Arthroscopic Assisted Resection of Triangular Fibrocartilage Complex Lesions: A 19-Year Follow-up

Soreide, Endre; Haugstvedt, Jan-Ragnar; Husby, Torstein

doi:10.1177/1558944717708029

Cited by 2 publications

(2 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this analysis, 302 patients underwent TFCC debridement in 10 articles of a variety of Palmer types (178 1A, 53 1B, 14 1C, 28 1D with 43 unclassified Type 1) which were not separated for results and sometimes represent multiple lesions in the same patient. 9,15,[29][30][31][32][33][34][35][36] All were done arthroscopically. Three of these articles used the Mayo wrist classification to evaluate patient outcomes, and among the 75 patients in these studies, 30 patients demonstrated excellent, 29 good, 9 fair, and 7 poor outcomes.…”

Section: Debridementmentioning

confidence: 99%

A Systematic Review and Analysis of Palmer Type I Triangular Fibrocartilage Complex Injuries: Outcomes of Treatment

McNamara

Colakoğlu

Iorio

2020

Journal of Hand and Microsurgery

View full text Add to dashboard Cite

Triangular fibrocartilage complex (TFCC) injuries can present incidentally as an asymptomatic lesion or can cause acute and chronic pain. This study compared different treatment approaches for symptomatic Palmer Type 1 TFCC injuries and rates of improvement using a systematic review of the literature. Two hundred thirty-one articles were identified, 43 met criteria and were included. Two of these articles indicated conservative therapy may be adequate. Patients who underwent debridement for any Type 1 Palmer class returned to work at a rate of 92% (n = 182), but only 44% (n = 38) were free of pain. For 1B lesions that underwent repair, 68.3% (n = 226) were able to return to work and 41% (n = 52) had persistent pain. 1D lesions were treated with both repair and debridement with similar results. Data for Types 1A and 1C were limited as no authors solely addressed these lesions. For 1A lesions, those treated with traditional treatment of debridement still had high rates of being unable to return to work. The literature remains insufficient, making comparison between studies and techniques difficult. For asymptomatic injuries, there is no need for treatment. For patients with recalcitrant symptoms, surgery improves pain, grip strength, and increases return to work and activity. The level of evidence is IV.

show abstract

Section: Debridementmentioning

confidence: 99%

A Systematic Review and Analysis of Palmer Type I Triangular Fibrocartilage Complex Injuries: Outcomes of Treatment

McNamara

Colakoğlu

Iorio

2020

Journal of Hand and Microsurgery

View full text Add to dashboard Cite

show abstract

“…The MMWS was reported in 11 arthroscopic repair studies (n ¼ 299), 2,3,8,15,17,18,20,25,30,33,34 7 open repair studies (n ¼ 154), 2,3,8,10,31,35,36 and 4 debridement articles (n ¼ 118). 26,27,37,38 Preoperative mean scores were 54.2 for arthroscopic repair studies and 48.5 for open repair studies (no preoperative scores were reported in debridement studies); postoperative scores were 84.0, 79.9, and 88.6, respectively.…”

Section: Clinical Outcomesmentioning

confidence: 99%

Surgical Management of Triangular Fibrocartilage Complex Lesions: A Review of Outcomes

Demino

Morales-Restrepo

Fowler

2019

Journal of Hand Surgery Global Online

View full text Add to dashboard Cite

Triangular fibrocartilage complex (TFCC) lesions of the wrist are primarily managed nonsurgically. Patients with persistent pain and/or instability may elect to undergo surgery (debridement, open repair, or arthroscopic repair). The current literature is unclear as to the preferred surgical technique. The purpose of this study was to review the literature and determine whether any surgical procedure was superior to others in the surgical management of TFCC lesions. Methods: We performed a thorough literature review of PubMed and EMBASE databases for all articles on surgical management of TFCC lesions. Outcomes of interest included the Disabilities of the Arm, Shoulder, and Hand scores, pain visual analog scale, modified Mayo wrist scores, grip strength, and range of motion. Results: We screened 1,762 articles and included 43 studies, for a total of 1,261 wrists. Disabilities of the Arm, Shoulder, and Hand scores were 15.4 (n ¼ 410), 24.1 (n ¼ 63), and 17.6 (n ¼ 72), in the arthroscopic repair, open repair, and debridement groups, respectively. Visual analog scale pain scores were 2.4 (n ¼ 289), 1.7 (n ¼ 60), and 2.8 (n ¼ 120), respectively. Modified Mayo wrist scores were 84 (n ¼ 299), 80 (n ¼ 154), and 88.6 (n ¼ 118), respectively. Grip strength was 83.4% (n ¼ 494), 82.9% (n ¼ 94), and 92% (n ¼ 80) of the contralateral hand, respectively. Finally, range of motion flexion-extension was 137 (n ¼ 309), 133 (n ¼ 107), and 130 (n ¼ 57), and pronation-supination was 161 (n ¼ 264), 153 (n ¼ 68), and 167 (n ¼ 57), respectively. Conclusions: Overall, patients had improvement regardless of the surgical technique employed, as measured by patient-reported and functional outcomes. According to this literature review, there is insufficient evidence to claim superiority of one surgical technique over others; treatment should be tailored to the specific lesion type. We have laid the groundwork for future prospective trials comparing surgical techniques for the management of TFCC lesions. Type of study/level of evidence: Therapeutic IV.

show abstract

Arthroscopic Assisted Resection of Triangular Fibrocartilage Complex Lesions: A 19-Year Follow-up

Cited by 2 publications

References 37 publications

A Systematic Review and Analysis of Palmer Type I Triangular Fibrocartilage Complex Injuries: Outcomes of Treatment

A Systematic Review and Analysis of Palmer Type I Triangular Fibrocartilage Complex Injuries: Outcomes of Treatment

Surgical Management of Triangular Fibrocartilage Complex Lesions: A Review of Outcomes

Contact Info

Product

Resources

About