Long-term results of more than 13 years after arthroscopic repair of triangular fibrocartilage complex (TFCC) Palmer 1B tears: a comparison with short- and mid-term results

Unglaub, Julia M., Bruckner, Thomas, Heyse, Thomas J., Eysel, Peer, Langer, Martin F. and Spies, Christian K. . Long-term results of more than 13 years after arthroscopic repair of triangular fibrocartilage complex (TFCC) Palmer 1B tears: a comparison with short- and mid-term results. Eur. J. Trauma Emerg. Surg.. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1863-9941

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DOI:10.1007/s00068-021-01743-8

Abstract

Purpose Goal of this study was the assessment of long-term outcome of arthroscopically assisted repair of Palmer 1B/Atzei 1 triangular fibrocartilage complex tears and the comparison with short- and mid-term results. Methods The study included nineteen patients (mean 49.2 years of age) with a mean follow-up time of 13.6 years (13.1-14.3 years). Examination parameters included disabilities of arm, shoulder, and hand (DASH) questionnaire, modified Mayo Wrist Score (MMWS), Krimmer Score, determination of range of motion in comparison to the contralateral extremity. Grip and pinch grip strength measurement and pain level assessment was performed, as well. Results The mean MMWS after at least 13.1 years was 95.8 (85-100, SD 5.6). Mean DASH Score was 10.2 (0-55.8, SD 13.6). Mean Krimmer Score was 97.2 (85-100, SD 4.8). Grip strength reached 101% of the contralateral unaffected hand. Range of motion did not differ significantly in comparison to the healthy contralateral extremity. None of the patients suffered from major complications. Fourteen of nineteen patients regarded pain level reduction as excellent. Five patients reported a relevant pain level reduction. Sixteen of nineteen patients regarded functional outcome as excellent, the other three patients reported on a pleasing improvement of the functional outcome. Conclusion Arthroscopically assisted repair of Palmer 1B/Atzei 1 triangular fibrocartilage complex tears may be an efficacious and safe surgical technique for ulnar-sided TFCC tears in the long term.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Unglaub, Julia M.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Bruckner, Thomas	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Heyse, Thomas J.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Eysel, Peer	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Langer, Martin F.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Spies, Christian K.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED