Chronic damage of the triangular fibrocartilage complex

Česká verzia

Authors: J. Pilný ¹; A. Švarc ¹; P. Hoza ¹; L. Pliska ²; I. Dospěl ³
Authors place of work: Ortopedické oddělení, Krajská nemocnice Pardubice Primář: MUDr. Jiří Kubeš. Fakulta medicínských studií, Universita Pardubice Děkan: prof. MUDr. Arnošt Pelant, DrSc. ¹; Traumatologické oddělení, FN Ostrava Primář: doc. MUDr. Leopold Pleva, CSc. ²; Traumatologické oddělení, FN Olomouc Primář: MUDr. Igor Čižmář, Ph. D. ³
Published in the journal: Prakt. Lék. 2008; 88(8): 454-456
Category: Of different specialties

Summary

The authors review one cause of chronic pain of the ulnar side of the wrist - damage to the triangular fibrocartilage complex (TFCC). In 2006 and 2007 they carried out 148 wrist arthroscopy operations. Chronic damage of TFCC was found in 78 wrists of 74 patients, 4 patients were operated on both wrists. 52 of them were females and 22 were males with an average age of 44.6 years. The dominant hand was operated on in 48 patients. Damage was evaluated by Palmer’s classification as follows: type II.A 17 cases, type II.B 22, type II.C 16, type II.D 19 and type II.E 4 cases. Arthroscopic resection of TFCC by special electrocoagulation was processed during arthroscopy in patients with pre-operative symptoms TFCC damage. Arthroscopic resection of the head of the ulna was performed in 6 patients aged over 50 with chondromalacia on the head of the ulna. 4 patients younger than 50 with diagnosed chondromalacia and persistent pain on the ulnar side of the wrist after operation were treated by ulnar-shortening osteotomy in the 2nd-step of the treatment. 12 patients with diagnosed rupture of the lunotriquetral joint and persisting pain were treated by reconstruction of the lunotriquetral ligament in the second-phase of treatment.

Key words:
Triangular fibrocartilage complex, arthroscopy of the wrist, wrist.

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