Return to sport following surgical management of triangular fibrocartilage tears: a systematic review
| Autor: | Kok Kiong Ang, Philippa A Rust, Claire K Simpson, Greg A. J. Robertson, Nicola Maffulli |
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| Rok vydání: | 2019 |
| Předmět: |
Triangular Fibrocartilage
fibro-cartilage rate return sport tear time triangular medicine.medical_specialty Triangular fibrocartilage MEDLINE Conservative Treatment Return to sport Arthroscopy 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine 030222 orthopedics Modalities medicine.diagnostic_test business.industry Optimal treatment Recovery of Function General Medicine Wrist Injuries Return to Sport medicine.anatomical_structure Physical therapy Tears business Systematic search |
| Zdroj: | British Medical Bulletin. 130:89-103 |
| ISSN: | 1471-8391 0007-1420 |
| DOI: | 10.1093/bmb/ldz013 |
| Popis: | INTRODUCTION This review aims to provide information on return rates and times to return to sport following surgical management of triangular fibrocartilage (TFC) tears. SOURCES OF DATA A systematic search of CINAHAL, Cochrane, EMBASE, Google Scholar, Medline, PEDro, Scopus, SPORTDiscus and Web of Science was performed using the keywords 'triangular', 'fibro-cartilage', 'complex', 'tear', 'distal radio-ulnar joint', 'athletes', 'sports', 'non-operative', 'conservative', 'operative' and 'return to sport'. AREAS OF AGREEMENT In all of the 10 studies included, conservative management for 6 weeks to 6 months was the first-line treatment. If symptoms persisted following this period, surgical management was advised. Arthroscopic debridement was recommended for central tears, and arthroscopic repair was recommended for peripheral tears. AREAS OF CONTROVERSY The optimal treatment modalities for TFC tears remain to be defined. GROWING POINTS Traumatic central tears can be treated with arthroscopic debridement alone. Arthroscopic repair with an all-inside repair can improve return rates to sport over an outside-in technique for ulna-sided tears. AREAS TIMELY FOR DEVELOPING RESEARCH Future prospective studies should aim to establish the optimal treatment modalities for TFC tears. |
| Databáze: | OpenAIRE |
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