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19992

Arthroscopic Management of Triangular Fibrocartilage Complex (TFCC) Injuries

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Last updated: 03 Jan 2025

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Abstract

Background: Triangular fibrocartilage complex (TFCC) injury is major cause of ulnar side wrist pain. It can lead to distal radio ulnar joint instability. Aim of the work: was to examine the efficacy of arthroscopic management of the TFCC injuries, and assess the functional outcome of this procedure. Patients and Methods: Twenty patients with torn TFCC underwent arthroscopic management. Five patients had central TFCC tears to which arthroscopic debridement was done. Five patients had superficial peripheral TFCC tears to which arthroscopic reattachment to the capsule was done. Ten patients had deep foveal TFCC tears with DRUJ instability to which arthroscopic assisted foveal reattachment by suture anchor was done. All patients were assessed before and after surgery (at follow-up) by Visual Analogue Scale (VAS) for pain, the Disability of the Arm, Shoulder and Hand (DASH) score, the Modified Mayo Wrist Score (MMWS), and the incidence of complications. Results: Twenty patients were available for follow-up at a mean of 12.9 months. VAS improved from a mean of 6 to a mean of 1.3 (p<0.001). The DASH score improved from a mean of 28.2 to a mean of 5.8 (P < 0.001). MMWS improved from a mean of 66.3 to a mean of 88.5 (p<0.001). Conclusion: Arthroscopic management of TFCC tears has shown to reach good results according with different TFCC lesions and improvement in pain and function. However, the current study is limited by absence of conservative or open control group for comparison and the relatively short follow-up period.

DOI

10.21608/ejhm.2018.19992

Keywords

Ulnar sided wrist pain, TFCC lesions, Arthroscopy of the wrist

Authors

First Name

Mohamed Amer

Last Name

Mohamed

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

mohamedamerortho@yahoo.com

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First Name

Abd El Hakim Abd Allah

Last Name

Massoud

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

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Orcid

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First Name

Alberto

Last Name

Lazzerini

MiddleName

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Affiliation

Hand Surgery Unit, Humanitas Research Hospital, Milan, Italy

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Orcid

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First Name

Rashed Emam

Last Name

Rashed

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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Volume

73

Article Issue

10

Related Issue

4006

Issue Date

2018-10-01

Receive Date

2018-11-28

Publish Date

2018-10-01

Page Start

7,699

Page End

7,706

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_19992.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=19992

Order

11

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Arthroscopic Management of Triangular Fibrocartilage Complex (TFCC) Injuries

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Article

Created At

22 Jan 2023