Clinical evaluation of a wrist sensorimotor rehabilitation program for triangular fibrocartilage complex injuries.

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Abstract

Conflict of interest statement: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. 7. Eur J Trauma Emerg Surg. 2016 Feb;42(1):29-35. doi: 10.1007/s00068-015-0593-x. Epub 2015 Nov 13. Arthroscopic treatment for ulnar-sided TFCC-tears. Mannil L(1), Martin W(2), Dahmen J(2), Witte T(3), Juten PG(3), Deneken F(3), Räder M(3), Homann HH(3). Author information: (1)Department of Plastic Reconstructive and Hand Surgery, Hand Trauma Center (FESSH), Center of Severe Burns, BG Unfallklinik Duisburg GmbH, Duisburg, Germany. lijo.mannil@gmail.com. (2)Department of Orthopaedic and Trauma Surgery, BG Unfallklinik Duisburg GmbH, Duisburg, Germany. (3)Department of Plastic Reconstructive and Hand Surgery, Hand Trauma Center (FESSH), Center of Severe Burns, BG Unfallklinik Duisburg GmbH, Duisburg, Germany. OBJECTIVE: Ruptures of ulnar-sided triangular fibrocartilaginous complex (TFCC) often occur in cases of trauma. Golden standard for diagnosis is the arthroscopy of the wrist. TFCC lesions are classified according to their location if traumatic in origin or if degenerative according to their severity. MATERIALS AND METHODS: Recent literature has focused on the ruptures of ulnar-sided triangular fibrocartilaginous complex. This article describes conservative, operative and arthroscopic surgical techniques to reconstruct the triangular fibrocartilaginous complex and restore distal radioulnar joint stability. RESULTS: The main therapeutic goal should be the stabilization of the DRUJ by reattachment of the torn ligaments in ulnar-sided ruptures to the deep fibers in the fovea. This reinsertion can be performed by transosseous suture, a suture anchor or open. CONCLUSION: Central TFCC tears are typically located close to the sigmoid notch of the radius and are either traumatic or degenerative in origin. While central TFCC lesions are usually treated by arthroscopic debridement using small joint punches or a bipolar high frequency system, the ulnar TFCC avulsions can also be refixed arthroscopically in different techniques. DOI: 10.1007/s00068-015-0593-x