Short-term Efficacy Of Arthroscopic And Nonsurgical Treatment Of TFCC Injury

Objective: to provide an effective clinical treatment for TFCC(deltoid cartilage complex)by studying and comparing the short-term efficacy of arthroscopic treatment and non-surgical treatment of TFCC(deltoid cartilage complex)injury.Methods: In December 2017 to December 2018 in chengdu university of traditional Chinese medicine conforms to the TFCC damage diagnosis of the orthopaedic clinic patients,meet the inclusion criteria and exclusion criteria,this study using prospective cohort study method,45 patients were selected,including 23 cases of patients of group A and group B patients,22 cases patients of group A falls off during the follow-up,3 patients were with group B patients during follow-up have 2 patients fall off,finally into group A and B two groups of patients with A total of 40 patients,40 cases of patients with complete follow-up data in which A group of patients with arthroscopic surgery treatment group(20cases of non-operative treatment group(20 cases and group B.In group A,range of motion,visual analog score(VAS)and Mayo wrist function scores were recorded before arthroscopic surgery,1 month after surgery,3 months after surgery,and 6 months after surgery.Group B patients in clinic on the day of the line of lidocaine hydrochloride injection,mesylate pp because injection,a mixture of compound betamethasone injection line of wrist joint with partial closed treatment,in the second day of the local closed to los Suo Luo Fen sodium 60 mg orally,after meals three times a day,stop drug took 4 weeks in a row,at local closed to herbal fumigation medicine external treatment on the third day,five times a week,a total of 4 weeks.The range of motion,visual analog score(VAS)and Mayo wrist function scores of the patients before,1 month after,3 months after and 6months after the non-surgical treatment were recorded,and the data of the patients in groups A and B at each stage were recorded and compared for the study.Results:1.Statistical comparison of age,gender,affected limb and course of disease between the surgical treatment group and the non-surgical treatment group(P > 0.05)was meaningless.All 40 patients in the two groups were followed up for 6 months without shedding cases,and the follow-up time was over 6months.2,with visual analogue scale(VAS score)as index,the results showed that in the first 1 month after treatment,the first 3 months each time contrast P values > 0.05),and in June the first P values < 0.05,while group patients before and after treatment in June comparing P values < 0.05,suggesting that both treatments were equally can effectively reduce wrist pain at the site of the patients,and surgery than nonoperative treatment group patients can better reduce the pain in the wrist.3,with the Mayo wrist function score as index,the results showed that in the first 1 month after treatment,the contrast P values > 0.05 in March,June and the first P values < 0.05,while group before and after treatment in patients with June contrast P values < 0.05,suggesting that the two kinds of treatment can effectively improve the function of wrist joint,and surgery than nonoperative treatment group can better improve the wrist joint function.4,Wrist range of motion was used as the index for comparison,which included wrist dorsiflexion,carpal Pal curvature,forearm pronation,forearm suspension,radial skew and ulnar skew.The results were as follows:4.1,compared with wrist back elongation as the index,the results show that in the first 1 month after treatment comparing P values > 0.05),while the first 3month in June,the first P values < 0.05,while group patients before and after treatment in June comparing P values < 0.05,suggesting that the two kinds of treatment can effectively improve the wrist back stretch activity,and surgery than nonoperative treatment group can better improve the wrist back stretching activity.4.2,with wrist palm curvature as the index to compare,in March,the first 1month after treatment,the contrast P values > 0.05),and in June the first P values < 0.05,while group before and after treatment in patients with June contrast P values < 0.05,suggesting that the two kinds of treatment can effectively improve the wrist palm activity,and surgery than nonoperative treatment group can better improve the wrist palm activity.4.3,forearm pronation degree as the index to compare,contrast the first 1month after treatment in both P values > 0.05,while the first 3 month in June,the first P values < 0.05,while group patients before and after treatment in June comparing P values < 0.05,suggesting that the two kinds of treatment can effectively improve the forearm pronation activity,and surgery than nonoperative treatment group can better improve the forearm pronation activity.4.4,hung in the forearm degree as the index to compare,contrast the first 1month after treatment in both P values > 0.05,while the first 3 month in June,the first P values < 0.05,while group before and after treatment in patients with June contrast P values < 0.05,suggesting that the two kinds of treatment can effectively improve the forearm activity after suspension,and surgery than nonoperative treatment group can better improve the forearm activity after suspension.4.5,compared with radial deviation degree as the index,in March,the first 1month after treatment,the contrast P values > 0.05,but in June the first P values < 0.05,while group patients before and after treatment in June comparing P values < 0.05,suggesting that the two kinds of treatment can effectively improve the radial of skewness,and surgery than nonoperative treatment group can better improve the radial of skewness.4.6,comparing with feet of skewness as indicators in the first 1 month after treatment,the first contrast P values > 0.05 in March,June and the first P values < 0.05,while group patients before and after treatment in June comparing P values < 0.05,suggesting that the two kinds of treatment can effectively improve ruler of skewness,and surgery than nonoperative treatment group can better improve the feet of skewness.5.There were statistical differences in range of motion,visual analog score(VAS)and Mayo wrist function scores between the arthroscopic surgery group and the non-surgical treatment group after 6 months of treatment(P < 0.05).Conclusion: arthroscopic and non-surgical treatment of TFCC(deltoid cartilage complex)injury is an effective method for the treatment of TFCC.All of them can significantly relieve the wrist pain of patients,improve the range of motion of patients' wrist joint,and better improve the function of wrist joint.However,arthroscopic surgical treatment can better reduce the degree of pain,better improve the range of motion of the wrist joint,better improve the function of the wrist joint.