| A comparison of combined arthroscopic triangular fibrocartilage complex debridement and arthroscopic wafer distal ulna resection versus arthroscopic triangular fibrocartilage complex debridement and ulnar shortening osteotomy for ulnocarpal abutment syndrome. | |
| | |
MedLine Citation:
|
PMID: 15067279 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: Treatment of ulnocarpal abutment (UAS) syndrome involves decompression of the pressure and impingement, or abutment of the ulnocarpal articulation. Debridement of triangular fibrocartilage complex (TFCC) tears alone in the patient with UAS may have a failure rate of as much as 25% to 30%. Ulnar shortening osteotomy (USO) can be an effective treatment of failed TFCC debridement. Good results have been reported with combined arthroscopic TFCC debridement and mechanical arthroscopic distal ulnar resection. Similar results have been reported with both ulnar shortening osteotomy and open wafer distal ulnar resections in the UAS patient. Because all of these treatment choices appear to yield similar relief of symptoms, determination of the optimal treatment protocol remains a point of debate. The purpose of this study was to evaluate 2 different surgical treatments for UAS. TYPE OF STUDY: Retrospective review. METHODS: Eleven combined arthroscopic TFCC debridement and arthroscopic distal ulna resections (arthroscopic wafer procedures; AWP) were compared with 16 arthroscopic TFCC debridement and USOs. All patients had diagnostic wrist arthroscopy and arthroscopic TFCC debridement. All patients presented with ulnar wrist pain or neutral or positive ulnar variance, and all experienced at least 3 months of failed conservative management. RESULTS: At mean follow-up times of 21 and 15 months, respectively, 9 of 11 patients showed good to excellent results after arthroscopic TFCC debridement and AWP compared with 11 of 16 after arthroscopic TFCC debridement and USO. A statistically significant difference (P <.05) in the complication rates was identified, including secondary procedures and tendonitis. One secondary procedure and 2 cases of tendonitis were seen in the arthroscopic wafer group. CONCLUSIONS: Combined arthroscopic TFCC debridement and arthroscopic wafer procedure provides similar pain relief and restoration of function with fewer secondary procedures and tendonitis when compared with arthroscopic TFCC debridement and USO, for the treatment of UAS. LEVEL OF EVIDENCE: Level III. |
| | |
Authors:
|
Matthew A Bernstein; Daniel J Nagle; Alicia Martinez; John M Stogin; Thomas A Wiedrich |
Related Documents
:
|
19128949 - Orientation of the rotator cuff insertion facets on the humerus: comparison between ind... 10855749 - Osteoarthritis and traumatic arthritis of the shoulder. 8186599 - Distention arthrography in the treatment of adhesive capsulitis of the shoulder. 9385239 - Recurrence after patellar dislocation. redislocation in 37/75 patients followed for 6-2... 12355929 - Idiopathic frozen shoulder treated by arthroscopic brisement. 10843119 - Arthroscopically assisted mini-open rotator cuff repairs. functional outcome at 2- to 7... 22441789 - Probable rifaximin-induced neutropenia. 2049419 - A randomised prospective comparison of oral ofloxacin and intraperitoneal vancomycin pl... 17623259 - Esophageal manometry and clinical outcome after laparoscopic nissen fundoplication. |
Publication Detail:
|
Type: Comparative Study; Evaluation Studies; Journal Article; Review |
Journal Detail:
|
Title: Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association Volume: 20 ISSN: 1526-3231 ISO Abbreviation: Arthroscopy Publication Date: 2004 Apr |
Date Detail:
|
Created Date: 2004-04-06 Completed Date: 2004-07-21 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8506498 Medline TA: Arthroscopy Country: United States |
Other Details:
|
Languages: eng Pagination: 392-401 Citation Subset: IM |
Affiliation:
|
Department of Orthopedic Surgery, Alexian Brothers and St. Alexius Medical Centers and Barrington Orthopedic Specialists and Sports Medicine, Hoffman Estates, Illinois 60195, USA. mattbern@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Arthroscopy / methods* Carpal Bones* Cartilage Diseases / etiology, surgery* Cartilage, Articular / injuries, surgery* Debridement / methods* Female Hand Strength Humans Ligaments, Articular / injuries, surgery Male Middle Aged Osteotomy / methods* Postoperative Complications / epidemiology, etiology Retrospective Studies Syndrome Tendinopathy / epidemiology, etiology Treatment Outcome Ulna / surgery* Wrist Injuries / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Traumatic rupture of the ligamentum teres as a source of hip pain.
Next Document: Glenohumeral arthropathy after arthroscopic anterior shoulder stabilization.