough to ask them.  wishing you the best possible outcome, no matter
which way you decide to go with this.

kate
delcorso - 14 Dec 2004 03:36 GMT
listen to what your
> "gut" is telling you about this.

I am Kate.  I need to or I'm going to go crazy!!  LOL

> definitely take your films and test results to an orthopod who is NOT a
> surgeon, carol.  good thinking on your part.  it might well be the best
> procedure for you, or maybe not.

I made an appt. with my knee surgeon who is a DO and only does surgery
as a last resort.  I trust him to look at this with an objective frame
of mind or refer me to a hand surgeon who he trusts.

>  i'd also be talking to the referring doctor about it, your rd, i think you
> said.  level with that doctor about your feelings about this.   your
> feelings about this need to be heard by a doctor, for your own peace of
> mind.

I did talk to my RD.  He said I should get a 2nd opinion.  He said
that even though this guy is excellent, there are probably other ways
of dealing with this problem.  And I need to go with what is
comfortable for me.

> i have some questions-- like how long has this situation been bothering you
> and was it an acute onset or something that developed gradually?  i mean,
[quoted text clipped - 3 lines]
> final bone growth was laid down?  if not, why now?  what else could it be
> that has shortened the ligament since then?

Yes, this wrist has been bothering me for a long time, but the
"ulnar-sided" problem has developed in the last 6 months or so.  Plus,
within the last few months, I've had pain up into my elbow and
shoulder.  I also question if this is the correct diagnosis because
unless it's RA related, I can't imagine what else it could be.  I also
have (according to a neurologist who did nerve conduction tests on
that arm) moderate to severe weakness in that hand and wrist which
appears to be related to this problem.

>  is the plate going inbetween the two forearm bones, or on the outside of
> your ulnar bone where you are going to have to be careful about bumping it?
> not that it will be damaged by light bumping, but it does cause pain to run
> it into something.

The plate will be on the outside of the ulnar bone and I may be able
to feel it.  He told me that.  He also said that sometimes they have
to go in later to remove the plate if it becomes too bothersome.
Lovely, I say.

> personally, i was told by an ortho-surgeon and an orthopod that bone
> fracture plates should not be left inside a patient for life, for lots of
> very good reasons.  you need to know if he intends to leave the plate and
> screws in and why.  or if he is considering removing it, or somebody else
> removing it, sometime in the future when you have solid bone there.

I've been thinking that same thing, Kate....which is one of the
reasons I'm hesitant about having this surgery.

> not to scare you, sweetie, but most doctors and surgeons do this----they
> tell you "only so much", unless you ask questions.  the catch 22 is that
[quoted text clipped - 3 lines]
> knew enough to ask them.  wishing you the best possible outcome, no matter
> which way you decide to go with this.

I've been doing a lot of research.  In fact, I found a site/board for
people who have had this procedure.  I've posted on it and I'm waiting
to see if I get any responses.  I'm pretty sure right now that I'm not
going to have this surgery on the 30th.  If I do end up having it
done, it will be at a later date when I'm certain that it's the best
option for me.

Thanks so much Kate!!  I do appreciate all your advice and info!!
Hugs,
Carol
niki - 20 Nov 2006 20:03 GMT
Hi Carol ... Please, did you ever have your surgery done?  I have a year old
injury ... I'm having my 2nd surgery on December 7th and would like to know
how you did with your surgery, Ulnar Shortening Osteotomy.  Thank you for
your time!!!!!!!!!!

>listen to what your
>> "gut" is telling you about this.
[quoted text clipped - 69 lines]
>Hugs,
>Carol
Squirrely - 15 Dec 2004 19:02 GMT
Carol,

This sounds horrible what you are going thru. I am hoping and praying for
the best outcome with this for you. My thoughts are with you. I know sweetie
how you are feeling worn out. It is a bit much isn't it. ;-)

I hope all recoveries and healing will be speedy for you.

Signature

Love and hugs to all
Good thoughts coming your way too.

Squirrely Jo

> Hi everyone!
> Just wondered if any of you have experience with a ulnar shortening
[quoted text clipped - 15 lines]
> Hope you're all doing well.
> Carol
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2009 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.