Long-term outcome after arthroscopic debridement of Palmer type 2C central degenerative lesions of the triangular fibrocartilage complex.
Arthroscopy
Debridement
TFCC 2C lesions
Ulnar positive variance
Journal
Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
07
04
2021
accepted:
17
04
2021
pubmed:
2
5
2021
medline:
26
11
2021
entrez:
1
5
2021
Statut:
ppublish
Résumé
The purpose of this study was to report long-term objective and patient-reported outcome after arthroscopic debridement of central degenerative triangular fibrocartilage complex (TFCC) lesions. A total of 17 patients with central degenerative TFCC (Palmer type 2C) lesions and ulnar positive variance who were treated by arthroscopic debridement were retrospectively reviewed. Mean follow-up was 8.8 years. Assessment facilitating the Modified Mayo Wrist score (MMWS), the Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH score), recording of pain level and of patient satisfaction, and radiological examination were done. Patients reached a pain level of 1.7 VAS, MMW score of 92, and DASH score of 22. No significant differences could be detected between the operated and the contralateral extremity regarding range of motion and grip strength for all patients. No perioperative complications occurred. Arthroscopic debridement of central degenerative TFCC lesions is safe, reliable, and efficacious even for ulnar positive variance. Therapeutic IV.
Identifiants
pubmed: 33932158
doi: 10.1007/s00402-021-03918-9
pii: 10.1007/s00402-021-03918-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1807-1814Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Palmer AK, Werner FW (1981) The triangular fibrocartilage complex of the wrist–anatomy and function. J Hand Surg Am 6(2):153–162
pubmed: 7229292
doi: 10.1016/S0363-5023(81)80170-0
pmcid: 7229292
Nakamura T, Yabe Y (2000) Histological anatomy of the triangular fibrocartilage complex of the human wrist. Ann Anat 182:567–572 (Published online)
Hagert E, Hagert C-G (2010) Understanding stability of the distal radioulnar joint through an understanding of its anatomy. Hand Clin 26(4):459–466
pubmed: 20951895
doi: 10.1016/j.hcl.2010.05.002
pmcid: 20951895
Palmer AK, Werner FW, Glisson RR, Murphy DJ (1988) Partial excision of the triangular fibrocartilage complex. J Hand Surg Am 13(3):391–394
pubmed: 3379276
doi: 10.1016/S0363-5023(88)80015-7
pmcid: 3379276
Palmer AKWF (1984) Biomechanics of the distal radioulnar joint. ClinOrthopRelat Res 187:26–35
Mikić Z (1992) The blood supply of the human distal radioulnar joint and the microvasculature of its articular disk. ClinOrthopRelat Res 275:19–28
Osterman AL (1990) Arthroscopic debridement of triangular fibrocartilage complex tears. Arthrosc J ArthroscRelatSurg 6(2):120–124
doi: 10.1016/0749-8063(90)90012-3
Boquet J, Lefebvre B, Van Innis F (2012) Évaluationcliniquerétrospective des traitementsarthroscopiques des lésions du complexetriangulaire du poignet. Chir Main 31(2):91–96
pubmed: 22381264
doi: 10.1016/j.main.2012.01.004
pmcid: 22381264
Unglaub F, Wolf MB, Thome MA, Germann G, Sauerbier M, Reiter A (2008) Correlation of ulnar length and apoptotic cell death in degenerative lesions of the triangular fibrocartilage. Arthroscopy 24(3):299–304
pubmed: 18308181
doi: 10.1016/j.arthro.2007.09.006
pmcid: 18308181
Unglaub F, Thomas SB, Kroeber MW et al (2009) Apoptotic pathways in degenerative disk lesions in the wrist. Arthroscopy 25(12):1380–1386
pubmed: 19962063
doi: 10.1016/j.arthro.2009.04.071
pmcid: 19962063
Unglaub F, Wolf MB, Kroeber MW et al (2011) Expression of leptin, leptin receptor, and connective tissue growth factor in degenerative disk lesions in the wrist. Arthroscopy 27(6):755–760
pubmed: 21550759
doi: 10.1016/j.arthro.2011.02.007
pmcid: 21550759
Osterman AL, Terrill RG (1991) Arthroscopic treatment of TFCC lesions. Hand Clin 7(2):277–281
pubmed: 1880162
doi: 10.1016/S0749-0712(21)01077-5
pmcid: 1880162
Minami A, Ishikawa J, Suenaga N, Kasashima T (1996) Clinical results of treatment of triangular fibrocartilage complex tears by arthroscopic debridement. J Hand Surg Am 21(3):406–411
pubmed: 8724470
doi: 10.1016/S0363-5023(96)80353-4
pmcid: 8724470
Hulsizer D, Weiss A-PC, Akelman E (1997) Ulna-shortening osteotomy after failed arthroscopic debridement of the triangular fibrocartilage complex. J Hand Surg Am 22(4):694–698
pubmed: 9260628
doi: 10.1016/S0363-5023(97)80130-X
pmcid: 9260628
Husby T, Haugstvedt JR (2001) Long term results after arthroscopic resection of lesions of the triangular fibrocartilage complex. Scand J Plast Reconstr Surg Hand Surg. 35(1):79–83
doi: 10.1080/02844310151032655
Jui-Tien S, Yao-Tung H, Hung-Maan L, Chuan-Ming T, Ming-Chun C (2000) Chronic triangular fibrocartilage complex tears with distal radioulna joint instability: a new method of triangular fibrocartilage complex reconstruction. J Orthop Surg 8(1):1–8
doi: 10.1177/230949900000800102
Tomaino MM, Weiser RW (2001) Combined arthroscopic TFCC debridement and wafer resection of the distal ulna in wrists with triangular fibrocartilage complex tears and positive ulnar variance. J Hand Surg Am 26(6):1047–1052
pubmed: 11721249
doi: 10.1053/jhsu.2001.28757
pmcid: 11721249
Bernstein MA, Nagle DJ, Martinez A, Stogin JM, Wiedrich TA (2004) A comparison of combined arthroscopic triangular fibrocartilage complex debridement and arthroscopic wafer distal ulna resection versus arthroscopic triangular fibrocartilage complex debridement and ulnar shortening osteotomy for ulnocarpal abutment syndr. Arthroscopy 20(4):392–401
pubmed: 15067279
doi: 10.1016/j.arthro.2004.01.013
pmcid: 15067279
Iwasaki N, Ishikawa J, Kato H, Minami M, Minami A (2007) Factors affecting results of ulnar shortening for ulnar impaction syndrome. Clin Orthop Relat Res 465:215–219
pubmed: 17906587
doi: 10.1097/BLO.0b013e31815a9e21
pmcid: 17906587
Saito T, Malay S, Chung KC (2017) A systematic review of outcomes after arthroscopic débridement for triangular fibrocartilage complex tear. Plast Reconstr Surg 140(5):697e–708e
pubmed: 29068932
pmcid: 5679101
doi: 10.1097/PRS.0000000000003750
Graves BR (2018) Editorial commentary: arthroscopic triangular fibrocartilage complex debridement may or may not help with ulnar-sided wrist pain. Arthroscopy 34(11):2999–3000
pubmed: 30392684
doi: 10.1016/j.arthro.2018.08.004
pmcid: 30392684
Palmer AK (1989) Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am 14(4):594–606
pubmed: 2666492
doi: 10.1016/0363-5023(89)90174-3
pmcid: 2666492
Möldner M, Unglaub F, Hahn P, Müller LP, Bruckner T, Spies CK (2015) Functionality After Arthroscopic Debridement of Central Triangular Fibrocartilage Tears With Central Perforations. J Hand Surg Am 40(2):252-258.e2
