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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

01.05.2021 | Handsurgery

Long-term outcome after arthroscopic debridement of Palmer type 2C central degenerative lesions of the triangular fibrocartilage complex

verfasst von: C. K. Spies, T. Bruckner, L. P. Müller, F. Unglaub, P. Eysel, S. Löw, M. J. Filbert

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 10/2021

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Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusion

Arthroscopic debridement of central degenerative TFCC lesions is safe, reliable, and efficacious even for ulnar positive variance.

Level of evidence

Therapeutic IV.

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Titel: Long-term outcome after arthroscopic debridement of Palmer type 2C central degenerative lesions of the triangular fibrocartilage complex
verfasst von: C. K. Spies
T. Bruckner
L. P. Müller
F. Unglaub
P. Eysel
S. Löw
M. J. Filbert
Publikationsdatum: 01.05.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 10/2021
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-021-03918-9

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