Triangular fibrocartilage complex injury treated with prolotherapy

Year 2016, Volume: 41 Issue: 2, 403 - 405, 30.06.2016

Serdar Kesikburun Evren Yaşar Bayram Kelle Ferdi Yavuz

Abstract

Triangular fibrocartilage complex has a crucial role in stability and functionality of the wrist. Traumatic or degenerative injury of the triangular fibrocartilage complex is a common cause of ulnar side wrist pain. Arthroscopic treatment has been offered in chronic triangular fibrocartilage complex injury. A 19-year old male patient presented with pain at ulnar side of the wrist. He was diagnosed as having triangular fibrocartilage complex injury after assessment with MR imaging. The patients who did not benefit from drugs underwent prolotherapy three times. After treatment, he had pain relief and reported that he could use his wrist better. In this case, triangular fibrocartilage complex injury improved with prolotherapy and arthroscopic treatment was not required. Further clinical trials are needed to show better the role of prolotherapy in the treatment of triangular fibrocartilage complex injury.

Keywords

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Proloterapi ile tedavi edilen triangular fibrokartilaj kompleks hasarı

Abstract

Triangular fibrokartilaj kompleks el bileğinin stabilitesinde ve fonksiyonel çalışmasında önemli rolü olan bir yapıdır. Travmatik ya da dejeneratif olarak hasarlanması ulnar taraf el bileği ağrısının en yaygın nedenlerindendir. Kronik triangular fibrokartilaj kompleks hasarında artroskopik cerrahi tedavi önerilmektedir. Sol el bileği ulnar tarafta ağrı yakınmasıyla gelen 19 yaşında erkek hastada MR görüntüleme ile triangular fibrokartilaj kompleks hasarı saptandı. Daha önce aldığı medikal tedaviden fayda görmeyen hastaya üç seans proloterapi uygulandı. Tedavi sonrasında hastanın ağrısında azalma görüldü ve hasta el bileğini daha rahat kullanabildiğini bildirdi. Bu vakada triangular fibrokartilaj kompleks hasarında artroskopik tedaviye gerek kalmadan proloterapi ile klinik fayda sağlandı. Proloterapinin triangular fibrokartilaj kompleks hasarı tedavisindeki yerini daha iyi göstermek için gelecekte yapılacak klinik çalışmalara ihtiyaç duyulmaktadır.

Keywords

Proloterapi, triangular fibrokartilaj kompleks, el bileği ağrısı

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