Arthroscopic Treatment of Peripheral Triangular Fibrocartilage Complex Tears With the Deep Fibers Intact

Wysocki, Robert; Richard, Marc J.; Crowe, Matthew M.; Leversedge, Fraser J.; Ruch, David S.

doi:10.1016/j.jhsa.2011.12.023

Cited by 63 publications

(34 citation statements)

References 40 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 2 4 Several reports of isolated dc-TFCC repair have proved the benefits of restoring tautness of the TFCC for relieving symptoms. 9 In a combined complete tear pattern, however, the status of dc-TFCC after foveal fixation was not clearly verified.…”

Section: Introductionmentioning

confidence: 98%

Arthroscopic Transosseous Repair for both Proximal and Distal Components of Peripheral Triangular Fibrocartilage Complex Tear

Park

2018

IJOO

View full text Add to dashboard Cite

Background:Tears of the triangular fibrocartilage complex (TFCC) can result in instability of the distal radioulnar joint (DRUJ) and ulnar-sided wrist pain. This study evaluates clinical results of arthroscopic transosseous repair for both proximal and distal components of TFCC tear with DRUJ instability.Materials and Methods:Ten patients who underwent both proximal component and distal component of TFCC repair were retrospectively reviewed. The proximal component of TFCC was repaired through arthroscopic one-tunnel transosseous suture technique, and the combined distal component tear was repaired to the ulnar capsule using same transosseous tunnel in all cases. Visual analog scale (VAS) score for pain, wrist range of motion, grip strength, and postoperative complications were evaluated after a mean followup period of 23.5 months, and each patient was rated according to modified Mayo wrist score and quick disabilities of the arm, shoulder, and hand (DASH) questionnaire.Results:On arthroscopic findings, the hook test confirmed the proximal component of the TFCC tear and visible capsular detachment from TFCC confirmed combined distal component tear in all patients. At final followup, 7 patients had normal stability of DRUJ and 3 patients showed mild laxity compared with the contralateral side. The mean VAS for pain perception decreased from 4.1 to 0.7, and grip strength was increased significantly. The modified Mayo wrist score and Quick DASH score showed significant functional improvement. No surgery-related complications occurred.Conclusions:Arthroscopic one-tunnel transosseous TFCC foveal repair and simulatneous transosseous capsular repair of distal component can be a safe and effective strategy for repair of complete TFCC tear combined with DRUJ instability.

show abstract

Section: Introductionmentioning

confidence: 98%

Arthroscopic Transosseous Repair for both Proximal and Distal Components of Peripheral Triangular Fibrocartilage Complex Tear

Park

2018

IJOO

View full text Add to dashboard Cite

show abstract

“…However, when reviewing the adult literature concerning results after outside-in TFCC repairs as performed in our series, good pain relief and improvement of function was observed in most reports. Wysocki et al, for example, observed a significant reduction of VAS and DASH scores from 5.4 to 0.9, and 38 to 9 at final follow-up, respectively [2]. The authors however noted that despite the good results 11 patients were not able to resume their previous sport activities at the same level due to pain during activity.…”

Section: Discussionmentioning

confidence: 97%

“…Various methods for arthroscopic repair of avulsed TFCCs have been established since the early 1990s [1][2][3][4][5]15]. They comprise all-inside, outside-in and inside-out techniques, which all aim for stable refixation of the TFCC to the fovea and/or the ulnar capsule.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, successful healing can only be expected for peripheral 1B tears. Although some previous publications have sporadically included immature patients in predominantly adult cohorts [1,2,4,17], to the best of our knowledge no specific evaluation of a uniform pediatric or adolescent cohort with arthroscopic TFCC repairs has so far been published. However, when reviewing the adult literature concerning results after outside-in TFCC repairs as performed in our series, good pain relief and improvement of function was observed in most reports.…”

Section: Discussionmentioning

confidence: 99%

“…Evolving arthroscopic techniques enabled hand surgeons to evaluate and treat several conditions that previously needed open, more extensive surgical approaches. All arthroscopicand arthroscopically-assisted repair of triangular fibrocartilage complex (TFCC) tears has thus gained wide popularity among hand surgeons to restore the integrity of a torn TFCC whenever it is possible [1][2][3][4][5]. While central TFCC tears (Palmer type 1A) may simply be debrided, peripheral tears (type 1B) as well as radially located tears (type 1D) may successfully be repaired to allow for improved or even restored loadtransmission in the ulnocarpal wrist compartment.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations