ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Outcome of conservative treatment for triangular fibrocartilage complex lesions with stable distal radioulnar joint.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 20 citations in OpenAlex.
- [Arthroscopic stabilization of the distal radioulnar joint and treatment of TFCC lesions].Orthopadie (Heidelberg, Germany) · 2026Review
- Anatomy, aetiology, clinical presentation, classification, diagnosis, and non-surgical management of triangular fibrocartilage complex tears: a narrative review.Frontiers in sports and active living · 2026Review
- Article
- Arthroscopic algorithm for acute traumatic triangular fibrocartilage complex (TFCC) tears.Journal of hand and microsurgery · 2025Review
- Article
- The Natural History of Non-operatively Treated Traumatic Triangular Fibrocartilage Complex Tears: A Systematic Review.Journal of wrist surgery · 2024Article
- Arthroscopic dual-bone tunnel repair for palmer type IB injuries of the triangular fibrocartilage complex.BMC musculoskeletal disorders · 2024Article
- Stabilization of the Distal Radioulnar Joint with or without Triangular Fibrocartilage Complex Tear by an External Wrist Band Brace: A Cadaveric Study.Healthcare (Basel, Switzerland) · 2022Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTriangular fibrocartilage complex (TFCC) lesions have high clinical relevance. Although multiple studies have been done in the past, there is a lack of data after conservative treatment and controversy remains regarding management. The purpose of this study was to compare the outcome of symptomatic TFCC lesions after conservative treatment and arthroscopic debridement.
methodsBetween 2012 and 2017, 33 patients were included. 16 patients were treated conservatively and 17 patients with arthroscopic debridement. The average age was 41 years (range 18-63). The mean follow-up was 22.2 months (range 6-74). Evaluation included pain, range of motion (ROM), grip strength, Disabilities of the Arm, Shoulder, and Hand (DASH) score, Modified Mayo Wrist Score (MMWS), and Purdue Pegboard test.
resultsPain averaged 0.1 (range 0-1) in the conservative group compared to 1.3 (range 0-6) in the arthroscopic group. The mean ROM was 99% for wrist extension, and 100% for flexion and pro-/supination in the conservative group, and 96% for extension and flexion, and 100% for pro-/supination in the arthoscopic group compared to the contralateral side. Grip strength was 88% (range 63-100) in the conservative group versus 89% (range 33-100) in the arthroscopic group. The conservative group reached a DASH score of 16.8 and MMWS of 94.3 compared to 22.1 and 87.2 in the arthroscopic group. The differences were not statistically significant.
conclusionsOur study demonstrated similar results of conservative compared to arthroscopic treatment. Because conservative treatment was a sufficient and reliable option, we propose it as first-line treatment for TFCC lesions with stable distal radioulnar joint.
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