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KMID : 0621520130180020085
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Journal of the Korean Society for Surgery of the Hand
2013 Volume.18 No. 2 p.85 ~ p.94
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Current Treatment of Triangular Fibrocartilage Complex Injuries
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Kim Byung-Sung
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Abstract
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The Palmer class 1B triangular fibrocartilage complex injury has two entities: a
lesion with stable distal radioulnar joint and a lesion with distal radioulnar jointinstability. Arthroscopic debridement of fibrocartilage disk is used in Palmerclass 1A lesion. The surgeon should remove the portion of the fibrocartilage tissueuntil a mechanically stable and smooth residual rim remains. Arthroscopicrepair is used in Palmer class 1B or 1D lesion using meniscal repair sutures.Ulnar detachment that can produce distal radioulnar ligament instability canalso be repaired using bone anchor or pull out suture. Old age as well as positiveulnar variance is poor prognostic factors.
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KEYWORD
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Triangular fibrocartilage complex , Distal radioulnar joint , Arthroscopy
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