Key result
Open surgical TFCC repair in children and adolescents improved functional outcomes, with mean PRWE decreasing from 84.4 to 9.85 and VAS pain under stress decreasing from 6.8 to 2.27.
Why the study?
There has been little discussion regarding TFCC lesions in pediatric and adolescent patients.
Does open surgical TFCC repair improve functional outcomes and reduce pain in children and adolescents with TFCC lesions?
Observational (n=11)
Does open surgical TFCC repair improve functional outcomes and reduce pain in children and adolescents with TFCC lesions?
Open surgical TFCC repair is a safe and reliable procedure that improves functional outcomes and reduces pain in pediatric and adolescent patients.
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.
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Pfanner et al. (2018) conducted an observational in TFCC Lesions (n=11). Open surgical TFCC repair was evaluated on Range of motion, strength and functional scores. Open surgical TFCC repair in children and adolescents improved functional outcomes, with mean PRWE decreasing from 84.4 to 9.85 and VAS pain under stress decreasing from 6.8 to 2.27.
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