For me long sleeve shirts, jackets and anything long sleeve really will wrinkle up at the wrist end since my wingspan is a few cms shorter for my required size. And the worst part is that if I buy a size smaller, then the overall length of the jacket or long sleeve shirt will be too small or too tight for my torso but the sleeves will then be perfect lol.
Humerus lengthening is something Im also thinking about due to this, but who knows atm