Treatment of injury of the triangular fibrocartilage complex (TFCC).
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2006, Vol 8, Issue 3
Abstract
Background. The triangular fibrocartilage complex (TFCC) supplies stability and cushioning for proper wrist function. TFCC lesions, a common cause of ulnar-sided wrist pain, can be traumatic (Palmer I) or degenerative (Palmer II) in nature. Clinical assessment is basic for making the diagnosis, but imaging may be helpful. Conservative treatment is the best choice for most acute cases. If the symptoms persist, however, operative treatment has a better prognosis for pain relief. Wrist arthroscopy has a major role to play in the diagnosis and treatment of TFCC lesions. Material and methods. 29 patients were operated in the Hand Surgery Department in Poznań due to TFCC lesions. 16 patients were qualified as Palmer type I (9 sport injuries, 7 sprains). while 13 patients had Palmer type II secondary to distal radial fractures. All patients suffered ulnar wrist pain and were positive on provocation tests. The indication for surgery was a lack of response to conservative treatment. Different operative procedures were used, depending on the type of lesion: arthroscopic debridement, open or arthroscopic restabilization of the TFCC, ulnar shortening, or partial resection of the ulnar head (Wafer). Rehabilitation was introduced following a period of immobilization. Results. Wrist pain was significantly diminished or disappeared after surgical treatment and rehabilitation. Conclusions. Good functional result and pain relief can be expected following surgical treatment of TFCC injuries.
Authors and Affiliations
Przemysław Lubiatowski, Leszek Romanowski, Robert Spławski, Władysław Manikowski, Piotr Ogrodowicz
Artrofibroza stawu kolanowego – aktualny stan wiedzy. Przegląd piśmiennictwa
Celem artykułu było zwrócenie uwagi na interdyscyplinarny problem artrofibrozy (AF) oraz przedstawienie tego tematu dla potrzeb fizjoterapii w oparciu o przegląd literatury i doświadczenia własne. Artrofibroza jest boles...
Bioactive composites for the bone regeneration. Review.
Beside auto- and allogeneic bone chips used for filling bone lesions or to enhance of bone regeneration, various types of ceramics, natural and synthetized bone mineral hydroxyapatite and tricalcium phosphate, as well as...
Use of Functional Scores For Assessing Patients Following Total Knee Replacement
This paper discusses key aspects of the use of functional scores, including their reliability conditions, differences between subjective and objective assessment and types. Functional scores used for assessing patients f...
Porównawcza ocena wyników operacyjnego leczenia złamań dalszego końca kości promieniowej typu Smitha i Collesa
Wstęp. Celem badania jest ocena skuteczności operacyjnego leczenia złamań dalszego końca kości promieniowej, po otwartym nastawieniu i zespoleniu płytą kątowo-stabilną, w zależności od mechanizmu urazu – zgięciowego lub...
Effect of selected factors on the functional capacity of patients in the early period following intracranial aneurysm surgery
Background. Many authors believe that the functional capacity of patients in the early period following intracranial aneurysm surgery influences their long-term capacity and quality of life. The purpose of our study was...