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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Chronic post traumatic triangular fibrocartilage complex (tfcc) lesions in children and adolescents

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  • presenting/speaker Sandra Pfanner - Hand and Reconstructive Microsurgery Unit, AOU Careggi, Florence, Italy
  • Andrea Poggetti - Hand and Reconstructive Microsurgery Unit, AOU-Careggi, Florence, Italy
  • Maura Zucchini Maura - Hand and Reconstructive Microsurgery Unit, AOU Careggi, Florence, Italy
  • Massimo Ceruso - Hand and Reconstructive Microsurgery Unit, AOU Careggi, Florence, Italy

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. DocIFSSH19-566

doi: 10.3205/19ifssh1241, urn:nbn:de:0183-19ifssh12411

Veröffentlicht: 6. Februar 2020

© 2020 Pfanner 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/.

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Objectives/Interrogation: Post traumatic triangular fibrocartilage complex (TFCC) lesions in children and adolescents are uncommon and pose complex diagnostic and therapeutic challenges for the surgeon.

Methods: Authors report on a series of 14 pediatric and adolescent patients, means 14,4 y (9- 17), 4 males and 10 females affected by TFCC tears (n=4 2A, n= 8 2B, n=2 2C with previously styloid fractures). All cases were sport related trauma (9 tennis, 1 boxer, 1 judo, 1 soccer, 1 musician, 1 equitation) Four Patients were managed with arthroscopy techniques, in the other 10 cases were open repaired. Pre and post-operative Range of Motion (ROM), strength, joint stability and functional score (PRWE score) were performed. The average follow-up was 37 months (8-60 m).

Results and Conclusions: The mean post-operative arch of motion in flexion-extension improves from 90% to 95% of the contralateral side, the radio-ulnar deviation improves from 82% to 91% of the lateral side, the prono-supination arch improves from 71% to 94% of health side. No differences in grip strength recovery compared with contralateral side (32,6 vs 35,7 Kg). The PRWE decrease from 84.4 to 9.85.

The study emphasizes the importance of surgical treatment post traumatic TFCC lesion in persistent ulnar wrist pain and/or instability in children and adolescents.