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23 lis 2021 · TFCC tears that can benefit from surgery include tears associated with wrist instability, peripheral tears and central tears that fail nonoperative management. TFCC tears generally present in the form of ulnar-sided wrist pain, which typically worsens with activity and can be associated with instability and weakness.
25 mar 2022 · TFCC tears with foveal disruption and instability of the distal radioulnar joint (DRUJ) require direct repair of the TFCC to the ulnar fovea. The traditional method of foveal TFCC repair involves an open surgical approach through the floor of the 5th dorsal compartment.
14 lut 2019 · Arthroscopic-assisted transosseous triangular fibrocartilage complex (TFCC) repair: (a) ulnar avulsion of the TFCC. The probe elevates a frayed ulnar flap. (b) The TFCC flap is debrided and then pierced in an anterograde fashion through a single drill hole in the ulna.
25 lut 2019 · For people with severe or persistent TFCC tears, a doctor may recommend surgery. One surgical option is a type of minimally invasive procedure called an arthroscopy.
Surgical options for TFCC tears typically fall within the categories of debridement, repair, and reconstruction. Debridement is typically used for central and radial tears given the lack of vascularity and thus less robust healing potential.
18 gru 2023 · Surgical debridement, TFCC repair or ulnar shortening procedures may be indicated depending on severity of symptoms and underlying cause. Etiology. Mechanism of TFCC injury. Type 1 traumatic injury. mechanism. most common is fall on extended wrist with forearm pronation. traction injury to ulnar side of wrist. traction injury to ulnar wrist.
Choice of operative treatment is guided by type and extent of injury and may include debridement, repair and in TFCC injuries associated with degenerative changes, ulnar unloading procedures like shortening or Wafer procedure.
