“…The other four patients underwent a diagnostic arthroscopy that revealed suture rupture with radio-ulnar ligament detachment at the site of the previous repair site in all cases. No nerve lesions were noted in either group (Luchetti et al, 2006).…”
The aim of this study was to assess the objective and subjective functional outcomes after foveal reattachment of proximal or complete ulnar-sided triangular fibrocartilage complex lesions by two surgical procedures: an open technique or an arthroscopically assisted repair. The study was done prospectively on 49 wrists affected by post-traumatic distal radio-ulnar joint instability. Twenty-four patients were treated with the open technique (Group 1) and 25 by the arthroscopically assisted technique (Group 2). Magnetic resonance imaging demonstrated a clear foveal detachment of the triangular fibrocartilage complex in 67% of the cases. Arthroscopy showed a positive ulnar-sided detachment of the triangular fibrocartilage complex (positive hook test) in all cases. Distal radio-ulnar joint stability was obtained in all but five patients at a mean follow-up of 6 months. Both groups had improvement of all parameters with significant differences in wrist pain scores, Mayo wrist score, Disability of the Arm, Shoulder and Hand questionnaire and Patient-Rated Wrist/Hand Evaluation questionnaire scores. There were no significant post-operative differences between the two groups in the outcome parameters except for the Disability of the Arm Shoulder and Hand questionnaire score, which was significantly better in Group 2 (p < 0.001).
“…The other four patients underwent a diagnostic arthroscopy that revealed suture rupture with radio-ulnar ligament detachment at the site of the previous repair site in all cases. No nerve lesions were noted in either group (Luchetti et al, 2006).…”
The aim of this study was to assess the objective and subjective functional outcomes after foveal reattachment of proximal or complete ulnar-sided triangular fibrocartilage complex lesions by two surgical procedures: an open technique or an arthroscopically assisted repair. The study was done prospectively on 49 wrists affected by post-traumatic distal radio-ulnar joint instability. Twenty-four patients were treated with the open technique (Group 1) and 25 by the arthroscopically assisted technique (Group 2). Magnetic resonance imaging demonstrated a clear foveal detachment of the triangular fibrocartilage complex in 67% of the cases. Arthroscopy showed a positive ulnar-sided detachment of the triangular fibrocartilage complex (positive hook test) in all cases. Distal radio-ulnar joint stability was obtained in all but five patients at a mean follow-up of 6 months. Both groups had improvement of all parameters with significant differences in wrist pain scores, Mayo wrist score, Disability of the Arm, Shoulder and Hand questionnaire and Patient-Rated Wrist/Hand Evaluation questionnaire scores. There were no significant post-operative differences between the two groups in the outcome parameters except for the Disability of the Arm Shoulder and Hand questionnaire score, which was significantly better in Group 2 (p < 0.001).
“…Elle était depuis très longtemps utilisée comme porte de sortie pour l'eau. Certains auteurs ont néanmoins, montré qu'en respectant certaines règles, elle pouvait être utilisée avantageusement pour le diagnostic et le traitement des pathologies ulnaires du poignet[12].…”
“…Beredjiklian [14] retrouve 0,9 % de complications graves et 4,3 % de complications mineures sur une série de 211 arthroscopies de poignet, Luchetti [15] respectivement 1,1 et 1,7 sur une série de 350 arthroscopies.…”
Section: Frequences Des Complicationsunclassified
“…Leur taux atteint 2,5 à 14 % pour le coude [10,12,[17][18][19], où elles sont les plus fréquentes, 1,5 à 2 % pour le poignet [14,15], et 0,1 à 10 % des cas pour l'épaule [3,4,6,7,20,21].…”
Section: Complications Neurologiquesunclassified
“…L'apparition de kystes synoviaux sur les voies d'abord ou de nodules cicatriciels, très fréquents et bénins, équivalent d'une cicatrice chéloïde est possible [15,32], et peut nécessiter une reprise chirurgicale en cas de persistance.…”
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