Arthroskopische Refixation von traumatischen 1B-Läsionen des Discus ulnocarpalis – eine retrospektive Studie

Abstract

The results of the current study suggest that 1B-lesions of the TFCC can be successfully repaired by arthroscopically assisted suture techniques. An isolated 1B-lesion of the TFCC is rather unusual.

Clinical experience with arthroscopically-assisted repair of peripheral triangular fibrocartilage complex tears in adolescents—technique and results

“…Further improvement of function has been observed between short-and midterm follow-up visits [1]. In one of the longest follow-up series published so far, Wedemeyer et al reported a significant increase of the MMWS from a mean of 50 to 82 postoperatively, and a significant decrease of the DASH score from a mean of 49 to 24 after a mean follow-up of 7.9 years [19]. Similar results were observed by Miwa et al [20], showing good and excellent results in 20 of 21 cases with 1B repair, and by Degreef et al (DASH<20 in 71 % of cases) [21].…”

Arthroskopische Refixation des TFCC bei ulnarer Ruptur

“…Allerdings können auch arthroskopische Befunde diskret sein und dem fl üchtigen Untersucher entgehen wie Spannungsverlust des TFCC durch Abriß in der Tiefe oder Frühstadien des ulnokarpalen Abutmentsyndroms. Arthroskopisch operativ wurden zunächst Läsionen des TFCC debridiert und bei zentralen Rupturen Teilresektionen durchgeführt, bald aber auch Rupturen der Peripherie genäht [ [ 19 ] .…”