ORIGINAL RESEARCH article
Front. Surg.
Sec. Orthopedic Surgery
One-year follow-up of patients with Palmer Type IIC central perforation of triangular fibrocartilage complex tears treated with arthroscopic absorbable suture repair and conservative treatment
Provisionally accepted
- 1Shanghai General Hospital Jiading Branch, Jiading, China
- 2Tongren Hospital Shanghai Jiaotong University School of Medicine, Shanghai, China
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Purpose: The aim of this study was to investigate and compare the clinical results of arthroscopic absorbable suture repair and conservative treatment for the management of patients with palmer type IIC central perforation of triangular fibrocartilage complex tears. Methods: Between September 2022 and February 2023, 50 patients with palmer type IIC central perforation of triangular fibrocartilage complex tears at our hospital were included in this retrospective study for one year follow-up and they were classified into two groups for different treatment methods. 25 patients received conservative treatment, and 25 patients received arthroscopic absorbable suture repair. Preoperative magnetic resonance imaging, intraoperative arthroscopic pictures and and postoperative complications were recorded. Outcome measures were visual analog scale(VAS) and Modified Mayo Wrist Score (MMWS). Results: All the patients completed the one year follow-up. At one-year follow up,in conservative treatment group, the average VAS score was 3 ± 0.7, the average MMWS score was 83.3 ± 4.8. In surgical group, the average VAS score w as 2 ± 0.7,the average MMWS score was 85.1 ± 3.9. The two groups showed no statistically significant difference in MMWS score. On the other hand,statistically significant difference was demonstrated in VAS score.Postoperative complications included surgical site infection, wrist joint stiffness, which were observed in four patients of 25. Conclusion: There were no statistically significant differences in the clinical outcomes between the absorbable repair and conservative treatment groups, while absorbable repair surgery could effectively alleviate patients'pain symptoms.
Keywords: Arthroscopy, conservative treatment, palmer Type IIC, Sutures, Triangular Fibrocartilage
Received: 17 Jul 2025; Accepted: 30 Jan 2026.
Copyright: © 2026 Wang and Ding. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Haoliang Ding
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