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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.
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.
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.
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.
[4] [10] In around half of cases there is an associated abdominal injury such as a splenic rupture, small bowel injury, pancreatic injury, or mesenteric tear. [3] [5] Injury to the bowel may not be apparent on the first day. [11] The cause is classically a head-on motor vehicle collision in which the affected person is wearing only a lap belt. [2]
ICD-10 is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. [1]