The Upper Hand: Chuck & Chris Talk Hand Surgery Ulnar Sided Wrist Pain, Episode 2: TFCC Treatment
Jun 7, 2020
Delve into the intricacies of ulnar sided wrist pain and TFCC pathology. Learn about various surgical strategies, including arthroscopic repairs and ulnar shortening osteotomy. The hosts discuss the challenges of interpreting injection outcomes and the importance of accurate MRIs for diagnosis. They also highlight the dynamics of collaborative surgery and tease future topics related to chronic wrist conditions. Expect a mix of clinical insights and light-hearted banter!
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Steroid Injection Predicts Surgery Success
- A positive steroid injection response predicts better surgical outcomes for TFCC tears.
- A negative injection requires careful MRI review to rule out other pathologies before surgery.
TFCC Tears Might Not Cause Gross Instability
- Not all TFCC tears cause gross instability; subtle side-to-side differences matter.
- Peripheral or central tears often generate pain without obvious instability signs.
Use Arthroscopy to Evaluate TFCC
- Offer wrist arthroscopy when TFCC pathology is suspected to evaluate tear type and joint status.
- Assess radial wrist and mid-carpal joints arthroscopically for comprehensive evaluation.