20241220 Wrist disorders p6 Dr Leong

The following components are part of the TFCC except:

• A. Central articular disc

• B. Meniscal homologue

• C. ECU tendon

• D. Volar and dorsal radioulnar ligaments

• E. Ulnolunate and ulnotriquetral ligament origins

25-year old man with a history of united fracture of right distal radius presents with an ulnar sided wrist pain. Which of the following is the gold-standard to diagnose Triangular Fibrocartilage Complex tears:

• A. Xray

• B. Clinical examination

• C. CT scan

• D. MRI

• E. Wrist arthroscopy

40 year old fisherman had a history of trauma over his wrist 15 years ago and was treated conservatively. He now complains of pain and swelling, decreased grip strength, and stiffness over his right wrist. Clinical examination revealed tenderness over the DRUJ and pain on supination and pronation. The above is his xray. Patient opt for surgical intervention to alleviate his symptoms. Based on his history, examination and xray finding, what is the best surgical management for him?

• A. Adam-Berger TFCC reconstruction

• B. Sauve-kapandji procedure

• C. Darrach procedure

• D. Wrist arthroscopy and TFCC repair

• E. Wrist fusion

A 46-year-old man is involved in a traffic injury and sustains a right dorsal DRUJ dislocation. Closed reduction is attempted but failed. Which of the following is the next step in management?

• A. Apply Munster-style splint

• B. Open reduction of interposed extensor carpi ulnaris tendon

• C. Open reduction of interposed flexor carpi ulnaris tendon

• D. Open reduction of interposed flexor carpi radialis tendon

• E. Open reduction of interposed pronator quadratus muscle

35 year old male sustained a TFCC injury and underwent a wrist arthroscopy. The above is the arthroscopic result and it reveals a palmer 1A TFCC injury

What is the subsequent management for him.

• A. Arthroscopic repair

• B. Open repair

• C. Arthroscopic debridement

• D. TFCC reconstruction

• E. Sauve-kapandji procedure