The Upper Hand: Chuck & Chris Talk Hand Surgery Deep Dives on Surgical Technique: TFCC Repair
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Dec 5, 2021 Dive into the intricate world of TFCC injuries and their repair. Discover the nuances of wrist arthroscopy and diagnostic imaging techniques, including MRI. Learn about optimal setups for hand surgery, including equipment like the Linva Med Traction Tower. The hosts detail specialized repair techniques for triangular fibrocartilage, focusing on various tear types and the importance of rehabilitation. Mentorship and patient education are emphasized as key to successful surgical outcomes.
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Arthrogram Use
- Consult your radiologist to determine if an arthrogram is necessary for TFCC tear diagnosis.
- Consider the patient's comfort and the potential added information when deciding.
Non-Surgical Management
- For subacute TFCC tears with subtle instability, consider a wrist widget, anti-inflammatories, and activity modification.
- A single corticosteroid injection can offer both therapeutic and diagnostic value.
Hand Table Setup
- Always use a leg on the hand table for wrist arthroscopy to ensure stability.
- This prevents wobbling and maintains a secure working environment.