Literature DB >> 28511611

Arthroscopic Assisted Resection of Triangular Fibrocartilage Complex Lesions: A 19-Year Follow-up.

Endre Soreide1, Jan-Ragnar Haugstvedt2, Torstein Husby1.   

Abstract

BACKGROUND: This study assesses long-term functional and subjective outcomes following arthroscopic assisted resection of lesions of the triangular fibrocartilage complex (TFCC).
METHODS: Functional and subjective outcomes were assessed based on review of patient charts for patient demographic characteristics, comprehensive clinical evaluation, obtained radiographs, and patient-reported questionnaires.
RESULTS: Fifteen patients, of whom 9 were female, and 10 dominant wrists, were included in this study. Median age was 60 (range, 37-73) years, and median duration of follow-up was 19 (range, 18-21) years. Median Mayo Wrist Score was 85 (range, 45-100). Four patients scored excellent, 7 good, 3 fair, and 1 poor result according to the Modified Mayo Wrist Score. Median Quick Disabilities of the Arm, Shoulder and Arm was 20 (range, 0-45) and Patient-Rated Wrist and Hand Evaluation was 8 (range, 0-61). Patients reported high rate for satisfaction and low rate for pain. All patients presented intact stability of the distal radioulnar joint.
CONCLUSIONS: This study demonstrates persisting satisfactory subjective and functional outcomes for patients following arthroscopic assisted resection for lesions of the TFCC at 19 years of follow-up. Arthroscopically assisted resection of selected TFCC lesions seems to be both a safe and efficient procedure.

Entities:  

Keywords:  Palmer IA; Palmer ID; central lesions; clinical outcome; radial lesions; triangular fibrocartilage complex; wrist arthroscopy

Mesh:

Year:  2017        PMID: 28511611      PMCID: PMC5987974          DOI: 10.1177/1558944717708029

Source DB:  PubMed          Journal:  Hand (N Y)        ISSN: 1558-9447


  36 in total

1.  The microvasculature of the triangular fibrocartilage complex: its clinical significance.

Authors:  M S Bednar; S P Arnoczky; A J Weiland
Journal:  J Hand Surg Am       Date:  1991-11       Impact factor: 2.230

2.  Clinical results of treatment of triangular fibrocartilage complex tears by arthroscopic debridement.

Authors:  A Minami; J Ishikawa; N Suenaga; T Kasashima
Journal:  J Hand Surg Am       Date:  1996-05       Impact factor: 2.230

3.  Triangular fibrocartilage disorders: injury patterns and treatment.

Authors:  A K Palmer
Journal:  Arthroscopy       Date:  1990       Impact factor: 4.772

4.  Arthroscopic debridement of triangular fibrocartilage complex tears.

Authors:  A L Osterman
Journal:  Arthroscopy       Date:  1990       Impact factor: 4.772

5.  Partial excision of the triangular fibrocartilage complex.

Authors:  A K Palmer; F W Werner; R R Glisson; D J Murphy
Journal:  J Hand Surg Am       Date:  1988-05       Impact factor: 2.230

6.  Arterial anatomy of the triangular fibrocartilage of the wrist and its surgical significance.

Authors:  R G Thiru; D C Ferlic; M L Clayton; D C McClure
Journal:  J Hand Surg Am       Date:  1986-03       Impact factor: 2.230

7.  Strains in the articular disk of the triangular fibrocartilage complex: a biomechanical study.

Authors:  B D Adams; K A Holley
Journal:  J Hand Surg Am       Date:  1993-09       Impact factor: 2.230

8.  Triangular fibrocartilage tears.

Authors:  W P Cooney; R L Linscheid; J H Dobyns
Journal:  J Hand Surg Am       Date:  1994-01       Impact factor: 2.230

9.  Ulna-shortening osteotomy after failed arthroscopic debridement of the triangular fibrocartilage complex.

Authors:  D Hulsizer; A P Weiss; E Akelman
Journal:  J Hand Surg Am       Date:  1997-07       Impact factor: 2.230

10.  Patient rating of wrist pain and disability: a reliable and valid measurement tool.

Authors:  J C MacDermid; T Turgeon; R S Richards; M Beadle; J H Roth
Journal:  J Orthop Trauma       Date:  1998 Nov-Dec       Impact factor: 2.512

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  1 in total

1.  A Systematic Review and Analysis of Palmer Type I Triangular Fibrocartilage Complex Injuries: Outcomes of Treatment.

Authors:  Colin T McNamara; Salih Colakoglu; Matthew L Iorio
Journal:  J Hand Microsurg       Date:  2020-06-30
  1 in total

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