Isolated tears of the triangular fibrocartilage of the wrist: Results of partial excision

Menon, Jayasanker; Wood, Virchel E.; Schoene, Herman R.; Frykman, Gary K.; Hohl, Joseph C.; Bestard, Eduardo A.

doi:10.1016/s0363-5023(84)80104-5

Cited by 98 publications

(25 citation statements)

References 8 publications

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“…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.…”

Section: Discussionsupporting

confidence: 92%

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

Gofton¹,

Gordon²,

Dunning

et al. 2004

The Journal of Hand Surgery

123

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Section: Discussionsupporting

confidence: 92%

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

Gofton¹,

Gordon²,

Dunning

et al. 2004

The Journal of Hand Surgery

123

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“…Likewise, while an acute TFCC tear may not be related to chronic stresses, per se, unloading the damaged side of the joint, theoretically, should help. Menon et al [14] and Minami et al [16] have reported poor results of debridement without ulna shortening while several other authors reported 90% to 100% excellent and good results following ulna shortening for both degenerative and traumatic TFCC tears [2,5,16,[22][23][24]. Hulsizer et al [9] even reported successful pain relief following ulna shortening in 12 out of 13 patients who had persistent symptoms despite previous arthroscopic debridement.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study on the Initial Results of a Low Profile Ulna Shortening Osteotomy System

Isaacs¹,

Howard

Gulkin³

2009

Hand (New York, N,Y.)

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Extra-articular ulna shortening osteotomy, in principle, is an accepted treatment option for symptomatic degenerative and traumatic triangular fibrocartilage complex (TFCC) tears. Despite the benefits of this surgical approach, potential disadvantages include risk of nonunion, soft tissue irritation, and the need for future hardware removal. A recently introduced low profile ulna shortening system was designed to decrease these potential complications. A single-surgeon prospective study was performed to evaluate this system. Ten consecutive patients undergoing ulna shortening for ulnar-sided wrist pain compatible with TFCC pathology participated in the study. Subjective, objective, and radiographic assessments were performed preoperatively and up to 24 weeks postoperatively. Based on visual analog scale (VOS) ratings (0 to 10), pain scores significantly improved (p<0.05) and average patient satisfaction was 8.7. DASH and PRWE scores improved at three month follow-up (p<0.05). Osteotomy healing time averaged 10.3 weeks, and there were no nonunions. Average discomfort associated with palpation of the plate at final follow-up was 3.3 (using VOS), and one patient requested removal of the hardware. In this short-term follow-up study, the assessed ulna shortening system appears effective and, in general, well tolerated.

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“…Derangement of the TFCC in a patient with chronic ulnar wrist pain was once a diagnosis of exclusion [11]. Physical examination helps in localizing the injury to the area adjacent to the ulnar head, especially in relation to ulnar wrist pain on forearm supination.…”

Section: Discussionmentioning

confidence: 99%

“…Symptomatic tears of the hypovascular central cartilaginous portion of the TFCC (Palmer Class IA), with both the continuity and stability of TFCC remaining intact, have responded favorably to open or arthroscopic débridement and ulnar recession osteotomy [11,14,19,20]. Treatment of symptomatic peripheral tears of the TFCC, however, deserves special consideration.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment of disruption of the TFCC includes partial or total excision [8,11], ulnar recession [6], and either tenodesis or arthrodesis of the distal radioulnar joint [9,16]. Débridement or partial excision of a central tear of the TFCC (Palmer Class IA) has been accepted as the best means of eliminating painful dysfunction without jeopardizing wrist stability [15].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Peripheral tears of triangular fibrocartilage complex: results of primary repair

Chou¹,

Lee

2001

International Orthopaedics (SICOT)

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Isolated tears of the triangular fibrocartilage of the wrist: Results of partial excision

Cited by 98 publications

References 8 publications

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

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

A Prospective Study on the Initial Results of a Low Profile Ulna Shortening Osteotomy System

Peripheral tears of triangular fibrocartilage complex: results of primary repair

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