Skip to main content

Advertisement

SpringerLink
Log in

RETRACTED ARTICLE: Prognostic factors for the outcome of arthroscopic capsular repair of peripheral triangular fibrocartilage complex tears

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

This article was retracted on 02 February 2022

This article has been updated

Abstract

Background

Little information is available about prognostic factors of arthroscopic capsular repair for peripheral triangular fibrocartilage complex (TFCC) lesions. The purpose of this study was to analyze factors that affect the treatment outcomes of arthroscopic capsular repair for peripheral TFCC tears.

Methods

This study retrospectively enrolled 60 patients who were treated with arthroscopic outside-in capsular repair for peripheral TFCC tears. Functional survey, including pain numeric rating scale (NRS) on an ulnar provocation test, distal radio-ulnar joint (DRUJ) stress test, Disability of the Arm, Shoulder, and Hand (DASH) score, and satisfaction with treatment, was conducted at 12-month follow-up. Patients who were enthusiastic or satisfied comprised the satisfied group, and those who were noncommittal or disappointed the dissatisfied group. Demographic, clinical, and arthroscopic findings were compared between the satisfied and dissatisfied groups.

Results

The mean pain NRS and DASH scores exhibited significant clinical improvement at the 12-month follow-up. Out of the total participants, 46 were satisfied and 14 were dissatisfied about the treatment, with significantly more female subjects in the dissatisfied group than in the satisfied one. The patients in the satisfied group had a shorter duration of symptoms, were more likely to have trauma history, and exhibited positive DRUJ stress test results compared to the dissatisfied group. There were no significant group differences in age, hand dominance, work level, and the extent of ulnar plus variance. Multivariable analysis revealed that female gender, a longer duration of symptoms, or negative DRUJ stress test results were associated with an increased disability after arthroscopic TFCC repair.

Conclusion

Female gender, a longer duration of symptom, and a negative DRUJ stress test are associated with a higher likelihood of treatment failure after arthroscopic outside-in capsular repair of peripheral TFCC tears.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Change history

  • 14 December 2020

    Editor's Note: Concerns have been raised about the ethics approval and informed consent procedures related to the research reported in this paper. Editorial action will be taken as appropriate once an investigation of the concerns is complete and all parties have been given an opportunity to respond in full.

  • 02 February 2022

    This article has been retracted. Please see the Retraction Notice for more detail: https://doi.org/10.1007/s00402-022-04363-y

References

  1. Haugstvedt JR, Soreide E (2017) Arthroscopic management of triangular fibrocartilage complex peripheral injury. Hand Clin 33(4):607–618

    Article  Google Scholar 

  2. Fujio K (2017) Arthroscopic management of triangular fibrocartilage complex foveal injury. Hand Clin 33(4):619–624

    Article  Google Scholar 

  3. Park JH, Kim D, Park JW (2018) Arthroscopic one-tunnel transosseous foveal repair for triangular fibrocartilage complex (TFCC) peripheral tear. Arch Orthop Trauma Surg 138:131–138

    Article  Google Scholar 

  4. Pillukat T, Fuhrmann RA, Windolf J, van Schoonhoven J (2016) Arthroscopically assisted transcapsular refixation of the triangular fibrocartilage complex of the wrist. Oper Orthop Traumatol 28:233–250

    Article  CAS  Google Scholar 

  5. Ma CH, Lin TS, Wu CH, Li DY, Yang SC, Tu YK (2017) Biomechanical comparison of open and arthroscopic transosseous repair of triangular fibrocartilage complex foveal tears: a cadaveric study. Arthroscopy 33(2):297–304

    Article  Google Scholar 

  6. Patel AA, Alhandi AA, Milne E, Dy CJ, Latta LL, Ouellette EA (2016) Biomechanical analysis of all-inside, arthroscopic suture repair versus extensor retinaculum capsulorrhaphy for triangular fibrocartilage complex tears with instability. J Hand Surg Am 41(3):387–393

    Article  Google Scholar 

  7. Ruch DS, Anderson SR, Ritter MR (2003) Biomechanical comparison of transosseous and capsular repair of peripheral triangular fibrocartilage tears. Arthroscopy 19(4):391–396

    Article  Google Scholar 

  8. Corso SJ, Savoie FH, Geissler WB, Whipple TL, Jiminez W, Jenkins N (1997) Arthroscopic repair of peripheral avulsions of the triangular fibrocartilage complex of the wrist: a multicenter study. Arthroscopy 13(1):78–84

    Article  CAS  Google Scholar 

  9. Haugstvedt JR, Husby T (1999) Results of repair of peripheral tears in the triangular fibrocartilage complex using an arthroscopic suture technique. Scand J Plast Reconstr Surg Hand Surg 33(4):439–447

    Article  CAS  Google Scholar 

  10. Prosser R, Hancock MJ, Nicholson LL, Harvey LA, LaStayo P, Hargreaves I, Scougall P, Herbert R (2012) Prognosis and prognostic factors for patients with persistent wrist pain who proceed to wrist arthroscopy. J Hand Ther 25(3):264–269 (quiz 270)

    Article  Google Scholar 

  11. Ochman S, Wieskotter B, Langer M, Vieth V, Raschke MJ, Stehling C (2017) High-resolution MRI (3T-MRI) in diagnosis of wrist pain: is diagnostic arthroscopy still necessary? Arch Orthop Trauma Surg 137:1443–1450

