Margaret Woon Man Fok1, Christian Xinshuo Fang2, Tak Wing Lau2, Yin Keung Eric Fung3, Boris Kwok Keung Fung2, Frankie Ka Li Leung2. 1. Department of Orthopaedics and Traumatology, Queen Mary Hospital, The University of Hong Kong, 5/F, Professorial Block, Pokfulam Road, Hong Kong, Hong Kong. Margaret_fok@yahoo.com. 2. Department of Orthopaedics and Traumatology, Queen Mary Hospital, The University of Hong Kong, 5/F, Professorial Block, Pokfulam Road, Hong Kong, Hong Kong. 3. Occupational Therapy Department, David Trench Rehabilitation Centre, High Street, Hong Kong, Hong Kong.
Abstract
PURPOSE: Distal radius fractures are associated with a high incidence of triangular fibrocartilage complex (TFCC) tears. This study aims to evaluate the status of TFCC after the healing of distal radius fractures, and its clinical significance. METHODS: Wrist arthroscopies were performed on 43 distal radius fractures, with an average age of 54 years old. RESULTS: Twenty-six complete tears and 15 partial healed tears were noted. Five out of eight patients with intact TFCC tears had neither signs nor symptoms, while eight patients with TFCC tears had no complaint. While no association was found between ulnar wrist pain and TFCC tears, there was association between DRUJ instability and TFCC tears and fovea tears. The function outcome did not differ with respect to the integrity of TFCC. CONCLUSIONS: A large majority of TFCC tears remained unhealed after the union of distal radius fractures. However, not all patients with tear were symptomatic.
PURPOSE: Distal radius fractures are associated with a high incidence of triangular fibrocartilage complex (TFCC) tears. This study aims to evaluate the status of TFCC after the healing of distal radius fractures, and its clinical significance. METHODS: Wrist arthroscopies were performed on 43 distal radius fractures, with an average age of 54 years old. RESULTS: Twenty-six complete tears and 15 partial healed tears were noted. Five out of eight patients with intact TFCC tears had neither signs nor symptoms, while eight patients with TFCC tears had no complaint. While no association was found between ulnar wrist pain and TFCC tears, there was association between DRUJ instability and TFCC tears and fovea tears. The function outcome did not differ with respect to the integrity of TFCC. CONCLUSIONS: A large majority of TFCC tears remained unhealed after the union of distal radius fractures. However, not all patients with tear were symptomatic.
Authors: Stefan Quadlbauer; Ch Pezzei; J Jurkowitsch; R Rosenauer; A Pichler; S Schättin; T Hausner; M Leixnering Journal: Arch Orthop Trauma Surg Date: 2020-03-27 Impact factor: 3.067
Authors: Angel X Xiao; Alexander R Graf; Alexander Dawes; Charles Daley; Eric R Wagner; Michael B Gottschalk Journal: J Hand Surg Glob Online Date: 2021-03-31