TFCC Lesions in Children and Adolescents: Open Treatment.
| Autor: | Pfanner S; Surgery and Reconstructive Microsurgery of the Hand, AUO Careggi, Florence, Italy., Diaz L; † Orthopedics and Traumatology Department, Campus Bio-Medico University of Rome, Rome, Italy., Ghargozloo D; ‡ Orthopedics and Traumatology Department, ASST Valcamonica, Esine Hospital, Esine (BS), Italy., Denaro V; † Orthopedics and Traumatology Department, Campus Bio-Medico University of Rome, Rome, Italy., Ceruso M; Surgery and Reconstructive Microsurgery of the Hand, AUO Careggi, Florence, Italy. |
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| Jazyk: | angličtina |
| Zdroj: | The journal of hand surgery Asian-Pacific volume [J Hand Surg Asian Pac Vol] 2018 Dec; Vol. 23 (4), pp. 506-514. |
| DOI: | 10.1142/S2424835518500509 |
| Abstrakt: | Background: There has been little discussion regarding the lesion of the TFCC in pediatric and adolescent patients. This study examines 11 cases treated with open technique. Methods: Range of motion (ROM), strength and functional scores (QUICK DASH, PWRE, VAS pain, and NAKAMURA score) were evaluated. Results: The mean postoperative flexion-extension arc was 95% of the contralateral side, the radio-ulnar deviation 91% of the contralateral side and the pronation-supination arc 94% of the unaffected side. Grip strength was 85.6% of the uninjured wrist, pinch was 88%. The mean PRWE decreased from 84.4 to 9.85 postoperatively. The mean Q-DASH scored 10.4. The VAS pain under stress decreased from a mean of 6.8 to a mean of 2.27, while at rest it decreased from a mean of 5 to a mean of 0.5. The final clinical results obtained by Nakamura score were 2 excellent, 6 good and 3 fair. Conclusions: This study emphasizes that open surgical TFCC repair is a safe and reliable therapeutic procedure in children and adolescent populations. |
| Databáze: | MEDLINE |
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