Arthroscopic treatment of triangular fibrocartilage complex injuries in paediatric and adolescent patients

Samir K. Trehan, Gregory Schimizzi, Tony S. Shen, Lindley B. Wall, Charles A. Goldfarb

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

We assessed outcomes of 43 paediatric and adolescent patients (44 wrists) undergoing arthroscopic triangular fibrocartilage complex surgery by a single surgeon between 2003 and 2016. Medical records were reviewed for clinical, imaging, and operative data. Preoperatively, 49% of patients had additional diagnoses and mean QuickDASH was 47. Patients were telephoned to assess current wrist pain, subsequent treatment(s), satisfaction, and to complete QuickDASH and Patient-Rated Wrist Evaluation questionnaires. Twenty-five patients responded with mean follow-up of 70 months (minimum 13 months). In those patients not reached by telephone, mean clinical follow-up was 21 months. Seven patients had subsequent surgery (most commonly ulnar shortening osteotomy); this was associated with lower satisfaction scores. At final follow-up, mean QuickDASH was 4, Patient-Rated Wrist Evaluation 8 and patient and parent satisfaction scores were 9 and 9 out of 10, respectively. In conclusion, arthroscopic triangular fibrocartilage complex treatment in paediatric patients yielded favourable outcomes and patient/parent satisfaction. Level of evidence: IV.

Original languageEnglish
Pages (from-to)582-586
Number of pages5
JournalJournal of Hand Surgery: European Volume
Volume44
Issue number6
DOIs
StatePublished - Jul 1 2019

Keywords

  • TFCC tear
  • Wrist arthroscopy
  • adolescent wrist pain
  • paediatric wrist injury
  • triangular fibrocartilage complex

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