TFCC injury
Conditions
Interventions
Surgical Treatment: Transosseous Tunnel TFCC Foveal Repair Combined with Continuous Figure-of-8 Suture for TFCC Dorsal Injury:None
Sponsors
Jing'an District Central Hospital Of Shanghai
Eligibility
Sex/Gender
All
Age
18 Years to 58 Years
Inclusion criteria
Inclusion criteria: 1.Medical history: Patients diagnosed with TFCC injury between 2021 and 2023, with no pain improvement after 6 weeks of conservative treatment or significant pain exacerbation on exertion. 2.Physical examination: Marked tenderness over the ulnar wrist, positive fovea sign, dorsal tenderness of the DRUJ, and positive DRUJ ballottement test. 3.Imaging: Wrist MRI. Coronal view shows rupture or avulsion of the deep bundle of TFCC at the foveal insertion, with or without superficial bundle injury. Sagittal view shows swelling, tear, or edema of the dorsal radioulnar ligament. (Two attending physicians independently evaluated MRI images; consistent cases were included. Inconsistent cases were reviewed by the chief physician; those meeting the criteria were included, others excluded.); 4.Intraoperative DVD records confirmed a positive arthroscopic Hook test.
Exclusion criteria
Exclusion criteria: 1.Radiographic evidence of distal radioulnar joint (DRUJ) arthritis. 2.MRI showing central perforation of the TFCC or subchondral bone marrow edema in the lunate and ulnar head. 3.Intraoperative findings of TFCC thinning or perforation, accompanied by ulnar impaction features such as rough articular cartilage or chondromalacia of the lunate. 4.Arthroscopic identification of scapholunate or lunotriquetral instability requiring ligament repair, including radiofrequency shrinkage, suture repair, or K-wire fixation. 5.Patients with symptomatic pain and discomfort in the contralateral wrist.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Modified Mayo Wrist Score (MMWS); | — |
Secondary
| Measure | Time frame |
|---|---|
| Grip strength;Quick Disabilities of the Arm, Shoulder, and Hand (Quick-DASH);Visual Analogue Scale (VAS);Range of motion in wrist flexion and extension;Patient-Rated Wrist Evaluation (PRWE);Range of motion in forearm pronation and supination; | — |
Countries
China
Contacts
Public ContactYundong Shen
Jing'an District Central Hospital Of Shanghai; Huashan Hospital, Fudan University
Outcome results
None listed