Article

The aim of this study is the retrospective clinical evaluation of the
arthroscopic treatments for triangular fibrocartilage complex tears. METHODS:
Between 2003 and 2010, 76 patients with a traumatic lesion (Palmer type 1) and 25
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 for
traumatic lesions and 83 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
degrees , 164 degrees and 56 degrees respectively for traumatic lesions and 130
degrees , 156 degrees and 54 degrees 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.
CI - Copyright (c) 2012. Published by Elsevier SAS.

Langue : FRANCAIS