• 作者：J. Boquet^a ; ^{jeromeboquet@hotmail.com} ; B. Lefebvre^b ; F. Van Innis^b
• 关键词：Complexe triangulaire ; Fibrocartilage ; Poignet ; Arthroscopie
• 刊名：Chirurgie de la main
• 出版年：2012
• 期刊代码：53_12973203
• 类别：med
• 出版时间：April, 2012
• 卷：31
• 期：2
• 页码：91-96
• 文件大小：406 K

Objectives

The aim of this study is the retrospective clinical evaluation of the arthroscopic treatments for triangular fibrocartilage complex tears.

Methods

Between 2003聽and 2010, 76聽patients with a traumatic lesion (Palmer type 1) and 25聽patients with a degenerative lesion (Palmer type 2) of the triangular fibrocartilage complex underwent wrist arthroscopy. Clinical evaluations were based on the Mayo Modified Wrist Score (MMWS), on a compared measurement of the grip force and on a measurement of the different ranges of motion. We also made a subjective evaluation of the benefit brought by arthroscopy and a retrospective evaluation of the pre and postoperative pain.

Results

Mean MMWS was 86.3聽for traumatic lesions and 83聽for degenerative lesions. Mean grip force was 84.8 (Palmer type 1) and 84.2 (Palmer type 2) compared to the controlateral side. Mean ranges of flexion-extension, prosupination and radioulnar motions were 135掳, 164掳 and 56掳 respectively for traumatic lesions and 130掳, 156掳 and 54掳 respectively for degenerative lesions. Ninety-four percent of the operated patients reported an improvement of the symptomatology with better results for type 1 (98.7%) compared to type 2 (80%). We noted a clear diminution of the postoperative pain compared to the preoperative's one with frequently some mild persistent pain however.

Conclusions

Arthroscopic treatments of the triangular fibrocartilage complex seem to be effective with an improvement of the symptomatology.