{"id":11389,"date":"2024-11-28T09:40:43","date_gmt":"2024-11-28T09:40:43","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/triangular-fibrocartilage-complex-injuries-it\/"},"modified":"2026-02-25T12:42:17","modified_gmt":"2026-02-25T12:42:17","slug":"triangular-fibrocartilage-complex-injuries-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/triangular-fibrocartilage-complex-injuries-it\/","title":{"rendered":"Lesioni del complesso fibrocartilagineo triangolare"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>Redazione originale<\/b> &#8211; <a title=\"Utente:Kristen Mason\" href=\"\/User:Kristen_Mason\">Kristen Mason<\/a><\/p>\n<p><b>Collaboratori principali<\/b> &#8211; <a class=\"mw-userlink\" title=\"Utente:Kristen Mason\" href=\"\/User:Kristen_Mason\"><bdi>Kristen Mason<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Admin\" href=\"\/User:Admin\"><bdi>Admin<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Laura Ritchie\" href=\"\/User:Laura_Ritchie\"><bdi>Laura Ritchie<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda hampton<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Rachael Lowe\" href=\"\/User:Rachael_Lowe\"><bdi>Rachael Lowe<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"Utente:Shauni Van Overstraeten\" href=\"\/User:Shauni_Van_Overstraeten\"><bdi>Shauni Van Overstraeten<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"Utente:Shaimaa Eldib\" href=\"\/User:Shaimaa_Eldib\"><bdi>Shaimaa Eldib<\/bdi><\/a>, <a class=\"mw-userlink mw-anonuserlink\" title=\"Speciale:Contributi\/127.0.0.1\" href=\"\/Special:Contributions\/127.0.0.1\"><bdi>127.0.0.1<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Evan Thomas\" href=\"\/User:Evan_Thomas\"><bdi>Evan Thomas<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kai A. Sigel\" href=\"\/User:Kai_A._Sigel\"><bdi>Kai A. Sigel<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:WikiSysop\" href=\"\/User:WikiSysop\"><bdi>WikiSysop<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Wanda van Niekerk\" href=\"\/User:Wanda_van_Niekerk\"><bdi>Wanda van Niekerk<\/bdi><\/a> and <a class=\"mw-userlink\" title=\"Utente:Joseph Ayotunde Aderonmu\" href=\"\/User:Joseph_Ayotunde_Aderonmu\"><bdi>Joseph Ayotunde Aderonmu<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduzione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Clinically_Relevant_Anatomy\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Anatomia clinicamente rilevante<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Aetiology\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Eziologia<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Presentazione clinica<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#Diagnostic_Procedures\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Procedure diagnostiche<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Physical_Examination\"><span class=\"tocnumber\">5.1<\/span> <span class=\"toctext\">Esame obiettivo<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Diagnostic_Imaging\"><span class=\"tocnumber\">5.2<\/span> <span class=\"toctext\">Diagnostica per immagini<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Classification\"><span class=\"tocnumber\">5.3<\/span> <span class=\"toctext\">Classificazione<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Outcome_Measures\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Misure di outcome<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Management_\/_Interventions\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Gestione\/interventi<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Conservative_Treatment\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">Trattamento conservativo<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Surgical_Intervention\"><span class=\"tocnumber\">7.2<\/span> <span class=\"toctext\">Intervento chirurgico<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-13\"><a href=\"#Post-Operative_Rehabilitation\"><span class=\"tocnumber\">7.3<\/span> <span class=\"toctext\">Riabilitazione post-operatoria<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-14\"><a href=\"#Rehabilitation_Exercises\"><span class=\"tocnumber\">7.4<\/span> <span class=\"toctext\">Esercizi di riabilitazione<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-15\"><a href=\"#Passive_Mobilisation\"><span class=\"tocnumber\">7.4.1<\/span> <span class=\"toctext\">Mobilitazione passiva<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-16\"><a href=\"#General_Mobility_Exercises\"><span class=\"tocnumber\">7.4.2<\/span> <span class=\"toctext\">Esercizi di mobilit\u00e0 generale<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-17\"><a href=\"#Strengthening_Exercises\"><span class=\"tocnumber\">7.4.3<\/span> <span class=\"toctext\">Esercizi di rinforzo<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-18\"><a href=\"#Key_Points\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Punti chiave<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-19\"><a href=\"#References\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduzione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"floatright\"><a class=\"image\" href=\"\/File:TFCC.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/3\/37\/TFCC.jpg\" alt=\"TFCC.jpg\" width=\"349\" height=\"237\" data-file-width=\"349\" data-file-height=\"237\"><\/a><\/div>\n<p>Il complesso fibrocartilagineo triangolare (TFCC) \u00e8 una struttura sul lato ulnare del polso che trasferisce il carico tra il semilunare, il piramidale e la testa ulnare, fornendo stabilit\u00e0 al polso. Una lesione del complesso fibrocartilagineo triangolare pu\u00f2 verificarsi in modo acuto attraverso un trauma o pu\u00f2 svilupparsi gradualmente. La lesione del TFCC spesso accompagna le fratture del radio distale.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> I fattori di rischio includono una deviazione ulnare forte e una varianza ulnare positiva. La gestione va dalle misure conservative all&#8217;intervento chirurgico.<sup id=\"cite_ref-:0_2-0\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> La maggior parte delle lesioni del TFCC ha una prognosi favorevole con un trattamento adeguato.