Cartilage Tears of the Wrist Question & Answer

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• Uploaded: 2012-04-23
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http://www.handandwristinstitute.com/cartilage-tears-wrist-doctor/ - Question & Answer with Dr. John Knight regarding cartilage tears of the wrist.

Transcript

Initially, immediately after a TFA injury, splinting and taking anti-inflammatory medications for about four

weeks can relieve the pain and the problem if it is a partial tear. If symptoms persist for several

months, a splint may still be helpful in reducing them, as can a cortisone injection. However, complete TFA tears usually do not heal with

conservative treatment, so surgical intervention is necessary. In 90% of TFC tears, the cartilage tears away from the edge of the radius

bone, where this triangular cartilage attaches. This gap indicates a true rupture, which is present in 90% of cases. In this case, we

arthroscopically trim this small gap, turning it into an oval opening where the edges can no longer touch each

other. relieving pain . In about 10% of cases, the cartilage tears along the edge of the cartilage, where blood circulation and healing ability are actually better. Additionally,

it can cause ligament instability or displacement of the two bones below the tear, in which case it is important to repair the tear by placing several

small arthroscopic stitches to hold the cartilage together. After arthroscopic TKA surgery, if a simple debridement procedure was performed, the

splint is removed a few days later and you begin range-of-motion exercises. Usually, with a little therapy, full recovery and

return to full activity occurs within six weeks. If a reconstruction procedure has been performed, a six-week cast is usually required, followed by a two-month rehabilitation

program. Arthroscopic surgery on the TFA is successful in 95% of cases . Sometimes the soreness can persist for several

months, but usually complete recovery occurs.