Metacarpal Shortening Osteotomy for the Metacarpophalangeal Rheumatoid Arthritis Dominique Le Viet, Sebastian E. Valbuena and Vytautas Gasiunas, MD Techniques in Orthopaedics, section Tips & Pearls Abstract Metacarpal shortening osteotomy may be indicated for the treatment of mild metacarpophalangeal rheumatoid arthritis.