{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:50:17Z","timestamp":1740167417331,"version":"3.37.3"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose\u2003Management of ulnar-sided wrist pain is difficult due to the complexity of the anatomy and the similarity of the signs and symptoms of possible diagnoses. The study's main purpose is to examine the effect of arthroscopic triangular fibrocartilage (TFC) repair on untreated extensor carpi ulnaris (ECU) tendinitis and synovitis.<\/jats:p><jats:p>\n          Methods\u2003Thirteen patients who underwent arthroscopic TFC repair in our clinic and preoperatively demonstrated ECU tendon pathology with magnetic resonance imaging (MRI) were included in the retrospective study. Pre- and postoperative visual analog scale (VAS), pre- and postoperative tendinitis and synovitis, postoperative Mayo and patient-rated wrist evaluation score, postoperative grip strength of the operated and control sides, short and long diameters of the ECU tendon in ultrasonography were recorded.<\/jats:p><jats:p>\n          Results\u2003The mean age of 13 patients (9 females and 4 males) was 39.54\u2009\u00b1\u200913.54, and the mean follow-up period was 26\u2009\u00b1\u20097.25 months. While there was no significant difference between pre- and postoperative tendinitis or synovitis levels, VAS decreased significantly (8.46\u2009\u00b1\u20091.33 vs. 3.00\u2009\u00b1\u20092.31, p\u2009=\u20090.0016). While the grip strength was 21.78\u2009\u00b1\u20097.83 on the control side, it was 18.28\u2009\u00b1\u20097.51 on the surgery side, being significantly lower (p\u2009=\u20090.0252). Ulnar variance did not affect tendinitis or synovitis. Short and long diameters of ECU were similar for the operated and control sides. While the short diameter did not affect the synovitis\u2013tendinitis score, the bigger the long diameter, the higher the synovitis score (rho\u2009=\u20090.5162).<\/jats:p><jats:p>\n          Conclusion\u2003In the presence of ECU, tendon pathologies accompanying TFC lesions, additional surgical interventions are mandatory as arthroscopic TFC repair has no significant effect on the healing of ECU.<\/jats:p><jats:p>\n          Level of evidence: 4.<\/jats:p>","DOI":"10.1055\/s-0043-1775802","type":"journal-article","created":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T23:24:20Z","timestamp":1696893860000},"page":"241-247","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Arthroscopic Triangular Fibrocartilage Repair on Accompanying Extensor Carpi Ulnaris Tendinitis and Synovitis in Triangular Fibrocartilage Tears"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9053-8637","authenticated-orcid":false,"given":"U\u011fur","family":"Bezirgan","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Department of Orthopedics and Traumatology, Ankara University Medical Faculty, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3070-5509","authenticated-orcid":false,"given":"Yener","family":"Yo\u011fun","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Department of Orthopedics and Traumatology, Ankara University Medical Faculty, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0186-5730","authenticated-orcid":false,"given":"Bedir","family":"\u00d6zgencil","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Ankara University Medical Faculty, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9473-7948","authenticated-orcid":false,"given":"Merve","family":"Dursun Savran","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Ankara University Medical Faculty, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2613-4667","authenticated-orcid":false,"given":"Aysun","family":"Gen\u00e7","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation, Ankara University Medical Faculty, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0433-0253","authenticated-orcid":false,"given":"Mehmet","family":"Armangil","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity Surgery, Department of Orthopedics and Traumatology, Ankara University Medical Faculty, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,10,9]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/S0363-5023(81)80170-0","article-title":"The triangular fibrocartilage complex of the wrist\u2014anatomy and function","volume":"6","author":"A K Palmer","year":"1981","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/0363-5023(89)90174-3","article-title":"Triangular fibrocartilage complex lesions: a classification","volume":"14","author":"A K Palmer","year":"1989","journal-title":"J Hand Surg Am"},{"issue":"68","key":"ref3","first-page":"124","article-title":"Extensor carpi ulnaris: its relationship to the stability of the distal radio-ulnar joint","author":"M Spinner","year":"1970","journal-title":"Clin Orthop Relat Res"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.hcl.2020.07.004","article-title":"Chronic distal radioulnar joint instability","volume":"36","author":"L W Carr","year":"2020","journal-title":"Hand Clin"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1016\/S0363-5023(98)80004-X","article-title":"The triangular fibrocartilage complex: an important component of the pulley for the ulnar wrist extensor","volume":"23","author":"J B Tang","year":"1998","journal-title":"J Hand Surg Am"},{"issue":"275","key":"ref6","first-page":"65","article-title":"Traumatic disruption of the triangular fibrocartilage complex. 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A case-control comparative study","volume":"39","author":"T Tanaka","year":"2014","journal-title":"J Hand Surg Am."},{"issue":"04","key":"ref14","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/j.jhsa.2016.01.005","article-title":"The \u201cfour-leaf clover\u201d treatment algorithm: a practical approach to manage disorders of the distal radioulnar joint","volume":"41","author":"S Kakar","year":"2016","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref15","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1302\/0301-620X.70B5.3192595","article-title":"Stenosing tenovaginitis of extensor carpi ulnaris: brief report","volume":"70","author":"U G Nachinolcar","year":"1988","journal-title":"J Bone Joint Surg Br"},{"issue":"04","key":"ref16","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/S0363-5023(86)80188-5","article-title":"Stenosing tenosynovitis of the extensor carpi ulnaris","volume":"11","author":"A A Hajj","year":"1986","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref17","doi-asserted-by":"publisher","DOI":"10.1177\/23094990211067009","article-title":"Treatment of subacute\/chronic ECU tendinopathy using wrist arthroscopy and open surgical repair","volume":"30","author":"Y-K Lee","year":"2022","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1055\/s-0040-1718913","article-title":"Surgical repair of triangular fibrocartilage complex tears: a systematic review","volume":"10","author":"E H Liu","year":"2021","journal-title":"J Wrist Surg"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/0363-5023(94)90263-1","article-title":"Release of the sixth dorsal compartment","volume":"19","author":"P C Kip","year":"1994","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref20","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1007\/s00256-014-1845-2","article-title":"Association between distal ulnar morphology and extensor carpi ulnaris tendon pathology","volume":"43","author":"C Y Chang","year":"2014","journal-title":"Skeletal Radiol"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1775802.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T10:56:32Z","timestamp":1730804192000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1775802"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,9]]},"references-count":20,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2024,5,27]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1775802","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"type":"print","value":"2163-3916"},{"type":"electronic","value":"2163-3924"}],"subject":[],"published":{"date-parts":[[2023,10,9]]}}}