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Injury may also occur from a distraction force applied to the volar forearm or wrist. Finally, tears of the TFCC are frequently found by patients with distal radius fractures. [7] Perforations and defects in the TFCC are not all traumatic. There is an age related correlation with lesions in the TFCC, but many of these defects are asymptomatic ...
Both stages of TFCC tears are treatable with an arthroscopic intervention, although the degenerative stage is operated according to the "Arthroscopic wafer procedure". [3] In this procedure, the surgeon debrides the TFCC and a limited part of the ulnar head. If the patient has a Class 1 TFCC tear, a different arthroscopic technique is used.
There is an increased risk of interosseous intercarpal injury if the ulnar variance (the difference in height between the distal end of the ulna and the distal end of the radius) is more than 2mm and there is fracture into the wrist joint. [5] Triangular fibrocartilage complex (TFCC) injury occurs in 39% to 82% of cases.
However, many athletes have tears of the TFCC that are chronic and don’t cause pain. Additionally, MRI scans of the wrist are difficult to interpret sometimes due to there being so many ligament ...
Articular cartilage repair treatment involves the repair of the surface of the articular joint's hyaline cartilage, though these solutions do not perfectly restore the articular cartilage. These treatments have been shown to have positive results for patients who have articular cartilage damage.
Injuries to the triangular fibrocartilage complex may result from chronic repetitive movements by wrist flexion-extension, supination-pronation, or sudden radius-ulna rotation. [ 1 ] Osteoarthritis , typically in elderly people, and rheumatoid arthritis are other common causes of wrist pain.
Fracture with a dorsal tilt. Dorsal is left, and volar is right in the image. There are a number of ways to classify distal radius fractures.Classifications systems are devised to describe patterns of injury which will behave in predictable ways, to distinguish between conditions which have different outcomes or which need different treatments.
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