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Results of acute arthroscopically repaired triangular fibrocartilage complex injuries associated with intra-articular distal radius fractures.

Publication ,  Journal Article
Ruch, DS; Yang, CC; Smith, BP
Published in: Arthroscopy
2003

PURPOSE: This study reviews the results of acute repair of peripheral ulnar-sided triangular fibrocartilage complex (TFCC) detachment associated with intra-articular distal radius fractures. TYPE OF STUDY: Two-year follow-up of patients who had undergone acute TFCC repair. METHODS: Fifty-six patients underwent arthroscopically assisted treatment of intra-articular distal radius fractures using external fixation and adjunctive percutaneous pinning between 1994 and 1998. Thirteen patients with an acute, complete tear of the ulnar attachment of the TFCC were treated using arthroscopic repair of the TFCC in addition to stabilization of the radius fracture. All patients were evaluated at a mean of 24 months (range, 17 to 35 months) with a physical examination, wrist radiographs, and a Disability of Arm, Shoulder, and Hand (DASH) module outcome assessment questionnaire. RESULTS: Average wrist flexion, extension, pronation, and supination were 67.3, 61.8, 79.1, and 86.8, respectively. The average grip strength was 78% of the uninjured side. The results of the Gartland and Werley grading system were good to excellent in 12 patients and fair in 1 patient. The DASH outcome scores revealed a mean functional score of 13 and a mean athletic score of 12. None of the patients reported ulnar-sided pain at follow-up. CONCLUSIONS: Arthroscopically assisted TFCC repair in conjunction with distal radius fixation resulted in a high degree of patient satisfaction and good to excellent clinical outcomes.

Duke Scholars

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Published In

Arthroscopy

DOI

EISSN

1526-3231

Publication Date

2003

Volume

19

Issue

5

Start / End Page

511 / 516

Location

United States

Related Subject Headings

  • Wrist Injuries
  • Treatment Outcome
  • Recovery of Function
  • Radius Fractures
  • Postoperative Complications
  • Orthopedics
  • Multiple Trauma
  • Middle Aged
  • Male
  • Ligaments
 

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Ruch, D. S., Yang, C. C., & Smith, B. P. (2003). Results of acute arthroscopically repaired triangular fibrocartilage complex injuries associated with intra-articular distal radius fractures. Arthroscopy, 19(5), 511–516. https://doi.org/10.1053/jars.2003.50154
Ruch, David S., Charlie C. Yang, and Beth Paterson Smith. “Results of acute arthroscopically repaired triangular fibrocartilage complex injuries associated with intra-articular distal radius fractures.Arthroscopy 19, no. 5 (2003): 511–16. https://doi.org/10.1053/jars.2003.50154.
Ruch, David S., et al. “Results of acute arthroscopically repaired triangular fibrocartilage complex injuries associated with intra-articular distal radius fractures.Arthroscopy, vol. 19, no. 5, 2003, pp. 511–16. Pubmed, doi:10.1053/jars.2003.50154.
Journal cover image

Published In

Arthroscopy

DOI

EISSN

1526-3231

Publication Date

2003

Volume

19

Issue

5

Start / End Page

511 / 516

Location

United States

Related Subject Headings

  • Wrist Injuries
  • Treatment Outcome
  • Recovery of Function
  • Radius Fractures
  • Postoperative Complications
  • Orthopedics
  • Multiple Trauma
  • Middle Aged
  • Male
  • Ligaments