Single-strand repair of EWAS 1 lesion of triangular fibrocartilage complex
Purpose To report the results of our modified technique for repair of the EWAS 1 lesion of triangular fibrocartilage complex (TFCC). Methods This retrospective case series reviewed 22 consecutive patients with EWAS 1 TFCC tear. Arthroscopic repair was done using our modified double-loop arthroscopic...
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Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2021-02, Vol.31 (2), p.327-332 |
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container_title | European journal of orthopaedic surgery & traumatology |
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creator | Soliman, Ramy Ahmed El-Mahy, Mohamed Mostafa Atiyya, Ahmed Naeem Emara, Khaled M. Fayyad, Tamer Ahmed Sobhy, Mohamed Hassan Diab, Ramy Ahmed |
description | Purpose
To report the results of our modified technique for repair of the EWAS 1 lesion of triangular fibrocartilage complex (TFCC).
Methods
This retrospective case series reviewed 22 consecutive patients with EWAS 1 TFCC tear. Arthroscopic repair was done using our modified double-loop arthroscopic outside-in technique which is originally described by Mathoulin and Del Piñal. The repair was performed using single-strand suture and 18-gauge cannula, having three passes through the tear. Follow-ups ranged from 24 to 33 months with an average of 29.3 months. The results were evaluated by the Modified Mayo Wrist Score (MMWS), Visual Analog Score (VAS). In addition, range of motion (ROM) and power grip were compared with the contralateral side.
Results
The mean age was 23 years. The dominant side was affected in 16 wrists. There was postoperative improvement of the all functional outcome measures (MMWS, VAS, ROM, and power grip). All the patients returned to their previous activities with no reported intra- or postoperative complications.
Conclusions
The described outside-in technique is safe and effective technique for repair of EWAS 1 TFCC tear.
Level of evidence
Therapeutic, case series, level IV. |
doi_str_mv | 10.1007/s00590-020-02781-5 |
format | Article |
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To report the results of our modified technique for repair of the EWAS 1 lesion of triangular fibrocartilage complex (TFCC).
Methods
This retrospective case series reviewed 22 consecutive patients with EWAS 1 TFCC tear. Arthroscopic repair was done using our modified double-loop arthroscopic outside-in technique which is originally described by Mathoulin and Del Piñal. The repair was performed using single-strand suture and 18-gauge cannula, having three passes through the tear. Follow-ups ranged from 24 to 33 months with an average of 29.3 months. The results were evaluated by the Modified Mayo Wrist Score (MMWS), Visual Analog Score (VAS). In addition, range of motion (ROM) and power grip were compared with the contralateral side.
Results
The mean age was 23 years. The dominant side was affected in 16 wrists. There was postoperative improvement of the all functional outcome measures (MMWS, VAS, ROM, and power grip). All the patients returned to their previous activities with no reported intra- or postoperative complications.
Conclusions
The described outside-in technique is safe and effective technique for repair of EWAS 1 TFCC tear.
Level of evidence
Therapeutic, case series, level IV.</description><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-020-02781-5</identifier><identifier>PMID: 32875472</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Bone surgery ; Medicine ; Medicine & Public Health ; Original Article ; Range of motion ; Surgical Orthopedics ; Sutures ; Traumatic Surgery ; Wrist</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2021-02, Vol.31 (2), p.327-332</ispartof><rights>Springer-Verlag France SAS, part of Springer Nature 2020</rights><rights>Springer-Verlag France SAS, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-6e020143e4b4a2ce32e2f9cfdbb7ea27c45bee59b2d954cb240db1597b5a87393</citedby><cites>FETCH-LOGICAL-c375t-6e020143e4b4a2ce32e2f9cfdbb7ea27c45bee59b2d954cb240db1597b5a87393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-020-02781-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-020-02781-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32875472$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soliman, Ramy Ahmed</creatorcontrib><creatorcontrib>El-Mahy, Mohamed Mostafa</creatorcontrib><creatorcontrib>Atiyya, Ahmed Naeem</creatorcontrib><creatorcontrib>Emara, Khaled M.</creatorcontrib><creatorcontrib>Fayyad, Tamer Ahmed</creatorcontrib><creatorcontrib>Sobhy, Mohamed Hassan</creatorcontrib><creatorcontrib>Diab, Ramy Ahmed</creatorcontrib><title>Single-strand repair of EWAS 1 lesion of triangular fibrocartilage complex</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>Purpose
To report the results of our modified technique for repair of the EWAS 1 lesion of triangular fibrocartilage complex (TFCC).
Methods
This retrospective case series reviewed 22 consecutive patients with EWAS 1 TFCC tear. Arthroscopic repair was done using our modified double-loop arthroscopic outside-in technique which is originally described by Mathoulin and Del Piñal. The repair was performed using single-strand suture and 18-gauge cannula, having three passes through the tear. Follow-ups ranged from 24 to 33 months with an average of 29.3 months. The results were evaluated by the Modified Mayo Wrist Score (MMWS), Visual Analog Score (VAS). In addition, range of motion (ROM) and power grip were compared with the contralateral side.
