Clinical experience with arthroscopically-assisted repair of peripheral triangular fibrocartilage complex tears in adolescents—technique and results

Abstract

Arthroscopically-assisted repair of peripheral TFCC tears in adolescents provided predictable pain relief and markedly improved functional outcome scores. Concomitant pathologies may have to be addressed at the same time to eventually achieve a satisfactory outcome. Sports participation, however, may be compromised in the short-term and should therefore be resumed six months postoperatively.

Outcomes after Arthroscopic Debridement of the Triangular Fibrocartilage Complex in Adolescents

“…14 Our clinical results compared favorably with the limited literature on adolescent TFCC surgery. Compared with the short-term outcomes after TFCC repair in adolescents, 18 the current long-term results after debridement were quite similar, although a higher revision rate has been noted. Nevertheless, we believe that TFCC debridement should be performed in children who reveal stable central or radial TFCC tears during wrist arthroscopy, do not respond to conservative treatment beforehand, and do not show clinical and/or radiographic evidence of instability or ulnar impaction.…”

“…They showed significant pain reduction and improvement in both Modified Mayo Wrist Scores (MMWS) and physiologic grip strength when compared with the contralateral side in 12 adolescents. 18 Similarly, Terry and Waters observed complete pain relief in four cases undergoing arthroscopic TFCC repair. 19 However, we are-to the best of our knowledge-not aware of any such reports on TFCC debridement in pediatric patients.…”

“…To date, only a few reports in the literature mentioned arthroscopic wrist surgery in children, and even fewer studies investigated results after TFCC surgery in this age group. 2,[17][18][19] Farr et al, for example, reported good short-term clinical outcomes after TFCC repair. They showed significant pain reduction and improvement in both Modified Mayo Wrist Scores (MMWS) and physiologic grip strength when compared with the contralateral side in 12 adolescents.…”

Clinical experience with arthroscopically-assisted repair of peripheral triangular fibrocartilage complex tears in adolescents—technique and results

“…To the Editor: It was with great interest that we read Farr et al's article [1] BClinical experience with arthroscopically-assisted repair of peripheral triangular fibrocartilage complex tears in adolescentstechnique and results.^. In this article, the authors examined adolescents who suffered from triangular fibrocartilage complex (TFCC) 1B tears among other pathologies postoperatively after TFCC refixation to the capsule.…”

Pediatric Orthopaedics - from Kirschner wires to titanium

“…Therefore the number of papers dedicated to upper limb (12)(13)(14)(15) and lower limb (16)(17)(18) is completed with publications about spine and pelvic trauma (19,20). Other fields of interest with substantial results are published in the study of the LeggCalvé-Perthes disease (21) and in the pediatric oncology (22) Training to develop medical thinking and surgical skills is a complex journey.…”