The Natural Course of Traumatic Triangular Fibrocartilage Complex Tears in Distal Radial Fractures: A 13–15 Year Follow-up of Arthroscopically Diagnosed But Untreated Injuries

Mrkonjic A, Geijer M, Lindau T, et al (Lund Univ and Skåne Univ Hosp, Sweden; Pulvertaft Hand Centre, Derby, UK) J Hand Surg 37A:1555-1560, 2012^§

Abstract

Purpose

To evaluate the long-term results of a prospective, longitudinal case series of untreated, traumatic triangular fibrocartilage complex (TFCC) tears found in displaced distal radial fractures.

Methods

Between 1995 and 1997, 51 patients (24 men, 27 women; age, 20–57 y) with a displaced distal radius fracture had wrist arthroscopy to identify associated injuries. Forty-three patients had complete or partial tears of the TFCC, which were not treated. All patients were contacted in 2010, 13–15 years after the injury. One patient had had a TFCC reattachment due to painful distal radioulnar joint instability and was excluded. Thirty-eight patients returned for a radiographic and clinical follow-up that recorded strength, distal radioulnar joint laxity, range of motion, pain scale score, and subjective and objective outcome scores.

Results

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