EVALUATION OF ARTHROSCOPIC TREATMENT OF TRIANGULAR FIBROCARTILAGE.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253305e290745

Letícia Saka Holanda, Gabriela Júlio Fernandes Viana, Felipe Mariz Queiroz, João Vitor da Cruz Garcia, Fábio Sano Imoto, Eiffel Tsuyoshi Dobashi

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引用次数: 0

Abstract

Objective: To evaluate the clinical outcomes of surgical treatment by wrist triangular fibrocartilage complex (TFCC) lesions videoarthroscopy (VA) and analyze the correlation between magnetic resonance imaging (MRI) and intraoperative VA findings.

Methods: Cross-sectional study of 28 patients undergoing VA from February 2021 to September 2023, selected by predefined inclusion/exclusion criteria. The mean age was 39.6 years (range: 20-58), with a mean follow-up of 13.6 months (6-20). Twelve surgeries (42.9%) were on the right wrist and sixteen (57.1%) on the left. Functional assessment used the 11-item Quick-Dash questionnaire.

Results: Quick-Dash scores were excellent in 18 cases (64.3%), good in 7 (25.0%), and satisfactory in 3 (10.7%). MRI identified 4 (14.3%) extensive and 24 (85.7%) partial tears, while VA confirmed 2 (7.1%) extensive and 26 (92.9%) partial tears. Concordance between MRI and VA was found in 26 cases (92.9%).

Conclusion: Surgical treatment by VA resulted in predominantly excellent functional outcomes. There was high agreement between MRI and VA findings, indicating good sensitivity and specificity. Level of Evidence IV; Case Series.

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关节镜下治疗三角形纤维软骨的疗效评价。

目的：评价关节镜下手术治疗腕部三角形纤维软骨复合体（TFCC）病变的临床效果，并分析术中磁共振成像（MRI）与TFCC病变的相关性。方法：根据预先确定的纳入/排除标准，对2021年2月至2023年9月接受VA手术的28例患者进行横断面研究。平均年龄39.6岁（20 ~ 58岁），平均随访13.6个月（6 ~ 20岁）。右腕12例（42.9%），左腕16例（57.1%）。功能评估采用11项Quick-Dash问卷。结果：优18例（64.3%），良7例（25.0%），满意3例（10.7%）。MRI确诊广泛撕裂4例（14.3%），部分撕裂24例（85.7%），VA确诊广泛撕裂2例（7.1%），部分撕裂26例（92.9%）。MRI与VA吻合26例（92.9%）。结论：经VA手术治疗可获得良好的功能预后。MRI和VA的结果高度一致，具有良好的敏感性和特异性。证据水平IV；系列。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.