Treatment of Palmer Class 1A Triangular Fibrocartilage Complex Injuries with Arthroscopic Partial Resection

Lee,  Seoung Joon; Choi,  Jin Ho

doi:2013.18.1.9

Arch Hand Microsurg > Volume 18(1); 2013 > Article

Original Article

Journal of the Korean Society for Surgery of the Hand 2013;18(1):9-15.
Published online March 30, 2013.
DOI: https://doi.org/10.12790/jkssh.2013.18.1.9

Treatment of Palmer Class 1A Triangular Fibrocartilage Complex Injuries with Arthroscopic Partial Resection

Seoung Joon Lee, Jin Ho Choi

Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, Korea. lsjmd@naver.com

Received: 29 October 2012 • Revised: 8 February 2013 • Accepted: 11 February 2013

Abstract

Purpose
We reported the clinical results of Palmer class 1A triangular fibrocartilage complex (TFCC) injuries treated with arthroscopic partial resection.

Methods
This study included eighteen patients with Palmer class 1A TFCC injury. The results of arthroscopic partial resection were analyzed based on the preoperative and postoperative evaluation of visual analogue scale pain scale, range of motion, grip strength, Mayo wrist score, ulna grind test, ulna stress test and ulnocarpal tenderness.

Results
According to the Mayo wrist score, the results were excellent in 10 patients, good in 4, fair in 2, and poor in 2. There was no correlation among the worker's compensation, interval from injury to surgery, age and the treatment results. Patients with complication and scapholunate interosseous ligament tears had a poor clinical outcome.

Conclusion
The arthroscopic TFCC partial resection is considered as an useful and effective treatment in Palmer class 1A TFCC injuries.