Article
Comparison of conservative versus operative treatment of peripheral TFCC tear after acute distal radius fractures
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Published: | February 6, 2020 |
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Outline
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Objectives/Interrogation: This study was designed to compare the clinical outcomes and residual instability conservative and operative treatment of peripheral TFCC tear after acute distal radius fractures.
Methods: we reviewed retrospectively patients who treated with volar locking plate for distal radius fractures. We enrolled 39 patients suffering from the distal radius fracture with peripheral tear of TFCC that confirmed with arthroscopy. All distal radius fractures were fixed with a volar locking plate. 26 patients of them were conservatively treated with long arm splint (group A). 13 patients were operatively treated with TFCC repair (group B). We compared the clinical outcomes between the conservative and operative treatments, using their range of motion; Disabilities of the Arm, Shoulder, and Hand score; PRWE score; and grip strength. At finial follow-up, we checked DRUJ stability with stress test and recorded the grade of DRUJ stability from 0 to 3.
Results and Conclusions: There was no statistically significant difference in the DASH score, PRWE score, grip strength, and wrist range of motion between two group. At final follow-up, DRUJ stress test showed similar stability in both groups.
We think that the conservative treatment with long arm splinting will provide good clinical results without DURJ instability.