SURGICAL TECHNIQUE FOR ANATOMICAL RE-CONSTRUCTION OF THE DISTAL RADIOULNAR LIGAMENTS IN CHRONIC TRAUMATIC INJURY OF THE TRIANGULAR FIBROCARTILAGE COMPLEX
Abstract-Injury to the triangular fibrocartilage complex (TFCC) can lead to instability of the distal radioulnar joint (DRUJ). In this article, we have presented a treatment method for patients with chronic traumatic TFCC injury. The surgical technique described here demonstrates anatomical reconst...
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Bulgarian Orthopaedics and Trauma Association
2024-05-01
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| Series: | Journal of the Bulgarian Orthopaedics and Trauma Association |
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| Online Access: | https://jbota.org/index.php/jbota/article/view/101 |
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| author | Nikola Simeonov Kalin Angelov Iliyana Marcheva Elena Apostolu Мargarita Kateva |
| author_facet | Nikola Simeonov Kalin Angelov Iliyana Marcheva Elena Apostolu Мargarita Kateva |
| author_sort | Nikola Simeonov |
| collection | DOAJ |
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Abstract-Injury to the triangular fibrocartilage complex (TFCC) can lead to instability of the distal radioulnar joint (DRUJ). In this article, we have presented a treatment method for patients with chronic traumatic TFCC injury. The surgical technique described here demonstrates anatomical reconstruction of the volar and dorsal distal radioulnar ligament using an autologous palmaris longus tendon graft.In the period 2014-2023, 22 patients with chronic traumatic injury to the triangular fibrocartilage complex, leading to instability of the DRUJ, were operated on in our clinic. The main parameters studied pre- and post-operatively were: degree of pain during active movements in the wrist joint and prono-supination of the forearm,range of active movements in the same joints, stability of DRUJ and grip strength relative to the contralateral limb.All 22 patients reported pain reduction with active wrist movements and forearm prono-supination. This surgical technique with anatomically based reconstruction of the distal volar and dorsal radioulnar ligament provides restoration of stability of the distal radioulnar joint and reduction of pain in patients with chronic injury to the triangular fibrocartilage complex.
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| format | Article |
| id | doaj-art-fa7dcd2ab5d04909bac9220761c33875 |
| institution | Kabale University |
| issn | 0473-4378 2815-3715 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Bulgarian Orthopaedics and Trauma Association |
| record_format | Article |
| series | Journal of the Bulgarian Orthopaedics and Trauma Association |
| spelling | doaj-art-fa7dcd2ab5d04909bac9220761c338752025-02-12T06:11:23ZengBulgarian Orthopaedics and Trauma AssociationJournal of the Bulgarian Orthopaedics and Trauma Association0473-43782815-37152024-05-016102SURGICAL TECHNIQUE FOR ANATOMICAL RE-CONSTRUCTION OF THE DISTAL RADIOULNAR LIGAMENTS IN CHRONIC TRAUMATIC INJURY OF THE TRIANGULAR FIBROCARTILAGE COMPLEXNikola Simeonov0Kalin Angelov1Iliyana Marcheva2Elena Apostolu3Мargarita Kateva4dr UMHAT "Sofiamed" - Clinic for orthopedics, traumatology, hand surgery and reconstructive surgery, Sofia, BulgariaUMHAT "Sofiamed" - Clinic for orthopedics, traumatology, hand surgery and reconstructive surgery, Sofia, BulgariaUMHAT "Sofiamed" - Clinic for orthopedics, traumatology, hand surgery and reconstructive surgery, Sofia, BulgariaUMHAT "Sofiamed" - Clinic for orthopedics, traumatology, hand surgery and reconstructive surgery, Sofia, Bulgaria Abstract-Injury to the triangular fibrocartilage complex (TFCC) can lead to instability of the distal radioulnar joint (DRUJ). In this article, we have presented a treatment method for patients with chronic traumatic TFCC injury. The surgical technique described here demonstrates anatomical reconstruction of the volar and dorsal distal radioulnar ligament using an autologous palmaris longus tendon graft.In the period 2014-2023, 22 patients with chronic traumatic injury to the triangular fibrocartilage complex, leading to instability of the DRUJ, were operated on in our clinic. The main parameters studied pre- and post-operatively were: degree of pain during active movements in the wrist joint and prono-supination of the forearm,range of active movements in the same joints, stability of DRUJ and grip strength relative to the contralateral limb.All 22 patients reported pain reduction with active wrist movements and forearm prono-supination. This surgical technique with anatomically based reconstruction of the distal volar and dorsal radioulnar ligament provides restoration of stability of the distal radioulnar joint and reduction of pain in patients with chronic injury to the triangular fibrocartilage complex. https://jbota.org/index.php/jbota/article/view/101triangular fibrocartilage complex, DRUJ instability, ligamentous recon-struction |
| spellingShingle | Nikola Simeonov Kalin Angelov Iliyana Marcheva Elena Apostolu Мargarita Kateva SURGICAL TECHNIQUE FOR ANATOMICAL RE-CONSTRUCTION OF THE DISTAL RADIOULNAR LIGAMENTS IN CHRONIC TRAUMATIC INJURY OF THE TRIANGULAR FIBROCARTILAGE COMPLEX Journal of the Bulgarian Orthopaedics and Trauma Association triangular fibrocartilage complex, DRUJ instability, ligamentous recon-struction |
| title | SURGICAL TECHNIQUE FOR ANATOMICAL RE-CONSTRUCTION OF THE DISTAL RADIOULNAR LIGAMENTS IN CHRONIC TRAUMATIC INJURY OF THE TRIANGULAR FIBROCARTILAGE COMPLEX |
| title_full | SURGICAL TECHNIQUE FOR ANATOMICAL RE-CONSTRUCTION OF THE DISTAL RADIOULNAR LIGAMENTS IN CHRONIC TRAUMATIC INJURY OF THE TRIANGULAR FIBROCARTILAGE COMPLEX |
| title_fullStr | SURGICAL TECHNIQUE FOR ANATOMICAL RE-CONSTRUCTION OF THE DISTAL RADIOULNAR LIGAMENTS IN CHRONIC TRAUMATIC INJURY OF THE TRIANGULAR FIBROCARTILAGE COMPLEX |
| title_full_unstemmed | SURGICAL TECHNIQUE FOR ANATOMICAL RE-CONSTRUCTION OF THE DISTAL RADIOULNAR LIGAMENTS IN CHRONIC TRAUMATIC INJURY OF THE TRIANGULAR FIBROCARTILAGE COMPLEX |
| title_short | SURGICAL TECHNIQUE FOR ANATOMICAL RE-CONSTRUCTION OF THE DISTAL RADIOULNAR LIGAMENTS IN CHRONIC TRAUMATIC INJURY OF THE TRIANGULAR FIBROCARTILAGE COMPLEX |
| title_sort | surgical technique for anatomical re construction of the distal radioulnar ligaments in chronic traumatic injury of the triangular fibrocartilage complex |
| topic | triangular fibrocartilage complex, DRUJ instability, ligamentous recon-struction |
| url | https://jbota.org/index.php/jbota/article/view/101 |
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