pubmed: 25617955
doi: 10.1016/j.jhsa.2014.10.056
pmcid: 25617955
Bain GI, Munt J, Turner PC (2008) New Advances in Wrist Arthroscopy. Arthroscopy 24(3):355–367
pubmed: 18308189
doi: 10.1016/j.arthro.2007.11.002
pmcid: 18308189
Epner RA, Bowers WH, Guilford WB (1982) Ulnar variance-the effect of wrist positioning and roentgen filming technique. J Hand Surg Am 7(3):298–305
pubmed: 7086100
doi: 10.1016/S0363-5023(82)80183-4
pmcid: 7086100
Levinsohn EM (1990) Imaging of the wrist. Radiol Clin 28(5):905–921
Tomaino MM (2000) The importance of the pronated grip x-ray view in evaluating ulnar variance. J Hand Surg Am 25(2):352–357
pubmed: 10722828
doi: 10.1053/jhsu.2000.jhsu25a0352
pmcid: 10722828
Gelberman RH, Salamon PB, Jurist JM, Posch JL (1975) Ulnar variance in Kienböck’s disease. J Bone Joint Surg Am 57(5):674–676
pubmed: 1150712
doi: 10.2106/00004623-197557050-00017
pmcid: 1150712
Mathiowetz V, Weber K, Volland G, Kashman N (1984) Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am 9(2):222–226
pubmed: 6715829
doi: 10.1016/S0363-5023(84)80146-X
pmcid: 6715829
Fess E (1992) Grip strength. In: Casanova JS (ed) Clin Assess Recomm, 2nd edn. Chicago Am Soc Hand Ther., pp 41–45
Ahearn EP (1997) The use of visual analog scales in mood disorders: a critical review. J Psychiatr Res 31(5):569–579
pubmed: 9368198
doi: 10.1016/S0022-3956(97)00029-0
pmcid: 9368198
Cooney WP, Bussey R, Dobyns JH, Linscheid RL (1987) Difficult wrist fractures Perilunate fracture-dislocations of the wrist. Clin Orthop Relat Res 214:136–147
Green DP, O’Brien ET (1978) Open reduction of carpal dislocations: indications and operative techniques. J Hand Surg Am 3(3):250–265
pubmed: 350947
doi: 10.1016/S0363-5023(78)80089-6
pmcid: 350947
Hudak PL, Amadio PC, Bombardier C et al (1996) Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder, and head). Am J Ind Med 29(6):602–608
pubmed: 8773720
doi: 10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L
pmcid: 8773720
Klum M, Wolf MB, Hahn P, Leclère FM, Bruckner T, Unglaub F (2012) Normative data on wrist function. J Hand Surg Am 37(10):2050–2060
pubmed: 22960029
doi: 10.1016/j.jhsa.2012.06.031
pmcid: 22960029
Klum M, Wolf MB, Hahn P, Leclère FM, Bruckner T, Unglaub F (2012) Predicting grip strength and key pinch using anthropometric data, DASH questionnaire and wrist range of motion. Arch Orthop Trauma Surg 132(12):1807–1811
pubmed: 22983146
doi: 10.1007/s00402-012-1602-8
pmcid: 22983146
Armitage PM, Berry GM (2008) Statistical methods in medical research. In: Matthews JM (ed) Epidemiology, 4th edn
Mikić ZD (1978) Age changes in the triangular fibrocartilage of the wrist joint. J Anat 126(Pt 2):367–384
pubmed: 670069
pmcid: 1235694
Müller K (2012) Therapy of triangular fibrocartilage complex lesions - a systematic review, Doctoral Dissertation, Heinrich-Heine-Universität. Published online, Düsseldorf
Haugstvedt THJR, Haugstvedt JR (2001) Long term results after arthroscopic resection of lesions of the triangular fibrocartilage complex. Scand J Plast Reconstr Surg Hand Surg. 35(1):79–83
pubmed: 11291355
doi: 10.1080/02844310151032655
pmcid: 11291355
Tan SW, Ng SW, Tan SH, Teoh LC (2012) Arthroscopic debridement of intercarpal ligament and triangular fibrocartilage complex tears. Singapore Med J 53(3):188–191
