Sebastian Farr1, Ulrike Zechmann, Rudolf Ganger, Werner Girsch. 1. Department of Pediatric Orthopaedics, Deformity Correction and Adult Foot and Ankle Surgery, Orthopaedic Hospital Speising, Speisingerstrasse 109, 1130, Vienna, Austria, sebastian.farr@oss.at.
Abstract
PURPOSE: The purpose of this study was to report our preliminary results after arthroscopically-assisted repair of peripheral triangular fibrocartilage complex (TFCC) tears in adolescent patients. METHODS: All children and adolescents who underwent arthroscopically-assisted repair of a Palmer 1B tear were identified and prospectively evaluated after a mean follow-up of 1.3 years. The postoperative assessment included documentation of clinical parameters, pain score (visual analogue scale, VAS), grip strength and completion of validated outcome scores (Modified Mayo Wrist Score, MMWS; Disabilities of the Arm, Shoulder and Hand Inventory, DASH). A total of 12 patients (four males, eight females) with a mean age of 16.3 years at the time of surgery were evaluated. RESULTS: The mean VAS decreased significantly from 7.0 to 1.7 after the procedure. We observed a significant increase of the MMWS after surgery; however, MMWS was still significantly lower at final follow-up when compared to the contralateral side. A mean postoperative DASH score of 16 indicated an excellent outcome after the procedure. DASH Sports and Work Modules showed fair and good overall outcomes in the short-term, respectively. Grip strength averaged 86 % of the contralateral side at final follow-up, with no significant difference being found between both sides. CONCLUSIONS: 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.
PURPOSE: The purpose of this study was to report our preliminary results after arthroscopically-assisted repair of peripheral triangular fibrocartilage complex (TFCC) tears in adolescent patients. METHODS: All children and adolescents who underwent arthroscopically-assisted repair of a Palmer 1B tear were identified and prospectively evaluated after a mean follow-up of 1.3 years. The postoperative assessment included documentation of clinical parameters, pain score (visual analogue scale, VAS), grip strength and completion of validated outcome scores (Modified Mayo Wrist Score, MMWS; Disabilities of the Arm, Shoulder and Hand Inventory, DASH). A total of 12 patients (four males, eight females) with a mean age of 16.3 years at the time of surgery were evaluated. RESULTS: The mean VAS decreased significantly from 7.0 to 1.7 after the procedure. We observed a significant increase of the MMWS after surgery; however, MMWS was still significantly lower at final follow-up when compared to the contralateral side. A mean postoperative DASH score of 16 indicated an excellent outcome after the procedure. DASH Sports and Work Modules showed fair and good overall outcomes in the short-term, respectively. Grip strength averaged 86 % of the contralateral side at final follow-up, with no significant difference being found between both sides. CONCLUSIONS: 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.
Authors: Frank G Hunsaker; Dominic A Cioffi; Peter C Amadio; James G Wright; Beth Caughlin Journal: J Bone Joint Surg Am Date: 2002-02 Impact factor: 5.284
Authors: Robert W Wysocki; Marc J Richard; Matthew M Crowe; Fraser J Leversedge; David S Ruch Journal: J Hand Surg Am Date: 2012-02-02 Impact factor: 2.230
Authors: Meredith L Anderson; A Noelle Larson; Steven L Moran; William P Cooney; Kimberly K Amrami; Richard A Berger Journal: J Hand Surg Am Date: 2008 May-Jun Impact factor: 2.230
Authors: Christian K Spies; Anja Niehoff; Frank Unglaub; Lars P Müller; Martin F Langer; Wolfram F Neiss; Johannes Oppermann Journal: Int Orthop Date: 2015-09-22 Impact factor: 3.075
Authors: Anne-Sophie van der Post; Sjoerd Jens; Frank F Smithuis; Miryam C Obdeijn; Roelof-Jan Oostra; Mario Maas Journal: Skeletal Radiol Date: 2021-04-17 Impact factor: 2.199