Arthroscopic debridement of triangular fibrocartilage complex tears

Soft-tissue stabilizers of the distal radioulnar joint: an in vitro kinematic study

“…This is consistent with previous clinical and biomechanical studies that have suggested resection of the central portion of the TFC 17,18,[41][42][43][44] or excision of the entire TFCC 24 would not affect DRUJ stability. A more recent study by Adams, 45 however, has raised concern about alterations in TFC strains and joint motion with larger TFC excisions and the potential for subsequent DRUJ degenerative change.…”

Functionality After Arthroscopic Debridement of Central Triangular Fibrocartilage Tears With Central Perforations

“…3,6,7,9 Thus, our findings support the idea of initial arthroscopic debridement alone regardless of ulnar variance.…”

“…1,2 Degenerative TFC lesions are quite common and often occur with chronic ulnar-sided wrist pain without distal radioulnar joint instability. 3, 4 Palmer classified both traumatic (type 1) and degenerative (type 2) TFC lesions and subdivided degenerative lesions into 5 groups (2Ae2E). Type 2C lesions are perforations of the articular disc with lunate and/or ulnar chondromalacia.…”

“…3,9e13 The majority of clinical studies examining patients after debridement of degenerative TFC lesions are characterized by a heterogeneous assembly of different TFC lesions. 3 The aim of this study was to focus exclusively on central tears of the TFC (Palmer type 2C). 5 We hypothesized that functional and subjective outcome would be improved after arthroscopic debridement of central TFC lesions.…”

The radioulnar joint in distal radial fractures: A review

“…Kauschke 1996, Mikkelsen et al 1997 or ulnar head arthroplasties (Imbriglia and Matthews 1993). The arthroplasty may be done as an arthroscopic (Osterman et al 1990, Geissler et al 1996b or an open procedure (Bowers 1999). In many cases, the radial osteotomy also changes the sigmoid notch, which may improve the range of pro-supination and create bony stability of the DRU-joint (Fernandez 1982).…”