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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Repair of injuries of the triangular Fibrocartilage complex with foveal avulsion by transosseous tunnels

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  • presenting/speaker Fabio Andres Tandioy-Delgado - Clinica las Americas, Medellin, Colombia
  • Laura Sanchez Presiga - Clinica las Americas, Medellin, Colombia
  • Estaban Arrubla Rojas - Clinica las Americas, Medellin, Colombia
  • Andres Feliope Rendon Montoya - Clinica las Americas, Medellin, Colombia

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. DocIFSSH19-1580

doi: 10.3205/19ifssh0004, urn:nbn:de:0183-19ifssh00044

Published: February 6, 2020

© 2020 Tandioy-Delgado et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: The objective of this study was to investigate the clinical results and functional outcomes of the patients with Triangular fibrocartilage Complex (TFCC) foveal tears with were repaired by arthroscopy and transosseous tunnel.

Methods: We retrospectively rewind the result of five patient (5 men) who underwent a surgical procedure for the treatment of TFCC foveal avulsion at our clinic. The patient's progress was followed up for a mean 8 months. The average age was 31 years.

Postoperative clinical and functional otucomes, grips strength, mobility of the wrist, the Modified Mayo Wrist Score, were quantitatively evaluated. The Disabilities of the arm, shoulder and hand questionnaire served to assess each patient's subjective outcomes.

Results: At the mean follow-up of 8 months, all patients had a significant reduction in wrist pain. The average grip strength at 44.

The mean modified Mayo Wrist Score was 85. The Disabilities of the arm, Shoulder and Hand Score came out at 24,16. All patients were able return to work.

Conclusion: Arthroscopic reattachment of avulsed TFCC to the ulnar foveal by the described technique is a vacuum alternative for treating avulsion of the foveal TFCC insertion.