gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Ulnotriquetral Split Tear Repair: Is It Myth or Fact?

Meeting Abstract

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  • presenting/speaker Sanjeev Kakar - Mayo Clinic, Rochester, United States
  • Richard Berger - Mayo Clinic, Rochester, United States
  • Nick Clark - Mayo Clinic, Rochester, United States
  • Nick Munaretto - Mayo Clinic, Rochester, United States

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-385

doi: 10.3205/19ifssh0830, urn:nbn:de:0183-19ifssh08309

Veröffentlicht: 6. Februar 2020

© 2020 Kakar et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: To report the outcomes of ulnotriquetral (UT) ligament split tear repairs.

Methods: 228 wrists (142 right and 86 left) in 221 patients (100 males and 128 females, mean age 35 ± 15.5, range 14-77 years) underwent UT ligament split tear repair between 2007 and 2016. Mayo wrist score, Visual Analogue Scale (VAS) pain scores, and objective measures including grip strength and range of motion were obtained. Patients were followed with a mean follow up of 10.3 months.

Results and Conclusions: Ulnotriquetral split tear repair resulted in substantial improvements in pain and function. Mayo Wrist Score for the cohort improved from 56 preoperatively to 82 postoperatively (p<0.0001), and 83% of patients achieved a good or excellent outcome. VAS pain scores decreased from 6.0 preoperatively to 1.4 postoperatively (p<0.0001). Grip improved from 26.1 kg preoperatively to 29.8 kg postoperatively (p=0.003). There was no significant change in range of motion of the wrist. Complications were noted in 13 patients with 8 experiencing continued pain, 4 with dysesthesia of the dorsal sensory ulnar nerve and 1 superficial infection.

In conclusion, Arthroscopic UT split tear repair significantly reduced pain and improved Mayo Wrist Scores.