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Removing the damaged tissue (debridement) is then indicated. Arthroscopic debridement as a treatment for degenerative TFC tears associated with positive ulnar variance, unfortunately, show poor results. [10] [9] Arthroscopic repair of TFCC ligaments. Suturing TFCC ligaments can sometimes be performed arthroscopically.
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.
The TFCC is a cartilage and ligament complex in the wrist that is important for stability and function. If torn, it can result in pain, catching and instability.
Ulnar impaction syndrome is a painful condition of excessive contact and wear between the ulna and the carpus with an associated is a degenerative tear of the TFCC. Positive, neutral, and negative ulnar variance. Relationship between radial length and ulnar variance. Radial length is the measure from distal ulna to radial styloid process.
OSICS has been found to be more applicable to sports injury coding than the ICD. [27] Most classification of disease has a focus on conditions that present to hospital and/or cause major morbidity or death, whereas in sports medicine there is a focus on conditions (injury and illnesses) that stop an athlete from being able to compete.
Subacromial bursitis is a condition caused by inflammation of the bursa that separates the superior surface of the supraspinatus tendon (one of the four tendons of the rotator cuff) from the overlying coraco-acromial ligament, acromion, and coracoid (the acromial arch) and from the deep surface of the deltoid muscle. [1]
Chondrocalcinosis affects common areas such as the knee, wrist, hand, and pelvis. [10] Chondrocalcinosis can also be visualized affecting the spine. " Crowned Dens Syndrome " is an example of chondrocalcinosis affecting cervical vertebrae.