scholarly journals A Novel All-Inside Arthroscopic Technique for Radial-Sided Triangular Fibrocartilage Complex Tears: A Case Report and Review of Literature

Hand ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. NP166-NP169 ◽  
Author(s):  
Michael T. Edgerton ◽  
Robert C. Kollmorgen
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Single Case ◽  
Excellent Result ◽  
Full Range ◽  
Triangular Fibrocartilage Complex ◽  
Wrist Arthroscopy ◽  
Single Case Report ◽  
Triangular Fibrocartilage

Background: Triangular fibrocartilage complex (TFCC) injuries are a known cause of ulnar-sided wrist pain. Wrist arthroscopy is the gold standard for diagnosis of these lesions and is becoming a more frequent method of treatment. Isolated radial-sided tears are uncommon and treatment of these lesions is controversial. There are few reports on repair techniques. Here we report on a novel arthroscopic, all-inside technique for traumatic radial-sided TFCC tears that resulted in full range of motion, significant improvement in pain, and ultimately return to sport. Methods: This is a single case report describing an all-inside, arthroscopic repair of a radial-sided TFCC tear. The techniques and postoperative protocol are discussed. Clinical outcomes were reported at final follow-up of 3.5 months. Results: At final follow-up, our patient had full wrist range of motion, 95% strength, occasional 1/10 pain, and returned to sport at her previous level of play. There were no complications. Conclusion: Although just a single case report, our patient had an excellent result based on modified Mayo wrist score. When comparing our result and the previous literature, this technique seems to be a valid method for addressing radial-sided TFCC tears.

scholarly journals Long-Term Outcomes of All-Arthroscopic Pre-Tied Suture Device Triangular Fibrocartilage Complex Repair

2019 ◽  
Vol 08 (05) ◽  
pp. 403-407 ◽  
Author(s):  
Eric J. Sarkissian ◽  
Matthew B. Burn ◽  
Jeffrey Yao
Keyword(s):  
Range Of Motion ◽  
Grip Strength ◽  
Triangular Fibrocartilage Complex ◽  
Study Cohort ◽  
Inclusion Criteria ◽  
Level Of Evidence ◽  
Triangular Fibrocartilage ◽  
Suture Device

Background A pre-tied suture device has been utilized for all-arthroscopic peripheral triangular fibrocartilage complex (TFCC) repairs with promising early clinical results. Purpose The purpose of this study was to evaluate long-term functional outcomes of these repairs. Patients and Methods A retrospective review of patients undergoing arthroscopic TFCC repair was performed. Inclusion criteria were the Palmer type 1B TFCC tears diagnosed on arthroscopy and repaired using the all-arthroscopic pre-tied suture device. Patients with any evidence of concomitant wrist injury at the time of surgery, history of prior wrist surgery, or nonrepairable and nonperipheral TFCC tears were excluded. Postoperative complications, range of motion, grip strength, and outcome assessments were recorded for each patient. Results Eleven patients (mean age, 36 years; range, 20–64 years) satisfied our inclusion criteria and comprised the study cohort. The mean follow-up period was 7.0 years (range, 4.3–10.9 years). Mean range of motion of the wrist revealed flexion of 76 ± 11 degrees and extension of 73 ± 12 degrees. Mean grip strength was 98 ± 15% of the nonsurgical extremity. QuickDASH, modified Mayo, and patient-rated wrist evaluation (PRWE) average scores were 9 ± 8, 80 ± 6, and 12 ± 12, respectively. No surgical complications were observed and no patient required any further surgical intervention. Conclusions Our cohort of patients following all-arthroscopic pre-tied suture device repair of isolated Palmer type 1B TFCC tears demonstrated excellent clinical function at a mean follow-up of 7 years. These findings indicate that the pre-tied suture device is a reliable, safe, effective, and most importantly, durable treatment option for repair of peripheral TFCC tears. Level of Evidence This is a Level IV, therapeutic study.

scholarly journals Surgical hip dislocation and varus derotation osteotomy for extra-articular cause of femoroacetabular impingement: a single case report

2020 ◽  
Vol 7 (1) ◽  
pp. 153-159
Author(s):  
Su-Hyun Cho ◽  
Hyuk-Jin Cho ◽  
Young-Jin Cho
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Femoroacetabular Impingement ◽  
Single Case ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation ◽  
Single Case Report ◽  
Derotation Osteotomy ◽  
Refractory Case

Abstract Femoral retroversion is an extra-articular cause of cam-type femoroacetabular impingement (FAI) via early engagement with anterior rim. Valgus hip also causes extra-articular FAI by decreasing the range of motion. We present a case of valgus hip accompanied by femoral retroversion, which was refractory to prior arthroscopic femoroplasty. As a reasonable strategy, we have performed extra-articular correction via femoral subtrochanteric varus derotation osteotomy as well as intra-articular decompression by surgical hip dislocation. Femoral varus derotation osteotomy with surgical hip dislocation is a rational and appropriate solution in patients with extra-articular FAI, which is refractory to arthroscopic FAI surgery. Extra-articular causes of FAI should be suspected in every refractory case.

scholarly journals Management of Neglected Peroneal Tendon Dislocation of Iatrogenic Etiology: A Case Report

2021 ◽  
Vol 11 (9) ◽  
Author(s):  
Vijaykumar Digge ◽  
Santanu Kar ◽  
Pon Aravindhan A Sugumar ◽  
Suman Saurabh ◽  
Mohammed Tahir Ansari ◽  
...  
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Full Range ◽  
Loose Body ◽  
Peroneal Tendon ◽  
Excellent Outcome ◽  
Left Ankle

