首页> 美国卫生研究院文献>Hand (New York N.Y.) >A Novel All-Inside Arthroscopic Technique for Radial-Sided Triangular Fibrocartilage Complex Tears: A Case Report and Review of Literature
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A Novel All-Inside Arthroscopic Technique for Radial-Sided Triangular Fibrocartilage Complex Tears: A Case Report and Review of Literature

机译:一种新型的全侧关节镜技术治疗Rad侧三角纤维软骨复杂性眼泪:一例病例报告并文献复习

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摘要

>Background: Triangular fibrocartilage complex (TFCC) injuries are a known cause of ulnar-sided wrist pain. Wrist arthroscopy is the gold standard for diagnosis of these lesions and is becoming a more frequent method of treatment. Isolated radial-sided tears are uncommon and treatment of these lesions is controversial. There are few reports on repair techniques. Here we report on a novel arthroscopic, all-inside technique for traumatic radial-sided TFCC tears that resulted in full range of motion, significant improvement in pain, and ultimately return to sport. >Methods: This is a single case report describing an all-inside, arthroscopic repair of a radial-sided TFCC tear. The techniques and postoperative protocol are discussed. Clinical outcomes were reported at final follow-up of 3.5 months. >Results: At final follow-up, our patient had full wrist range of motion, 95% strength, occasional 1/10 pain, and returned to sport at her previous level of play. There were no complications. >Conclusion: Although just a single case report, our patient had an excellent result based on modified Mayo wrist score. When comparing our result and the previous literature, this technique seems to be a valid method for addressing radial-sided TFCC tears.
机译:>背景:三角纤维软骨复合体(TFCC)损伤是尺侧腕部疼痛的已知原因。腕关节镜检查是诊断这些病变的金标准,并且正在成为一种更常见的治疗方法。孤立的radial骨侧眼泪很少见,对这些病变的治疗尚存争议。关于修复技术的报道很少。在这里,我们报道了一种新颖的关节镜,全内镜技术,用于治疗radial侧创伤性TFCC眼泪,该技术可导致全方位运动,疼痛明显改善并最终恢复运动。 >方法:这是一例病例报告,描述了全侧关节镜修复repair侧TFCC泪液。讨论了技术和术后方案。在3.5个月的最终随访中报告了临床结局。 >结果:在最后的随访中,我们的患者手腕活动范围完全,力量达到95%,偶尔出现1/10疼痛,并且恢复了以前的运动水平。没有并发症。 >结论:尽管仅是一例病例,但根据改良的Mayo手腕评分,我们的患者仍取得了出色的效果。当比较我们的结果和以前的文献时,该技术似乎是解决径向TFCC撕裂的有效方法。

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