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Triquetral impingement ligament tear (tilt).
1Connecticut Combined Hand Service, Hartford Hospital, USA.
Journal of Hand Surgery (Edinburgh, Scotland)
|August 5, 1999
Summary
Triquetral impingement ligament tear (TILT) is a common cause of ulnar wrist pain. Surgical repair of TILT significantly improves wrist function and reduces pain for most patients.
Area of Science:
- Orthopedics
- Hand and Wrist Surgery
- Sports Medicine
Background:
- Ulnar wrist pain presents a diagnostic challenge, often with unclear etiology.
- A specific syndrome, triquetral impingement ligament tear (TILT), is identified as a cause of ulnar wrist pain.
Purpose of the Study:
- To describe the diagnostic criteria and surgical treatment for triquetral impingement ligament tear (TILT).
- To evaluate the outcomes of surgical TILT repair in patients with ulnar wrist pain.
Main Methods:
- Review of 44 patients treated for TILT over a 6-year period.
- Surgical repair involved excision of the impinging fibrous cuff.
Main Results:
- All patients experienced improved wrist motion and strength post-surgery.
- Ninety-five percent of patients reported significant pain reduction at rest and during activity.
Conclusions:
- Surgical excision of the fibrous cuff is an effective treatment for TILT.
- TILT repair offers substantial pain relief and functional recovery for patients with ulnar wrist pain.