A structured non-operative treatment program for traumatic triangular fibrocartilage complex tear: A quasi-experimental study.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 18. J Plast Surg Hand Surg. 2018 Jun;52(3):193-197. doi: 10.1080/2000656X.2017.1415914. Epub 2017 Dec 19. 20-Year outcome of TFCC repairs. Moloney M(1), Farnebo S(1)(2), Adolfsson L(2)(3). Author information: (1)a Department of Plastic Surgery, Hand Surgery, and Burns , Linköping University , Sweden. (2)b Department of Clinical and Experimental Medicine , Linköping University , Sweden. (3)c Department of Orthopaedics , Linköping University , Sweden. The aims of this study were to investigate the functional result and rate of osteoarthritis 15-25 years after a TFCC-repair. Forty-seven patients completed the questionnaire Patient Rated Wrist Evaluation (PRWE), and 43 had new X-rays. Fifty-seven percent had a simultaneous arthroscopy. Sixteen patients had later additional surgery to the wrist, of these eight had a reoperation of the TFCC-injury due to recurrent instability. Radiographs showed that 17.5% had developed radiocarpal osteoarthritis and 34% osteoarthritis in the distal radioulnar joint. The median PRWE result was 22.5. Patients with radiocarpal osteoarthritis and patients who had additional surgery had significantly worse scores. Patients who had undergone arthroscopy significantly less often had developed radiocarpal osteoarthritis. The result is acceptable but not impressive and efforts should be made to diagnose these injuries early and also diagnose associated injuries, advisably by arthroscopy. DOI: 10.1080/2000656X.2017.1415914