ABSTRACT
Substance tears of the triangular fibrocartilage complex (TFCC) can occur secondary to trauma of the wrist. On the dorsal periphery, they are considered Palmer 1B tears or Atzei class 1 tears. If along the radial side, they can manifest as a tear of the central disc, classified as a Palmar class 1A tear. If it involves the ligaments, it is stated as a pre-1D tear as per the new classification system by Luchetti and colleagues. Multiple excellent repair techniques exist in the current literature for dorsal peripheral tears and even for those in the substance of the TFCC, whereas there are successful evolving techniques of repair of avulsed tears and those involving the substance of the ligaments on the radial side adjacent to the sigmoid notch. Here, we describe our technique of repairing substance tears of the TFCC arthroscopically without the need for any specialized equipment apart from the basic arthroscopy set. The technique was conducted in a patient with a transverse substance tear on the radial side of the triangular fibrocartilage involving the central disc with complete resolution of symptoms. It is a simple technique, which can be used to repair class 1B peripheral tears and pre-1D tears in the substance of the TFCC.
Subject(s)
Triangular Fibrocartilage , Wrist Injuries , Humans , Triangular Fibrocartilage/surgery , Triangular Fibrocartilage/injuries , Wrist Injuries/surgery , Wrist Joint/surgery , Arthroscopy/methods , Radius , RuptureSubject(s)
Cauda Equina Syndrome/complications , Spinal Cord Compression/complications , Adult , Cauda Equina Syndrome/diagnostic imaging , Cauda Equina Syndrome/etiology , Cauda Equina Syndrome/surgery , Female , Glial Fibrillary Acidic Protein/metabolism , Glioblastoma/complications , Glioblastoma/diagnostic imaging , Glioblastoma/surgery , Humans , Ki-67 Antigen/metabolism , Laminectomy , Magnetic Resonance Imaging , S100 Proteins/metabolism , Spinal Cord Compression/diagnostic imaging , Spinal Cord Compression/etiology , Spinal Cord Compression/surgery , Spinal Cord Neoplasms/complications , Spinal Cord Neoplasms/diagnostic imaging , Spinal Cord Neoplasms/surgeryABSTRACT
Fine-needle capillary cytology (FNCC) has been attempted in various organs and studies have shown this procedure to yield qualitatively superior material compared with fine-needle aspiration cytology (FNAC). Studies evaluating the efficacy of this technique in lymph nodes are rare. The present study has attempted to assess the relative advantages and disadvantages of the FNCC technique in comparison to the more widely applied FNAC technique.Thirty enlarged lymph nodes from 26 patients were sampled by both the FNCC and FNAC techniques. The smears obtained were routinely stained by May-Grünwald-Giemsa (MGG) and Papanicolaou staining. The quality of smears was evaluated using an objective scoring system originally devised by Mair et al., for various organs. The score of individual parameters in each case as well as the total scores for FNAC and FNCC procedures were calculated separately and Mann-Whitney's test was performed; a P-value of less than 0.05 was considered significant. Statistical results showed smears obtained by FNCC to be qualitatively better than those obtained by FNAC. Though, individual parameters were not statistically significant, FNCC smears showed better scores as compared with those of FNA smears. Also, the technique was found to be easier to perform and less apprehensive to the patient.Our study convincingly proved the technical superiority of the FNCC technique in cellular lymph node lesions, emphasizing the need for this less publicized procedure to be more widely applied.
