Journal List > J Korean Soc Surg Hand > v.18(1) > 1106421

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Lee and Choi: Treatment of Palmer Class 1A Triangular Fibrocartilage Complex Injuries with Arthroscopic Partial Resection
Original Article
Journal of the Korean Society for Surgery of the Hand

Journal of the Korean Society for Surgery of the Hand 2013; 18(1): 9-15.

Published online: 31 March 2013

DOI: https://doi.org/10.12790/jkssh.2013.18.1.9

Treatment of Palmer Class 1A Triangular Fibrocartilage Complex Injuries with Arthroscopic Partial Resection

Seoung Joon Lee, Jin Ho Choi

Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, Korea.

Correspondence to: Seoung Joon Lee. Department of Orthopedic Surgery, Konkuk University School of Medicine, 263 Achasan-ro, Gwangjin-gu, Seoul 143-701, Korea. TEL: +82-2-2030-7360, FAX: +82-2-2030-7369, lsjmd@naver.com

Received 29 October 2012       Revised 8 February 2013       Accepted 11 February 2013

Copyright © 2013. The Korean Society for Surgery of the Hand

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

We reported the clinical results of Palmer class 1A triangular fibrocartilage complex (TFCC) injuries treated with arthroscopic partial resection.

Methods

This study included eighteen patients with Palmer class 1A TFCC injury. The results of arthroscopic partial resection were analyzed based on the preoperative and postoperative evaluation of visual analogue scale pain scale, range of motion, grip strength, Mayo wrist score, ulna grind test, ulna stress test and ulnocarpal tenderness.

Results

According to the Mayo wrist score, the results were excellent in 10 patients, good in 4, fair in 2, and poor in 2. There was no correlation among the worker's compensation, interval from injury to surgery, age and the treatment results. Patients with complication and scapholunate interosseous ligament tears had a poor clinical outcome.

Conclusion

The arthroscopic TFCC partial resection is considered as an useful and effective treatment in Palmer class 1A TFCC injuries.

Keywords: Triangular fibrocartilage complex, Palmer type 1A, Triangular fibrocartilage, Partial resection

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