Triangular Fibrocartilage Complex Injuries
Conditions
Keywords
TFCC injuries, Distal radius fractures
Brief summary
The purpose of this study is to describe and stage lesions of the triangular fibrocartilage complex (TFCC) in association with distal radius fractures. 20 patients with dorsally dislocated AO type A fractures of the distal radius with sufficient displacement (based of cadaveric data) will be included. After stability testing and wrist arthroscopy. The TFCC is explored through a volar incision and injuries were documented and repaired from this approach.
Interventions
PROCEDUREArthroscopy, surgery
Ulno-volar wrist approach to the TFCC
Sponsors
Linkoeping University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-65 * Distal radius fracture * Displacement \> 20 degrees of dorsal angulation
Exclusion criteria
* Previous significant wrist injury * Declines to participate * Ulnar styloid fracture at base or proximal to it
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Residual instability symptoms | Approx 2-6 months to include the patients that meet the inclusion criteria. They will be followed for 6 momths | Mechanisms of injury are poorly previously described. This study will hopefully confirm cadeveric data. There is some evidence that patients might benefit from acute repair. Residual instability can be both ulnocarpal and radioulnar. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse events | Three months | Patients that accept to participate will undergo exploration from a (new) ulnovolar approach. The study is purely descriptive. Patients are monitored for adverse events such as nerve injury and infection for 3 months. |
Countries
Sweden
Outcome results
None listed