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Arthroscopic repair of the triangular fibrocartilage complex
T E Trumble1, M Gilbert, N Vedder
1Department of Orthopaedics, University of Washington, Harborview Medical Center, Seattle, USA.
Summary
Arthroscopic repair of the triangular fibrocartilage complex (TFCC) significantly relieves wrist pain and improves function for work and sports. Delayed surgery correlated with reduced range of motion and grip strength.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Hand Surgery
Background:
- The triangular fibrocartilage complex (TFCC) is crucial for wrist stability and function.
- TFCC tears often cause persistent wrist pain and functional limitations.
- Arthroscopic repair is a minimally invasive option for TFCC injuries.
Purpose of the Study:
- To evaluate the efficacy of arthroscopic TFCC repair.
- To assess functional outcomes, including pain relief and return to activities.
- To identify factors influencing surgical success.
Main Methods:
- Prospective evaluation of 22 wrist arthroscopic TFCC repairs in 21 patients.
- Average follow-up of 36 months.
- Assessment of pain, work/sports activities, range of motion, and grip strength.
Main Results:
- Significant pain relief and increased ability to perform work and sports activities (P < .01).
- Postoperative range of motion averaged 86% and grip strength 82% of the contralateral side.
- A significant correlation was found between delayed surgical repair and reduced range of motion and grip strength.
Conclusions:
- Arthroscopic TFCC repair is an effective treatment for TFCC tears.
- The procedure leads to significant improvements in pain and functional capacity.
- Timely surgical intervention is important for optimal functional recovery.