Retrospective evaluation and prospective data collection: Increase of stress tolerance on the wrist with TFCC-lesion by WristWidget®
Phase 4
Completed
- Conditions
- S63.3Traumatic rupture of ligament of wrist and carpus
- Registration Number
- DRKS00020350
- Lead Sponsor
- Klinik für Unfallchirurgie, Universitätsmedizin Greifswald
- Brief Summary
The use of a wrist brace significantly increases the weight-bearing capacity and therefore the maximum tolerated axial load of patients with a lesion of the TFCC. Patients with traumatic lesion or unstable DRUJ tend to show lower values than with degenerative lesions or stable joints. The weight-bearing test cannot be used to identify patients with traumatic TFCC lesion and DRUJ instability among those with suspected TFCC lesion. The results of our previous study could be confirmed that the weight-bearing capacity on the injured side was higher with brace than without.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 68
Inclusion Criteria
TFCC-lesion in MRI, referral for arthroscopy, no relevant operations on that arm, arm before injury without load bearing impairment, consent
Exclusion Criteria
language barrier
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The patient leans against a scale without and with WristWidget. The maximal load will be measured.
- Secondary Outcome Measures
Name Time Method Range of motion for the joints of the hand and assessment of pain<br>• TFCC stress test:<br>o Forced pronation against resistance<br>o Forced supination against resistance<br>o pain on palpation proximal of TFCC<br>o pain on ulnarduction<br>• DRUJ stability<br>• hand grip/power grip testing<br>• DASH-questionnaire<br>• PRWE-questionnaire<br>• Mayo wrist score<br>Evaluation of the imaging data usually avaiable before operation:<br>• X-ray of both hands without and with stress<br>o Ulnar variance<br>o Ulnar shift<br><br>MRT of the wrist and imaging report<br>OP-documentation<br>• Intraoperative findings<br>o classification of the TFCC-lesion according to Palmer<br>• operative procedures<br>• stability testing by the surgeon