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Eine dislozierte distale Radiusfraktur mit Abriss des Processus styloideus ulnae nach einem Hochenergietrauma stellt dabei einen Risikofaktor f\u00fcr eine TFCC-Verletzung dar. Die Diagnostik umfasst eine gr\u00fcndliche klinische Untersuchung sowie bildgebende Verfahren wie R\u00f6ntgen und Magnetresonanztomographie. Bei fehlender Instabilit\u00e4t kann eine konservative Therapie in den meisten F\u00e4llen erfolgreich sein. Besteht jedoch eine Instabilit\u00e4t oder zeigen sich nach 3\u00a0Monaten keine Besserungen unter konservativer Therapie, ist eine diagnostische Arthroskopie des Handgelenkes zu weiterer Diagnostik und gleichzeitigen Therapie indiziert. Hierbei k\u00f6nnen je nach Alter und Ausma\u00df der Verletzung verschiedene operative Techniken wie die transkapsul\u00e4re oder transoss\u00e4re Refixation zum Einsatz kommen. Eine fr\u00fchzeitige Diagnosestellung und Therapie sind entscheidend, um eine Schmerzfreiheit, ein stabiles DRUG und eine R\u00fcckkehr zu sportlichen Aktivit\u00e4ten zu erm\u00f6glichen. Im eigenen Patientenkollektiv zeigen sich so bei 12\u00a0Kindern und Jugendlichen sehr gute Ergebnisse ohne gr\u00f6\u00dfere Komplikationen.<\/jats:p>","DOI":"10.1007\/s00113-025-01563-0","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T14:08:16Z","timestamp":1744380496000},"page":"425-433","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Die traumatische TFCC-L\u00e4sion im Kindes- und Jugendalter\u00a0\u2013 eine bisher vernachl\u00e4ssigte Verletzung?","Traumatic TFCC lesions in childhood and adolescence\u2014A previously neglected injury?"],"prefix":"10.1007","volume":"128","author":[{"given":"Kristofer","family":"Wintges","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Sommerfeldt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hauke","family":"R\u00fcther","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"issue":"6","key":"1563_CR1","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1177\/1753193413518707","volume":"39","author":"JK Andersson","year":"2014","unstructured":"Andersson\u00a0JK, Lindau\u00a0T, Karlsson\u00a0J, Frid\u00e9n\u00a0J (2014) Distal radio-ulnar joint instability in children and adolescents after wrist trauma. 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