EVALUATION OF ARTHROSCOPIC TREATMENT OF TRIANGULAR FIBROCARTILAGE

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Hand Surgery

Background:

• Triangular fibrocartilage complex (TFCC) tears are a common cause of wrist pain and dysfunction.
• Accurate diagnosis and effective treatment are crucial for restoring wrist function.
• Videoarthroscopy (VA) offers a minimally invasive approach for TFCC lesion evaluation and management.

Purpose of the Study:

• To evaluate the clinical outcomes of surgical treatment for wrist TFCC lesions using videoarthroscopy (VA).
• To analyze the correlation between magnetic resonance imaging (MRI) findings and intraoperative VA findings in TFCC lesions.

Main Methods:

• A cross-sectional study included 28 patients undergoing VA for TFCC lesions.
• Patients were assessed using the 11-item Quick-Dash questionnaire for functional outcomes.
• MRI findings were compared with intraoperative VA findings for diagnostic accuracy.

Main Results:

• Surgical treatment via VA resulted in predominantly excellent functional outcomes (64.3% excellent, 25.0% good).
• MRI identified 85.7% partial and 14.3% extensive tears, while VA confirmed 92.9% partial and 7.1% extensive tears.
• High concordance (92.9%) was observed between MRI and VA findings, indicating good diagnostic accuracy.

Conclusions:

• Surgical treatment of wrist TFCC lesions using VA leads to excellent functional recovery.
• MRI is a reliable imaging modality for diagnosing TFCC lesions, showing high agreement with intraoperative VA findings.
• VA is an effective surgical technique for TFCC tears, with high diagnostic accuracy when correlated with MRI.