Open Repair of Ulnar Avulsion of the Triangular Fibrocartilage Complex.
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Accession number;03A0240721
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| Title;Open Repair of Ulnar Avulsion of the Triangular Fibrocartilage Complex. |
| Author;
AIKI HIKONO
(Sapporo Medical Univ., School of Medicine, JPN)
WADA TAKURO
(Sapporo Medical Univ., School of Medicine, JPN)
KANAYA KOHEI
(Sapporo Medical Univ., School of Medicine, JPN)
ISOGAI SATOSHI
(Sapporo Medical Univ., School of Medicine, JPN)
YAMASHITA TOSHIHIKO
(Sapporo Medical Univ., School of Medicine, JPN)
AOKI MITSUHIRO
(Sapporoidai Hoken'iryo Rigakuryohogakka)
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Journal Title;Hokkaido Journal of Orthopedic and Traumatology
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Journal Code:Y0504A
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ISSN:1343-3873
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VOL.44;NO.2;PAGE.20-23(2003)
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| Figure&Table&Reference;TBL.1, REF.18 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We retrospectively evaluated the post-operative results of 9 patients with ulnar avulsion of the triangular fibrocartilage complex(TFCC) treated with an open repair technique. This study included three females and six males, with an average of 32.8 years. The average follow-up period was 20 months(range: 10-30 months). All patients complained of motion pain at the ulnar side of the wrist. Definite diagnosis was made by arthroscopic findings, and all patients presented with a type I B TFCC injury according to Palmer's classification. In addition, ulnocarpal abutment syndrome was observed in four patients. Using a dorso-ulna approach, scar tissue was debrided and the TFCC was reattached to the base of the ulnar styloid process. Post-operatively. three patients were evaluated as excellent, three were good, and three were fair according to the Mayo Modified Wrist Score. One of the patients with fair results showed a positive ulnar variance. The remaining two patients were arthroscopically diagnosed with ulnocarpal abutment syndrome despite normal ulnar variance. (author abst.) |
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