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Osteosynthesis and Trauma Care 2007; 15(2/03): 96-100
DOI: 10.1055/s-2007-960704
Original Article

© Georg Thieme Verlag Stuttgart · New York

Analysis of the Outcome of Arthroscopic Discus Repair in Nine Cases

E. Constantinou-Deuretsbacher1 , V. Vécsei1 , M. Schurz1 , R. Kdolsky1
  • 1Universitätsklinik für Unfallchirurgie, Wien, Austria
Further Information

Publication History

Publication Date:
12 September 2007 (online)

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Abstract

Introduction: This study deals with a critical review, concerning the indication of arthroscopic discus repair. Materials and Methods: From 1998 to 2003 9 patients (7 female, 2 male) with a lesion of the triangular discus were treated by arthroscopy. Two patients were under 30, 3 between 30 and 40 and 4 over 50 years old. 4 patients showed isolated discus lesions. In 3 patients the lesion occurred after a malunited radius fracture with abruption of the ulna's styloid process. 2 patients were manual workers, therefor micro traumata and chronic carpal lesions were expected, 6 performed sportive activities. Results: Patients having an isolated discus lesion could be made painfree by performing an arthroscopic discus repair. All the other patients, who had additional carpal pathologies, could not achieve pain relief through an arthroscopy and complained about persisting pain, loss of strength and weather sensitivity. In 4 cases an open discus repair had to be performed to reduce pain, once a partial and once a total carpal arthodesis. Conclusion: This study shows, that an arthroscopic discus repair can only achieve pain relief in isolated discus lesions, if additional carpal traumatic abnormabilities can be found, success is not guaranteed.

Key words

discus - discus lesion - TFCC

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Dr. E. Constantinou-Deuretsbacher

Universitätsklinik für Unfallchirurgie

Währinger Gürtel 18-20

1090 Wien

Austria

Phone: +43/1/4 04 00 59 02

Fax: +43/1/4 04 00 59 49

Email: elena.constantinou-deuretsbacher@meduniwien.ac.at

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