[Therapy of triangular fibrocartilage complex lesions].

Area of Science:

• Orthopedics
• Hand Surgery
• Sports Medicine

Background:

• The triangular fibrocartilage complex (TFCC) is crucial for ulnar carpal stability.
• TFCC injuries and degeneration have significant clinical impact.
• Various treatment options exist, but their effectiveness is not well-established.

Purpose of the Study:

• To systematically review and evaluate the effectiveness of different therapies for TFCC lesions.
• To compare literature findings with current practices among German hand surgeons.

Main Methods:

• Systematic review of studies on TFCC lesions, classified by evidence level.
• Inclusion of studies based on predefined criteria.
• A survey of German hand surgeons on common TFCC lesion procedures.

Main Results:

• 35 studies were included from 259 potentially relevant publications.
• The Palmer classification is widely used in literature and practice for TFCC lesions.
• Common treatment strategies for traumatic and degenerative TFCC lesions were identified.

Conclusions:

• The overall level of evidence for TFCC lesion treatments is poor.
• Evidence-based recommendations for TFCC lesion treatment could not be derived.
• Literature findings align with current surgical practices in Germany.