Increase of weight-bearing capacity of patients with lesions of the TFCC using a wrist brace

Asmus, Ariane; Salloum, Michelle; Otr, Cht W. Medeiros; Millrose, Michael; Obladen, A.; Goelz, Leonie; Diehl, Joshua; Eisenschenk, A.; Kim, S.

doi:10.1016/j.jht.2021.03.006

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…Previous reports have not shown injury aetiology to be correlated with patient outcomes and prognosis 10,11 . However, our study showed that TFCC injuries with a traumatic aetiology was associated with higher risk of residual pain.…”

Section: Discussioncontrasting

confidence: 59%

“…Previous reports have not shown injury aetiology to be correlated with patient outcomes and prognosis. 10,11 However, our study showed that TFCC injuries with a traumatic aetiology was associated with higher risk of residual pain. We postulated that this could be the result of confounders such as concomitant pathologies, which was also associated with residual wrist disability.…”

Section: Discussionmentioning

confidence: 53%

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Triangular fibrocartilage complex injury: outcomes of operative and non‐operative management

Onggo,

Walsh,

Darcy

et al. 2024

ANZ Journal of Surgery

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ObjectiveThe prevalence TFCC injuries has increased over time. However, there remains a lack of understanding of its natural history. Along with the paucity of evidence on treatment options, there is lack of consensus on how best to manage them. This is a retrospective study with subgroup cohort analysis, examining variables and management options associated with patient‐reported disability and pain.MethodsPatients from a metropolitan health network who have been referred for Magnetic Resonance Imaging (MRI) of the wrist between 2010 and 2019 and identified to have TFCC injury, were followed up to determine patient‐reported outcomes. Disability of arm shoulder and hand scores (DASH) and visual assessment pain scale (VAS) were used to measure disability and pain respectively. An ‘excellent’ DASH and VAS scores were defined as ≤10 and ≤2, respectively.ResultsOne hundred and twenty‐four patients met the inclusion criteria and consented to participate in this study. There were 53 patients with excellent DASH score, 95 excellent VAS score and 51 excellent outcomes at mean follow‐up of 75.5 months (Range: 5–402.8 months). Concomitant pathology and surgical management were less likely to have excellent DASH and VAS scores, while traumatic aetiology and smoking were less likely to have excellent VAS score. Age was not predictive of excellent DASH or VAS score.ConclusionsSurgical management of TFCC injuries were associated with worse outcomes than if they were left alone. Smoking cessation is a patient‐modifiable risk factor that may help improve outcomes.

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Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 53%

Triangular fibrocartilage complex injury: outcomes of operative and non‐operative management

Onggo,

Walsh,

Darcy

et al. 2024

ANZ Journal of Surgery

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“…Reduced weight-bearing capacity is typical after TFCC lesions. 29 This study has several limitations. First, DRUJ instability measurement using the assessment method in this study may be affected by hypermobility.…”

Section: Discussionmentioning

confidence: 92%

Quantitative assessment of the course of distal radioulnar joint instability

et al. 2022

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Introduction There is a lack of methods to objectively evaluate improvement in distal radioulnar joint (DRUJ) instability through treatment. We used ultrasonography to assess DRUJ instability and calculated the minimal detectable change (MDC) in healthy individuals. MDC was used to evaluate post-treatment changes in a patient with triangular fibrocartilage complex (TFCC) injury. Methods DRUJ instability was evaluated using force-monitor ultrasonography in eight healthy male participants to determine MDC and in a man in his 60s who underwent surgery and rehabilitation for TFCC injury (Palmer classification: type 2C). In the patient, DRUJ instability was measured pre-operatively, 3 months postoperatively, and 1 year post-operatively. Self-reported hand and upper limb functional ability were also recorded. The transducer of the force-monitor ultrasonographic system was used to apply cyclic compressions to the wrists automatically and measure DRUJ displacements. The amount of displacement was calculated using the distance between the radius and ulna before and during cyclic compression to the wrists. The applied pressure was measured as the force to the wrist, and the displacement-to-force ratio was calculated. Results The 95% confidence MDC95 for radioulnar displacement, displacement force, and displacement-to-force ratio were 0.27–0.31 mm, 0.30–0.59 N, and 0.12–0.15 mm/N, respectively. The patient’s post-operative decrease in displacement exceeded the MDC95. DRUJ stability, pain, and use of the affected hand in daily life improved. Discussion Force-monitor ultrasonography can quantitatively evaluate post-treatment improvement in DRUJ stability over time. MDC for DRUJ instability can assess recovery after treatment or rehabilitation and determine changes resulting from interventions.

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Evaluation and Management of Triangular Fibrocartilage Complex (TFCC) Injuries in the Athlete

Golden-Hart,

Romero,

Kakar

et al. 2024

Curr Phys Med Rehabil Rep

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Increase of weight-bearing capacity of patients with lesions of the TFCC using a wrist brace

Cited by 5 publications

References 19 publications

Triangular fibrocartilage complex injury: outcomes of operative and non‐operative management

Triangular fibrocartilage complex injury: outcomes of operative and non‐operative management

Quantitative assessment of the course of distal radioulnar joint instability

Evaluation and Management of Triangular Fibrocartilage Complex (TFCC) Injuries in the Athlete

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