Abstract
The aim of this study was to evaluate the pre and post-operative changes in the triangular fibrocartilage complex (TFCC) by arthroscopy.
Six wrists (5 men and 1 woman) of subjects aged between 23 and 47 years were investigated by arthroscopy. Three were classified as Palmer 2C (arthroscopic TFC debridement), 2 were Palmer 1A+1B (arthroscopic TFC debridement and suture) and 1 was Palmer 1D (arthroscopic TFC suture) pre-operatively.
Post-operative arthroscopy was performed after an average follow-up period of 8 months (ranging from 3 to 11 months).
The clinical results of arthroscopic surgery were excellent in 1 case, good in 2 cases and poor in 3 cases. According to Palmer's classification, the cases of excellent and good results belonged to class 1 and the case of poor results belonged to class 2C.
Arthroscopically, 2 cases of Palmer 1A+1B and 1 case of 1D were healed but 2 cases of Palmer 2C re-ruptured and 1 case of Palmer 2C showed severe synovitis. Based on these results, arthroscopic wide resection and/or the wafer method or the Milch method should be considered for cases of Palmer 2C.
