Wrist arthroscopy has been widely performed to treat dorsal peripheral TFCC Tears, but there have been many studies reporting its outcome especially from the patient's perfective using patient rated outcome measure (PROMs). This studiy aims to evaluate wrist arthroscopy functional outcome using shortened version of Disabilities of the Arm, Shoulder and Hand (QuickDASH) and Patient Rated Wrist Evaluation (PRWE)
a retrospective cohort study conducted in a single center comparing the pain and functional outcome of dorsal peripheral TFCC tears before anf after treated arthroscopically from 2019 and 2023 were included. All surgery were performed by a single surgeon. patients were asked to recall their symtoms immediately before surgery and their present symtoms after the surgery. Functional outcome was measured using the shortened QuickDASH questionnaire and pain outcome was measured using the PRWE questionnaire.
From 13 patient that included in this study, the mean follow up after surgery was 25.46 +-18.35 months. Other condition found were scapholunate ligament tear in 1 patient, distal radius fracture in 2 patients, and ulnar umpaction syndrome in 2 patients. The mean preoperative QuickDASH score was 46.7 (+-26.8), with the highest score was 8.9 (+-7.1). There was a significant decrease of 37.8 (+-26.8) points between preoperative and postoperative QuickDASH scrore (p=0.000). After surgery,, the PRWE score decrease significicantly by 48.5 (+-26.4) point from 64.4 (+-27.6) preoperatively to 15.9 (+-12.9) postoperatively (p=0.002)
Wrist arthroscopy procedure for dorsal peripheral TFCC tears provide satisfactory results. QuickDASH and PRWE score significantly decreased postoperatively, indicating improved function and decreased pain from the patient's prespective. COmbined with its low minimally invasive nature and low complication rate, arthroscopy procedure provide a good tratment option for dorsal peripherasl TFCC Tears.
