A “Congenitally Adapted” TFCC Tear in Radial Longitudinal Deficiency: Case Report and Review of Literature

Abstract

We present a case of chronic wrist pain in a 14-year-old child with mild radial longitudinal deficiency and radiographic carpal collapse due to the absence of the scaphoid. Wrist arthroscopy demonstrated synovitis and a tear to the TFCC, which would be called “degenerative,” according to the Palmer classification. This was debrided, and the patient is still asymptomatic at long-term follow-up. Review of the literature found one paper with a similar observation in a 17-year-old adolescent. We propose that paediatric “degenerative” tears ought to be called “congenitally adapted” tears.

Keywords

Radial hemimelia - radial longitudinal deficiency - paediatric wrist pain - TFCC tear - TFCC classification

Ethical Approval

The authors confirm that they have adhered to the ethical standards described by the Committee on Publication Ethics and the International Committee of Medical Journal Editors.

Publikationsverlauf

Eingereicht: 14. April 2021

Angenommen: 27. Juli 2021

Artikel online veröffentlicht:
23. September 2021

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