    Article  Google Scholar 

  12. Schmauss D, Pohlmann S, Lohmeyer JA, Germann G, Bickert B, Megerle K (2016) Clinical tests and magnetic resonance imaging have limited diagnostic value for triangular fibrocartilaginous complex lesions. Arch Orthop Trauma Surg 136:873–880

    Article  CAS  Google Scholar 

  13. Tang JB (2009) Re: Levels of experience of surgeons in clinical studies. J Hand Surg Eur Vol 34(1):137–138

    Article  Google Scholar 

  14. Nakamura R, Horii E, Imaeda T, Nakao E, Kato H, Watanabe K (1997) The ulnocarpal stress test in the diagnosis of ulnar-sided wrist pain. J Hand Surg Br 22(6):719–723

    Article  CAS  Google Scholar 

  15. Moriya T, Aoki M, Iba K, Ozasa Y, Wada T, Yamashita T (2009) Effect of triangular ligament tears on distal radioulnar joint instability and evaluation of three clinical tests: a biomechanical study. J Hand Surg Eur Vol 34(2):219–223

    Article  CAS  Google Scholar 

  16. Hudak PL, Amadio PC, Bombardier C (1996) Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med 29(6):602–608

    Article  CAS  Google Scholar 

  17. Arsalan-Werner A, Gruter L, Mehling IM, Moll W, Wolfle O, Sauerbier M (2018) Results after arthroscopic treatment of central traumatic lesions of the triangular fibrocartilage complex. Arch Orthop Trauma Surg 138:731–737

    Article  CAS  Google Scholar 

  18. Schafer JL (1999) Multiple imputation: a primer. Stat Methods Med Res 8(1):3–15

    Article  CAS  Google Scholar 

  19. Tunnerhoff HG, Haussmann P (2001) [What are the indications for arthroscopic repair of ulnar tears of the TFCC?]. Handchir Mikrochir Plast Chir 33(4):239–244

    Article  CAS  Google Scholar 

  20. Wysocki RW, Richard MJ, Crowe MM, Leversedge FJ, Ruch DS (2012) Arthroscopic treatment of peripheral triangular fibrocartilage complex tears with the deep fibers intact. J Hand Surg Am 37(3):509–516

    Article  Google Scholar 

  21. Ge HY, Fernandez-de-Las-Penas C, Madeleine P, Arendt-Nielsen L (2008) Topographical mapping and mechanical pain sensitivity of myofascial trigger points in the infraspinatus muscle. Eur J Pain 12(7):859–865

    Article  Google Scholar 

  22. Farrell M, Gibson S, McMeeken J, Helme R (2000) Pain and hyperalgesia in osteoarthritis of the hands. J Rheumatol 27(2):441–447

    CAS  PubMed  Google Scholar 

  23. Sullivan MJ, Adams H, Tripp D, Stanish WD (2008) Stage of chronicity and treatment response in patients with musculoskeletal injuries and concurrent symptoms of depression. Pain 135(1–2):151–159

    Article  Google Scholar 

  24. Wijnhoven HA, de Vet HC, Picavet HS (2006) Prevalence of musculoskeletal disorders is systematically higher in women than in men. Clin J Pain 22(8):717–724

    Article  Google Scholar 

  25. Wolfe F, Ross K, Anderson J, Russell IJ (1995) Aspects of fibromyalgia in the general population: sex, pain threshold, and fibromyalgia symptoms. J Rheumatol 22(1):151–156

    CAS  PubMed  Google Scholar 

  26. Leveille SG, Zhang Y, McMullen W, Kelly-Hayes M, Felson DT (2005) Sex differences in musculoskeletal pain in older adults. Pain 116(3):332–338

    Article  Google Scholar 

  27. Bingefors K, Isacson D (2004) Epidemiology, co-morbidity, and impact on health-related quality of life of self-reported headache and musculoskeletal pain–a gender perspective. Eur J Pain 8(5):435–450

    Article  Google Scholar 

Download references

Funding

None.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Ewha Womans University Medical Center, Ewha Womans University College of Medicine, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul, 07985, South Korea

    Young Hak Roh

  2. Department of Orthopaedic Surgery, Ewha Womans University Medical Center, Ewha Womans University College of Medicine, Seoul, South Korea

    Yeo-Hon Yun, Dong Jun Kim & Muhyun Nam

  3. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, South Korea

    Hyun Sik Gong & Goo Hyun Baek

Authors
  1. Young Hak Roh
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yeo-Hon Yun
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Dong Jun Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Muhyun Nam
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hyun Sik Gong
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Goo Hyun Baek
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Young Hak Roh.

Ethics declarations

Conflict of interest

Young Hak Roh, Yeo-Hon Yun, Dong Jun Kim, Muhyun Nam, Hyun Sik Gong, and Goo Hyun Baek declare that they have no conflict of interest.

Ethical approval

All procedures in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Additional information

This work was performed at Ewha Womans University Medical Center and Gil Medical Center, Korea.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Roh, Y.H., Yun, YH., Kim, D.J. et al. RETRACTED ARTICLE: Prognostic factors for the outcome of arthroscopic capsular repair of peripheral triangular fibrocartilage complex tears. Arch Orthop Trauma Surg 138, 1741–1746 (2018). https://doi.org/10.1007/s00402-018-2995-9

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-018-2995-9

Keywords

Search

Navigation