Arthroscopic Treatment Results of Triangular Fibrocartilage Complex Tears in Adolescents: A Systematic Review
Abstract
:1. Introduction
2. Methods
2.1. Search Strategy
2.2. Eligibility Criteria
2.3. Data Extraction and Study Quality Assessment
2.4. Statistical Analysis
3. Results
3.1. Demographics
3.2. Debridement
3.3. Repair
3.4. Concomitant and Subsequent Surgeries
3.5. Complications
3.6. Outcomes
4. Discussion
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Author | Study Design (LoE) | Patient Count (Female) | Side | Mean Age at Surgery (Years) (Range) | Debridement | Repair | Mean Follow up (Years) | Modified Coleman | MINORS |
---|---|---|---|---|---|---|---|---|---|
Terry and Waters [29] | Retrospective case series (IV) | 6 (4) | n.s. | 15.8 (14–17) | 2 | 4 | 1.5 | 34 | 12 |
McAdams et al. [26] | Retrospective case series (IV) | 5 (3) | 2L/3R | 18.0 (16–19) | 1 | 4 | 2.1 | 57 | 12 |
Shinohara et al. [30] | Retrospective case series (IV) | 4 (0) | 2L/2R | 16.5 (15–18) | 0 | 4 | 2.9 | 51 | 12 |
Farr et al., 2015 [27] | Retrospective case series (IV) | 12 (8) | 5L/7R | 16.3 (13–19) | 0 | 12 | 1.3 | 59 | 13 |
Farr et al., 2018 [28] | Retrospective case series (IV) | 13 (12) | 8L/5R | 15.6 (11–18) | 13 | 0 | 6.7 | 65 | 13 |
Fishman et al. [23] | Retrospective case series (IV) | 22 (16) | 11L/11R | 14.2 * (11–17) | n.s. | n.s. | 1.6 | 49 | 10 |
Trehan et al. [24] | Retrospective case series (IV) | 43 (32) | 22L/22R | 15 (10–17) | 13 | 31 | 7 | 54 | 12 |
Wu et al. [25] | Retrospective case series (IV) | 149 (86) | 83L/70R | 15.5 ** (7–19) | 40 | 109 | 1.8 ** | 44 | 13 |
Author | 1A | 1B | 1C | 1D | Combined |
---|---|---|---|---|---|
Terry and Waters [29] | 1 | 4 | 0 | 1 | 0 |
McAdams et al. [26] | 0 | 5 * | 0 | 0 | 0 |
Shinohara et al. [30] | 0 | 4 * | 0 | 0 | 0 |
Farr et al. 2015 [27] | 0 | 12 | 0 | 0 | 0 |
Farr et al. 2018 [28] ** | 3 | 2 | 0 | 1 | 5 |
Fishman et al. [23] | 3 | 10 | 0 | 5 | 4 |
Trehan et al. [24] | 7 | 23 | 0 | 3 | 11 |
Wu et al. [25] | 15 | 79 | 1 | 30 | 25 |
Author | Repair Technique | Additional Procedures (n) | Post-OP Immobilization | Pain | Full ROM (%) | Complications (%) | Post-OP MMWS | Post-OP DASH |
---|---|---|---|---|---|---|---|---|
Terry and Waters [29] | Outside-in | 3 | none stated | 5 none 1 moderate * | 100 | 0 | 97.5 (85–100) | n.a. |
McAdams et al. [26] | Inside-out | 0 | 6 weeks (2 weeks sugar-tong, 4 weeks short-arm) | VAS 0 (0–0) | n.a. | 0 | n.a. | 0 *** (0–0) |
Shinohara et al. [30] | Outside-in, transosseus | 0 | 4 weeks long-arm | 3 none, 1 mild * | 100 | 25 (recurrent pain) | 96.25 (90–100) | n.a. |
Farr et al., 2015 [27] | Outside-in | 10 | 6 weeks (2 weeks long-arm, 4 weeks short-arm) | VAS 1.7 (0–5) | 87 (flex/ext to contralateral side) | 25 (paresthesia) | 88 (75–100) | 16 (0–40) |
Farr et al., 2018 [28] | Debridement | 6 | 2 weeks padded dressing | VAS 1.8 (0–6) | 93 (flex/ext to contralateral side) | 15 (recurrent pain) | 90 (80–100) | 17 (0–47) |
Fishman et al. [23] | Outside-in | 7 (USOs, rest not stated) | 4 weeks long-arm cast (debridement), 6 weeks long-arm cast (repair) | 73 (22–100; PODCI subsection) | 100 | 25 | n.a. | n.a. |
Trehan et al. [24] | Outside-in | 9 | none stated | n.a. | n.a. | 2 (recurrent pain) | n.a. | 4 *** (0–21) |
Wu et al. [25] | Outside-in | 118 | 6 weeks (4 weeks long-arm, 2 weeks short-arm) | 23 moderate/severe * | 85 | 19 (recurrent pain) | 95 ** (IQR 85–100) | n.a. |
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Schachinger, F.; Farr, S. Arthroscopic Treatment Results of Triangular Fibrocartilage Complex Tears in Adolescents: A Systematic Review. J. Clin. Med. 2021, 10, 2363. https://doi.org/10.3390/jcm10112363
Schachinger F, Farr S. Arthroscopic Treatment Results of Triangular Fibrocartilage Complex Tears in Adolescents: A Systematic Review. Journal of Clinical Medicine. 2021; 10(11):2363. https://doi.org/10.3390/jcm10112363
Chicago/Turabian StyleSchachinger, Florian, and Sebastian Farr. 2021. "Arthroscopic Treatment Results of Triangular Fibrocartilage Complex Tears in Adolescents: A Systematic Review" Journal of Clinical Medicine 10, no. 11: 2363. https://doi.org/10.3390/jcm10112363