Introduction:Neglected peroneal tendon dislocation with iatrogenic etiology has been rarely reported in the literature and its management has not been fully understood to date. Case Report:We present a case of a 25-year-old male who presented with pain over the posterolateral aspect of his left ankle which was diagnosed to be a case of neglected peroneal tendon dislocation of iatrogenic etiology. Peroneal groove deepening with superior retinaculum repair was done in the patient along with loose body removal and osteophyte excision. Subsequent fibrosis augmented with the deepening of the groove maintained peroneal tendon position in the retromalleolar groove. On post-operative follow-up, the patient was completely satisfied with relief of pain and no complications. He also regained full range of motion and could walk without support. Conclusion:Surgical intervention of fibular groove deepening with superior peroneal retinaculum reconstruction results in an excellent outcome for neglected peroneal tendon dislocation Keywords:Peroneal tendon, Superior peroneal retinaculum, Fibular groove.

scholarly journals Linear Zosteriform Lichen Planus Pigmentosus: A Single Case Report

2018 ◽  
Vol 5 (2) ◽  
pp. 1-4
Author(s):  
Gustavo Moreira Amorim ◽  
Luisa Krusser Vanin ◽  
Celyna Scariot Grezzana ◽  
Laura Gomes Da Broi ◽  
Gabriel Amorim ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Lichen Planus ◽  
Single Case ◽  
Pathological Diagnosis ◽  
Clinical Report ◽  
Rare Entity ◽  
Linear Pattern ◽  
Single Case Report

We reported a case of a female patient, 27 years of age, attended due to an acquired dyschromia, whose clinical and pathological diagnosis was of Lichen Planus Pigmentosus (LPP). Facing the clinic reported, with the linear pattern of the lesions, restricted to the area of one sensitive dermatome, we classified the conditions as a linear zosteriform LPP. The literature was consulted and presented with the clinical report, in order to draw attention to this rare entity. The patient is still under follow-up

A single case report on Ocular Rhinosporidiosis

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr.Jasna Chandran ◽  
Dr. Sujathamma K.
Keyword(s):  
Case Report ◽  
Single Case ◽  
Eye Drops ◽  
Rhinosporidium Seeberi ◽  
Single Case Report ◽  
Mucus Membrane ◽  
Upper Lid ◽  
Ocular Rhinosporidiosis ◽  
Ayurvedic Treatment

Rhinosporidiosis is an enigmatic disease which has been known to medicine since 1900. It is a chronic infestation caused by Rhinosporidium seeberi, which predominantly affects the mucus membrane of eye, nose and nasopharynx. We report a case of rhinosporidiosis with presentation of mass which looks like a chalazia present in left upper lid. Here the case ultimately managed by surgical resection followed by Ayurvedic treatment and antibiotic eye drops for a duration of one month. Despite it has chance of recurrence but here after an year also patient doesn’t have any complaints regarding the same. Here 24 year old female patient diagnosed with Rhinosporidiosis was advised to undergo Pratisarana followed with Bidalaka and later excision. Patient came for follow-up after 1 year, there was no recurrence as well as no complaints particular to rhinosporidiasis.

Modification of Binge Eating in Anorexia Nervosa: A Single Case Report

1983 ◽  
Vol 11 (3) ◽  
pp. 249-256 ◽  
Author(s):  
G. R. Smith ◽  
L. Medlik
Keyword(s):  
Anorexia Nervosa ◽  
Case Report ◽  
Binge Eating ◽  
Successful Treatment ◽  
Single Case ◽  
Single Case Study ◽  
Exposure And Response Prevention ◽  
Single Case Report

Exposure and response prevention has recently been reported as a successful treatment for binge eating in obesity (Smith, 1981). This present paper further extends this treatment to modification of binge eating in a single case study of a young anorexic woman. Binge eating decreased during treatment and this improvement was maintained at 9 months follow-up. Satisfactory weight was also attained during treatment and maintained at follow-up.

The rein-type arthroscopic capsular suture for triangular fibrocartilage complex foveal tears: midterm results for 90 patients

2021 ◽  
pp. 175319342110241
Author(s):  
I-Ning Lo ◽  
Kuan-Jung Chen ◽  
Tung-Fu Huang ◽  
Yi-Chao Huang
Keyword(s):  
Simple Procedure ◽  
Distal Radioulnar Joint ◽  
Triangular Fibrocartilage Complex ◽  
Joint Stability ◽  
Level Of Evidence ◽  
Radioulnar Joint ◽  
High Satisfaction ◽  
Ultrasound Assessment ◽  
Triangular Fibrocartilage

We describe an arthroscopic rein-type capsular suture that approximates the triangular fibrocartilage complex to the anatomical footprint, and report the results at a minimum 12 month follow-up. The procedure involves two 3-0 polydioxanone horizontal mattress sutures inserted 1.5 cm proximal to the 6-R and 6-U portals to obtain purchase on the dorsal and anterior radioulnar ligaments, respectively. The two sutures work as a rein to approximate the triangular fibrocartilage complex to the fovea. Ninety patients with Type IB triangular fibrocartilage complex injuries were included retrospectively. The 12-month postoperative Modified Mayo Wrist scores, Disabilities of Arm, Shoulder and Hand scores and visual analogue scale for pain showed significant improvements on preoperative values. Postoperative range of wrist motion, grip strength and ultrasound assessment of the distal radioulnar joint stability were comparable with the normal wrist. The patients had high satisfaction scores for surgery. There were minor complications of knot irritation. No revision surgery for distal radioulnar joint instability was required. It is an effective and technically simple procedure that provides a foveal footprint contact for the triangular fibrocartilage complex. Level of evidence: IV

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