Article
Ulnotriquetral Split Tear Repair: Is It Myth or Fact?
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Published: | February 6, 2020 |
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Objectives/Interrogation: To report the outcomes of ulnotriquetral (UT) ligament split tear repairs.
Methods: 228 wrists (142 right and 86 left) in 221 patients (100 males and 128 females, mean age 35 ± 15.5, range 14-77 years) underwent UT ligament split tear repair between 2007 and 2016. Mayo wrist score, Visual Analogue Scale (VAS) pain scores, and objective measures including grip strength and range of motion were obtained. Patients were followed with a mean follow up of 10.3 months.
Results and Conclusions: Ulnotriquetral split tear repair resulted in substantial improvements in pain and function. Mayo Wrist Score for the cohort improved from 56 preoperatively to 82 postoperatively (p<0.0001), and 83% of patients achieved a good or excellent outcome. VAS pain scores decreased from 6.0 preoperatively to 1.4 postoperatively (p<0.0001). Grip improved from 26.1 kg preoperatively to 29.8 kg postoperatively (p=0.003). There was no significant change in range of motion of the wrist. Complications were noted in 13 patients with 8 experiencing continued pain, 4 with dysesthesia of the dorsal sensory ulnar nerve and 1 superficial infection.
In conclusion, Arthroscopic UT split tear repair significantly reduced pain and improved Mayo Wrist Scores.