scholarly journals The Suction Test: A Novel Technique to Identify and Verify Successful Repair of Peripheral Triangular Fibrocartilage Complex Tears

2017 ◽  
Vol 06 (04) ◽  
pp. 334-335 ◽  
Author(s):  
Ryan Greene ◽  
Sanjeev Kakar
Keyword(s):  
Literature Review ◽  
Clinical Relevance ◽  
Triangular Fibrocartilage Complex ◽  
Case Description ◽  
Arthroscopic Technique ◽  
Novel Technique ◽  
Triangular Fibrocartilage ◽  
The Subject ◽  
Successful Repair

Background The diagnoses of peripheral triangular fibrocartilage complex (TFCC) tears continue to be the subject of numerous investigations. Case Description We describe a novel arthroscopic technique that may be used as an adjunct with other arthroscopic maneuvers to diagnose and confirm repair of peripheral sided TFCC injuries. Literature Review The hook and trampoline tests are intraoperative techniques to diagnose TFCC tears. Clinical Relevance The suction test provides a means to detect peripheral tears and to confirm restoration of its tension post repair.

Bilateral STT Arthrodesis in a Young Patient with Occult Proximal Row Coalition

2021 ◽  
Author(s):  
Rupert M.H. Wharton ◽  
David Ahearne
Keyword(s):  
Literature Review ◽  
Clinical Relevance ◽  
Degenerative Change ◽  
Case Description ◽  
Range Of Movement ◽  
Level Of Evidence ◽  
African Populations ◽  
Carpal Coalition ◽  
Clinical Problems ◽  
Stt Arthrodesis

Abstract Background Carpal coalitions have an incidence of 0.1 to 1% in Caucasians and up to 8 to 9% in African populations. They rarely cause clinical problems requiring investigation or treatment, but are commonly identified on imaging obtained for other indications. Case Description We report a case of a 35-year-old male with progressive degenerative change of incomplete coalitions of the scaphotrapeziotrapezoid joint (STT) in the presence of bilateral complete osseous lunate–triquetral coalitions (Minnaar type 4). He was successfully treated with staged bilateral arthrodesis with excellent symptom resolution and preservation of function. Literature Review In patients with isolated STT coalition six reports of surgery exist, two of which were for arthrodesis. This is the first described case of STT arthrodesis in a patient with coexistent lunate–triquetral coalition. Clinical Relevance The STT arthrodesis remains a safe and effective treatment for STT pain even in cases of occult carpal coalition. Functional range of movement was well preserved. Level of evidence This is a Level V study.

scholarly journals Flexor Pollicis Longus Rupture in a Scaphoid Nonunion: A Case Report

2020 ◽  
Vol 09 (04) ◽  
pp. 357-361
Author(s):  
Bruno E. Crepaldi ◽  
Courtney Andrijich ◽  
Jeff Ecker
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Clinical Relevance ◽  
Tendon Rupture ◽  
Rare Complication ◽  
Case Description ◽  
Scaphoid Nonunion ◽  
Flexor Pollicis Longus ◽  
Capsule Repair

Abstract Background Flexor pollicis longus (FPL) tendon rupture is a rare complication of scaphoid nonunion. Case Description A fit active 70-year-old woman ruptured her FPL when it abraded on a painless 50-year-old scaphoid nonunion. She had asymptomatic scaphoid nonunion advanced collapse (SNAC) arthritis. At surgery, the sharp mobile volar scaphoid osteophytes were excised and the volar wrist capsule was repaired. A vascularized fat flap based on a perforator of the radial artery was used to augment the volar wrist capsule repair and to create a smooth gliding surface for the FPL. The ruptured FPL tendon was reconstructed with a palmaris longus graft. Literature Review Complete rupture of the FPL tendon secondary to scaphoid nonunion is a rare complication. It can be easily misdiagnosed because the original injury may be unrecognized or forgotten. A consensus regarding the optimal surgical management has not been reached. Clinical Relevance The objective of surgery in this case was to restore FPL function and prevent a recurrent rupture. The asymptomatic SNAC arthritis was not treated. No further wrist surgery was required. The patient was asymptomatic with a functioning FPL tendon 4 years after surgery.

scholarly journals Arthroscopic Repair of the Triangular Fibrocartilage Complex Using a Hypodermic Needle: A Technical Note

2009 ◽  
Vol 17 (2) ◽  
pp. 231-233 ◽  
Author(s):  
Ravindra H Mahajan ◽  
Sung-Jae Kim ◽  
Dae-Heup Song ◽  
Young-Hoon Kang ◽  
Kwang-Yeoul Park
Keyword(s):  
Cost Effective ◽  
Skin Incision ◽  
Technical Note ◽  
Triangular Fibrocartilage Complex ◽  
Hypodermic Needle ◽  
Arthroscopic Technique ◽  
Triangular Fibrocartilage ◽  
Suturing Techniques ◽  
Inside Out ◽  
Neurovascular Damage