Results
The mean age was 23 years. The dominant side was affected in 16 wrists. There was postoperative improvement of the all functional outcome measures (MMWS, VAS, ROM, and power grip). All the patients returned to their previous activities with no reported intra- or postoperative complications.
Conclusions
The described outside-in technique is safe and effective technique for repair of EWAS 1 TFCC tear.
Level of evidence
Therapeutic, case series, level IV.</description><subject>Bone surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Range of motion</subject><subject>Surgical Orthopedics</subject><subject>Sutures</subject><subject>Traumatic Surgery</subject><subject>Wrist</subject><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kM1LwzAchoMobk7_AQ9S8OKlmo-maY9jzC8GHqZ4DEn6a-lom5m0oP-9mZ0KHjyEhOT5vXl4ETon-JpgLG48xjzHMaa7JTIS8wM0JQmjMcFpdhjOKWNxhlM-QSfebzAmPCf8GE0YzQRPBJ2ix3XdVQ3EvneqKyIHW1W7yJbR8nW-jkjUgK9tt7voXa26amiUi8paO2uU6-tGVRAZ224beD9FR6VqPJzt9xl6uV0-L-7j1dPdw2K-ig0TvI9TCMLBEhKdKGqAUaBlbspCawGKCpNwDcBzTYucJ0bTBBc6iAvNVSZYzmboaszdOvs2gO9lW3sDTaM6sIOXNGF5ylIhcEAv_6AbO7gu2AUqy3AAcxIoOlLGWe8dlHLr6la5D0mw3DUtx6ZlEJdfTUsehi720YNuofgZ-a42AGwEfHjqKnC_f_8T-wniKofz</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Soliman, Ramy Ahmed</creator><creator>El-Mahy, Mohamed Mostafa</creator><creator>Atiyya, Ahmed Naeem</creator><creator>Emara, Khaled M.</creator><creator>Fayyad, Tamer Ahmed</creator><creator>Sobhy, Mohamed Hassan</creator><creator>Diab, Ramy Ahmed</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20210201</creationdate><title>Single-strand repair of EWAS 1 lesion of triangular fibrocartilage complex</title><author>Soliman, Ramy Ahmed ; El-Mahy, Mohamed Mostafa ; Atiyya, Ahmed Naeem ; Emara, Khaled M. ; Fayyad, Tamer Ahmed ; Sobhy, Mohamed Hassan ; Diab, Ramy Ahmed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-6e020143e4b4a2ce32e2f9cfdbb7ea27c45bee59b2d954cb240db1597b5a87393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bone surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Range of motion</topic><topic>Surgical Orthopedics</topic><topic>Sutures</topic><topic>Traumatic Surgery</topic><topic>Wrist</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soliman, Ramy Ahmed</creatorcontrib><creatorcontrib>El-Mahy, Mohamed Mostafa</creatorcontrib><creatorcontrib>Atiyya, Ahmed Naeem</creatorcontrib><creatorcontrib>Emara, Khaled M.</creatorcontrib><creatorcontrib>Fayyad, Tamer Ahmed</creatorcontrib><creatorcontrib>Sobhy, Mohamed Hassan</creatorcontrib><creatorcontrib>Diab, Ramy Ahmed</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soliman, Ramy Ahmed</au><au>El-Mahy, Mohamed Mostafa</au><au>Atiyya, Ahmed Naeem</au><au>Emara, Khaled M.</au><au>Fayyad, Tamer Ahmed</au><au>Sobhy, Mohamed Hassan</au><au>Diab, Ramy Ahmed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single-strand repair of EWAS 1 lesion of triangular fibrocartilage complex</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>31</volume><issue>2</issue><spage>327</spage><epage>332</epage><pages>327-332</pages><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Purpose
To report the results of our modified technique for repair of the EWAS 1 lesion of triangular fibrocartilage complex (TFCC).
Methods
This retrospective case series reviewed 22 consecutive patients with EWAS 1 TFCC tear. Arthroscopic repair was done using our modified double-loop arthroscopic outside-in technique which is originally described by Mathoulin and Del Piñal. The repair was performed using single-strand suture and 18-gauge cannula, having three passes through the tear. Follow-ups ranged from 24 to 33 months with an average of 29.3 months. The results were evaluated by the Modified Mayo Wrist Score (MMWS), Visual Analog Score (VAS). In addition, range of motion (ROM) and power grip were compared with the contralateral side.
Results
The mean age was 23 years. The dominant side was affected in 16 wrists. There was postoperative improvement of the all functional outcome measures (MMWS, VAS, ROM, and power grip). All the patients returned to their previous activities with no reported intra- or postoperative complications.
Conclusions
The described outside-in technique is safe and effective technique for repair of EWAS 1 TFCC tear.
Level of evidence
Therapeutic, case series, level IV.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>32875472</pmid><doi>10.1007/s00590-020-02781-5</doi><tpages>6</tpages></addata></record> |
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subjects | Bone surgery Medicine Medicine & Public Health Original Article Range of motion Surgical Orthopedics Sutures Traumatic Surgery Wrist |
title | Single-strand repair of EWAS 1 lesion of triangular fibrocartilage complex |
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