pubmed: 22434293
pmcid: 22434293
Broccoli G, Vaske B, Müller L, Kahmann R, Isenberg J (2014) Limits to arthroscopic treatment of degenerative triangular fibrocartilage complex lesions depending on the ulnar variance. Handchir Mikrochir Plast Chir 46(03):151–162
pubmed: 24940630
doi: 10.1055/s-0034-1371851
pmcid: 24940630
Schädel-Höpfner M, Müller K, Gehrmann S, Lögters TT, Windolf J (2012) Therapy of triangular fibrocartilage complex lesions. Unfallchirurg 115(7):582–588
pubmed: 22706650
doi: 10.1007/s00113-012-2176-1
pmcid: 22706650
Krimmer H (2018) Treatment of the ulnar impingement syndrome in the distal radioulnar joint. Orthopäde 47(8):684–687
pubmed: 29947875
doi: 10.1007/s00132-018-3592-x
pmcid: 29947875
Terzis A, Neubrech F, Sebald J, Sauerbier M (2019) Surgical treatment of ulnar impaction syndrome. Oper Orthop Traumatol 31(6):547–556
pubmed: 31172214
doi: 10.1007/s00064-019-0613-9
pmcid: 31172214
Palmer AK, Werner FW, Murphy D, Glisson R (1985) Functional wrist motion: a biomechanical study. J Hand Surg Am 10(1):39–46
pubmed: 3968403
doi: 10.1016/S0363-5023(85)80246-X
pmcid: 3968403
Ryu JY, Cooney WP, Askew LJ, An KN, Chao EY (1991) Functional ranges of motion of the wrist joint. J Hand Surg Am 16(3):409–419
pubmed: 1861019
doi: 10.1016/0363-5023(91)90006-W
pmcid: 1861019
Pillukat T, Mühldorfer-Fodor M, Windolf J, van Schoonhoven J (2018) Arthroscopy of the distal radioulnar joint. Orthopäde 47(8):647–654
pubmed: 29797018
doi: 10.1007/s00132-018-3582-z
pmcid: 29797018
Löw S, Spies CK, Unglaub F, Oppermann J, Langer M, Erne H (2018) Diagnosis and treatment of degenerative disc lesions of the wrist. Orthopäde 47(8):670–676
pubmed: 29523902
doi: 10.1007/s00132-018-3551-6
pmcid: 29523902
Rein S, Krenn V, Hagert E, Garcia-Elias M, Lluch A, Kremer T, Semisch M (2021) Degeneration of the articular disc in the human triangular fibrocartilage complex. Arch Orthop Trauma Surg 141(4):699–708
pubmed: 33550482
doi: 10.1007/s00402-021-03795-2
pmcid: 33550482
Kirchberger MC, Unglaub F, Mühldorfer-Fodor M, Pillukat T, Hahn P, Müller LP, Spies CK (2015) Update TFCC: histology and pathology, classification, examination and diagnostics. Arch Orthop Trauma Surg 135(3):427–437
pubmed: 25575720
doi: 10.1007/s00402-015-2153-6
pmcid: 25575720
Schmitt R (2018) Radiology of the distal radioulnar joint and the ulnocarpal complex. Orthopäde 47(8):637–646
pubmed: 29915995
doi: 10.1007/s00132-018-3594-8
pmcid: 29915995
Spies CK, Langer MF, Müller LP, Unglaub F (2020) Reconstruction of the deep fibers of the distal radioulnar ligaments facilitating a tendon graft-Adams’ procedure. Oper Orthop Traumatol 32(3):262–270
pubmed: 31720725
doi: 10.1007/s00064-019-00638-7
pmcid: 31720725
Spies CK, Langer M, Müller LP, Oppermann J, Löw S, Unglaub F (2018) Anatomy and biomechanics of the distal radioulnar joint. Orthopäde 47(8):621–627
pubmed: 29869685
doi: 10.1007/s00132-018-3589-5
pmcid: 29869685
Chan S, Singh T, Pinder R, Tan S, Craigen MA (2016) Ulnar shortening osteotomy: are complications under reported? J Hand Microsurg 07(02):276–282
doi: 10.1007/s12593-015-0201-7
Rajgopal R, Roth J, King G, Faber K, Grewal R (2015) Outcomes and complications of ulnar shortening osteotomy: an institutional review. HAND 10(3):535–540
pubmed: 26330791
doi: 10.1007/s11552-014-9727-6
pmcid: 26330791