Tears of the triangular fibrocartilage complex (TFCC) often lead to chronic wrist pain. The commonly used 2-needle outside-in and inside-out suturing techniques require an extra incision to tie the sutures subcutaneously. We use a practical and cost-effective arthroscopic technique for treatment of peripheral Palmer type 1B TFCC tears using a hypodermic needle. This obviates the need for an additional skin incision, thus lowering the risk of neurovascular damage, reducing postoperative pain, and enabling faster rehabilitation and better cosmesis.

scholarly journals Arthroscopic Resection of Wrist Scaphotrapeziotrapezoidal (STT) Joint Ganglia

2020 ◽  
Vol 09 (05) ◽  
pp. 440-445
Author(s):  
Ho Lam Chai ◽  
Cabello Álvaro Pérez ◽  
Wai Ping Fiona Yu ◽  
Pak Cheong Ho
Keyword(s):  
Literature Review ◽  
Local Anesthesia ◽  
Gold Standard ◽  
Clinical Relevance ◽  
Case Description ◽  
Portal Site ◽  
The Past

Abstract Background Volar wrist ganglion is the second most common wrist mass and accounts for 20% of all cases. Surgery is the gold standard for persistent and symptomatic ganglia. Arthroscopic resection has gained popularity in the past two decades. Application of this technique to ganglia in less accessible locations, such as the scaphotrapeziotrapezoidal (STT) joint, however, remains controversial. Case Description To date, no literature has described using the STT -ulnar (STT-u) and STT -radial (STT-r) joint portals for ganglionic resection. Literature Review In this report, two cases of arthroscopic ganglionic resection utilizing the STT-u and STT-r joint portals at our institution were described. Clinical Relevance Arthroscopic resection of STT joint ganglion under portal site local anesthesia is a technically feasible, safe, and effective approach. There was no recurrence observed for both cases at 50 months of follow-up.

Arthroscopic Trans-osseous Suture of Peripheral Triangular Fibrocartilage Complex Tear

2016 ◽  
Vol 21 (03) ◽  
pp. 300-306 ◽  
Author(s):  
Midum Jegal ◽  
Kang Heo ◽  
Jong Pil Kim
Keyword(s):  
Clinical Outcome ◽  
Distal Radioulnar Joint ◽  
Triangular Fibrocartilage Complex ◽  
Radioulnar Joint ◽  
Novel Technique ◽  
Repair Technique ◽  
Deep Layers ◽  
Successful Clinical Outcome ◽  
Triangular Fibrocartilage ◽  
Increasing Knowledge

The importance of foveal repair of the triangular fibrocartilage complex (TFCC) on stability of the distal radioulnar joint (DRUJ) has been emphasized with increasing knowledge of the anatomy and biomechanics of the TFCC and DRUJ. Although both open and arthroscopic techniques have been described for improving DRUJ stability, there has been a marked evolution of arthroscopic TFCC repair technique with successful clinical outcome. Recently, an arthroscopic trans-osseous technique has been described to repair foveal tears of the TFCC. The advantage of the technique is that it allows for anatomical repair of both the superficial and deep layers. This article describes the details of this novel technique.

Critical Review on Suicide Among Nurses

Crisis ◽  
2015 ◽  
Vol 36 (2) ◽  
pp. 91-101 ◽  
Author(s):  
Marie Alderson ◽  
Xavier Parent-Rocheleau ◽  
Brian Mishara
Keyword(s):  
Risk Factors ◽  
Literature Review ◽  
High Stress ◽  
Related Factors ◽  
Work Settings ◽  
Work Related ◽  
High Prevalence ◽  
Full Text Review ◽  
The Subject ◽  
Psychiatric Problems

Background: Research shows that there is a high prevalence of suicide among nurses. Despite this, it has been 15 years since the last literature review on the subject was published. Aim: The aim of this article is to review the knowledge currently available on the risk of suicide among nurses and on contributory risk factors. Method: A search was conducted in electronic databases using keywords related to prevalence and risk factors of suicide among nurses. The abstracts were analyzed by reviewers according to selection criteria. Selected articles were submitted to a full-text review and their key elements were summarized. Results: Only nine articles were eligible for inclusion in this review. The results of this literature review highlight both the troubling high prevalence of suicide among nurses as well as the persistent lack of studies that examine this issue. Conclusion: Considering that the effects of several factors related to nurses' work and work settings are associated with high stress, distress, or psychiatric problems, we highlight the relevance of investigating work-related factors associated with nurses' risk of suicide. Several avenues for future studies are discussed as well as possible research methods.

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