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Arthroscopic Repair of Ulnar-Sided Triangular Fibrocartilage Complex (Palmer Type 1B) Tears: A Comparison Between Short- and Midterm Results.
MedLine Citation:
PMID:  23101530     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: To compare short- and midterm functional and subjective outcomes of arthroscopically repaired Palmer 1B tears.
METHODS: At 2 time points, we evaluated 49 patients with Palmer 1B tears who underwent arthroscopic repair. We examined 46 patients (23 males and 23 females) in the short-term at an average of 11 months (range, 6-23 mo) postoperatively. In a second midterm follow-up, we examined 40 patients (20 males and 20 females) an average of 4.8 years (range, 4.2-5.9 y) after repair. Between short- and midterm follow-ups, 6 patients underwent an ulnar-shortening osteotomy to alleviate persistent ulnar-sided symptoms. Objective and subjective evaluation included the determination of range of motion, grip strength, pain, and wrist scores (modified Mayo wrist score and Disabilities of Arm, Shoulder, and Hand score).
RESULTS: Compared with short-term repair results, midterm outcomes showed a further improvement in pain, wrist scores, grip strength, and motion. Neither static nor dynamic ulnar variance was correlated to preoperative and postoperative Disabilities of the Arm, Shoulder, and Hand scores, short-term modified Mayo wrist scores, or need for ulnar-shortening osteotomy. Five patients improved only after having received an ulnar shortening osteotomy.
CONCLUSIONS: After repair of Palmer 1B lesions, patients continued to improve in function and comfort at least into the second year, although some needed to have the ulna shortened to achieve this result.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
Authors:
Maya B Wolf; Andreas Haas; Adrian Dragu; Franck Marie Leclère; Jens Dreyhaupt; Peter Hahn; Frank Unglaub
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  37     ISSN:  1531-6564     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2325-30     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Hand Surgery, Vulpius Klinik, Bad Rappenau; the Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg; the Department of Radiology, German Cancer Research Center (DKFZ), Heidelberg; the Department of Plastic and Hand Surgery, University of Erlangen, Erlangen; the Institute of Epidemiology and Medical Biometrics, University of Ulm, Ulm; and the Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Germany.
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