Observation of short-term clinical efficacy of wrist arthroscopy in the treatment of Palmer ⅠB triangular fibrocartilage complex injury / 中国基层医药

ABSTRACT

Objective To observe the short-term clinical efficacy of wrist arthroscopy in the treatment of Palmer ⅠB type triangular fibrocartilage complex ( TFCC) injury.Methods From March 2016 to January 2017, 12 patients with Palmer ⅠB TFCC were admitted to the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,including 5 males and 7 females,with an average age of 38.5 years.After examination and imaging exami-nation,the diagnosis was confirmed.After full preoperative preparation , the patients underwent arthroscopic repair under wrist arthroscopy.The VAS score and modified Mayo wrist joint function score before and after surgery were tested to evaluate the clinical efficacy after 6 months.Results Twelve patients underwent successful operation and with no postoperative complications.The patients were followed up.The VAS scores before and after surgery were (4.08 ±0.90)points and (1.33 ±0.88)points,respectively,the difference was statistically significant (t＝8.37,P＝0.000).The modified Mayo wrist joint function scores were (48.33 ±7.48)points and (87.91 ±5.41)points before and after surgery,and the difference was statistically significant ( t＝12.05,P＝0.000).Conclusion Arthroscopic repair of Palmer Ⅰb type TFCC has less trauma and quick recovery ,and the clinical short-term result is satisfactory.