Abstract

  We use the capsular suture (CS) and trans-osseous suture (OS) techniques to treat patients with triangular fibrous cartilage complex (TFCC) injury associated with distal radio-ulnar joint (DRUJ) instability. The purpose of this study was to compare the outcomes between the two techniques with a minimum of 2 years of follow-up and to identify whether any pre-operative assessment factors correlated with post-operative Disability of the Arm, Shoulder and Hand (DASH) scores.
This study included 46 patients with TFCC injury with manually reducible DRUJ instability. Arthroscopic CS (n = 26) or OS (n = 20) was performed. Arcs of the wrist extension-flexion and radio-ulnar deviation, forearm supination-pronation, grip strength, DRUJ instability, and DASH and visual analogue scale scores for wrist pain were assessed pre-operatively and at the final follow-up. Spearman’s correlation coefficients were calculated between the pre-operative assessments and the DASH scores at the final follow-up. The CS and OS techniques provided good stability of the DRUJ, increase in grip strength, and decrease in wrist pain and DASH scores. The results did not differ significantly between the CS and OS groups. Only the pre-operative DASH score correlated with the DASH score at the final follow-up.
The results did not differ significantly between the CS and OS techniques performed on manually reducible TFCC injuries. Patients with a higher pre-operative DASH score were more likely to have a higher DASH score at the final follow-up.

Keywords: TFCC, DRUJ; Capsular Suture; Transosseous Suture; Ulna Fovea

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Citation

Citation: Ryosuke Kakinoki., et al. “Comparison Between Capsular and Transossous Suture Techniques for Treatment of Triangular Fibrous Cartilage Complex Injuries with Distal Radio-Ulnar Joint Instability".Acta Scientific Orthopaedics 4.1 (2020): 31-37.

Copyright

Copyright: © 2020 Ryosuke Kakinoki., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.