Surgical Options for Triangular Fibrocartilage Complex Tears
Surgical Options for Triangular Fibrocartilage Complex Tears
For Palmer 1A TFCC lesions, arthroscopic debridement alone is generally a successful procedure, although this has recently been called into question. Peripheral tears can be treated with simple debridement; however, either capsular or direct foveal repairs generally are recommended, especially in the setting of DRUJ instability. Positive ulnar variance may lower the likelihood of success for arthroscopic treatment of TFCC pathology, but this is not a strict contraindication. Ulnar shortening osteotomy remains is a successful secondary procedure for persistent pain following debridement or repair of the TFCC. We recommend simple debridement of Palmer 1D lesions except in patients in whom the DRUJ is unstable for which repair may be indicated.
Conclusion
For Palmer 1A TFCC lesions, arthroscopic debridement alone is generally a successful procedure, although this has recently been called into question. Peripheral tears can be treated with simple debridement; however, either capsular or direct foveal repairs generally are recommended, especially in the setting of DRUJ instability. Positive ulnar variance may lower the likelihood of success for arthroscopic treatment of TFCC pathology, but this is not a strict contraindication. Ulnar shortening osteotomy remains is a successful secondary procedure for persistent pain following debridement or repair of the TFCC. We recommend simple debridement of Palmer 1D lesions except in patients in whom the DRUJ is unstable for which repair may be indicated.
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