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New trends in arthroscopic management of type 1-B TFCC injuries with DRUJ instability.
MedLine Citation:
PMID:  19620186     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Advances in radiocarpal and distal radioulnar joint (DRUJ) diagnostic arthroscopy permits a treatment-oriented classification of triangular fibrocartilage complex (TFCC) peripheral tears: 1) repairable distal tears; 2) repairable complete tears; 3) repairable proximal tears; 4) non-repairable tears; and 5) tears associated with DRUJ arthritis. Class 1 tears should be sutured; Class 2 and 3 are associated with DRUJ instability and require TFCC reattachment to the fovea; Class 4 tears need reconstruction using a tendon graft and Class 5 tears require an arthroplasty. Arthroscopic assisted TFCC foveal reattachment is possible through the direct foveal portal, a dedicated DRUJ working portal. Arthroscopic TFCC reconstruction using a tendon graft showed promising results.
Authors:
A Atzei
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Publication Detail:
Type:  Journal Article     Date:  2009-07-20
Journal Detail:
Title:  The Journal of hand surgery, European volume     Volume:  34     ISSN:  1532-2211     ISO Abbreviation:  -     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-12-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101315820     Medline TA:  J Hand Surg Eur Vol     Country:  England    
Other Details:
Languages:  eng     Pagination:  582-91     Citation Subset:  IM    
Affiliation:
Hand Surgery Unit, Policlinico G. B. Rossi, Verona, Italy. andreatzei@libero.it
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