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/pnk9cB9kMy8?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup><\/p>\n<h2><span id=\"Clinically_Relevant_Anatomy\" class=\"mw-headline\">Anatomia clinicamente rilevante<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinically Relevant Anatomy\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=2\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Clinically Relevant Anatomy\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=2\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il TFCC comprende le strutture legamentose e cartilaginee che separano l&#8217;articolazione radio-carpale dall&#8217;articolazione radio-ulnare distale. I suoi componenti comprendono il disco fibrocartilagineo triangolare, l&#8217;omologo del menisco, il legamento ulno-carpale, il legamento radio-ulnare dorsale e volare e la guaina estensoria del carpo ulnare. \u00c8 il principale stabilizzatore dell&#8217;articolazione radio-ulnare distale. La parte volare impedisce lo spostamento dorsale dell&#8217;ulna ed \u00e8 tesa in pronazione. La parte dorsale impedisce lo spostamento volare dell&#8217;ulna ed \u00e8 tesa in supinazione. Il TFCC contribuisce anche alla stabilit\u00e0 ulno-carpale.<sup id=\"cite_ref-emedicine_4-0\" class=\"reference\"><a href=\"#cite_note-emedicine-4\">(4)<\/a><\/sup><sup id=\"cite_ref-Wheeless_5-0\" class=\"reference\"><a href=\"#cite_note-Wheeless-5\">(5)<\/a><\/sup><\/p>\n<blockquote>\n<ul>\n<li>Origine: bordo mediale del radio distale<\/li>\n<li>Inserzione: fovea ulnare e base dello stiloide ulnare (tramite il sistema a doppia lama); ossa carpali, compresi il semilunare, il piramidale e l&#8217;uncinato (tramite i legamenti ulno-carpali e l&#8217;omologo del menisco)<\/li>\n<li>Apporto vascolare: il disco centrale \u00e8 avascolare; i vasi sanguigni periferici penetrano nei margini del TFCC<\/li>\n<\/ul>\n<\/blockquote>\n<h2><span id=\"Aetiology\" class=\"mw-headline\">Eziologia<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Aetiology\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Aetiology\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Quando il polso si muove in deviazione ulnare, il TFCC subisce un carico compressivo maggiore, che si intensifica ulteriormente in presenza di una varianza ulnare positiva. Le attivit\u00e0 sportive, come colpire una palla da baseball, che richiedono una forte deviazione ulnare generano carichi elevati sul TFCC.<sup id=\"cite_ref-Wheeless_5-1\" class=\"reference\"><a href=\"#cite_note-Wheeless-5\">(5)<\/a><\/sup><\/p>\n<h2><span id=\"Clinical_Presentation\" class=\"mw-headline\">Presentazione clinica<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=4\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Clinical Presentation\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=4\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>I pazienti in genere presentano un dolore al polso sul lato ulnare che peggiora con l&#8217;attivit\u00e0 e potrebbero anche riferire debolezza della presa, instabilit\u00e0 o sensazioni di scatto.<sup id=\"cite_ref-UK_6-0\" class=\"reference\"><a href=\"#cite_note-UK-6\">(6)<\/a><\/sup> I meccanismi di lesione variano in base alle richieste specifiche dello sport, tra cui l&#8217;estensione forzata del polso (scivolate nel baseball), il carico ripetitivo durante la battuta (baseball),<sup id=\"cite_ref-:0_2-1\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> e il carico ripetitivo del peso corporeo in posizioni di supporto e sospensione (ginnastica).<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/p>\n<h2><span id=\"Diagnostic_Procedures\" class=\"mw-headline\">Procedure diagnostiche<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnostic Procedures\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=5\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Diagnostic Procedures\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=5\">modifica sorgente<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Physical_Examination\" class=\"mw-headline\">Esame obiettivo<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Examination\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=6\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Physical Examination\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=6\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"floatright\"><a class=\"image\" title=\"Stress test TFCC\" href=\"\/File:Stresstest.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/3\/3d\/Stresstest.jpg\" alt=\"Stress test TFCC\" width=\"152\" height=\"183\" data-file-width=\"152\" data-file-height=\"183\"><\/a><\/div>\n<p>Il TFCC si palpa meglio con il polso in pronazione. Si trova tra il flessore ulnare del carpo, lo stiloide ulnare e il pisiforme. L&#8217;esame pu\u00f2 comprendere diversi test, tra cui:<\/p>\n<ul>\n<li><b><a title=\"Fovea Sign\" href=\"\/Fovea_Sign\">Segno della fovea<\/a>:<\/b> il terapista palpa lo spazio morbido tra lo stiloide ulnare, il tendine del flessore ulnare del carpo, la superficie volare della testa ulnare e il pisiforme. Un&#8217;indolenzimento in quest&#8217;area indica un test positivo.<\/li>\n<li><a title=\"Segno dei tasti del pianoforte\" href=\"\/Piano_Key_Sign\"><b>Piano Key test<\/b><\/a>: il paziente \u00e8 posizionato in posizione seduta, con l&#8217;avambraccio pronato sul tavolo. Il terapista stabilizza il radio distale e la mano del paziente con una mano e poi preme con una forza volarmente diretta sull&#8217;ulna con l&#8217;altra mano, consentendole di arretrare passivamente come un tasto del pianoforte. Il test \u00e8 positivo per l&#8217;instabilit\u00e0 dell&#8217;articolazione radio-ulnare dorsale se c&#8217;\u00e8 dolore o eccessiva lassit\u00e0 rispetto al lato opposto.<\/li>\n<li><b>Test di compressione del TFCC<\/b>: la deviazione ulnare con l&#8217;avambraccio in posizione neutra riproduce i sintomi.<\/li>\n<li><b>Test di stress del TFCC<\/b>: l&#8217;applicazione di un carico assiale sull&#8217;ulna con il polso in deviazione ulnare riproduce i sintomi.<\/li>\n<li><b>Press test:<\/b> il paziente si solleva da una sedia usando i polsi in posizione estesa. Il dolore indica un test positivo.<\/li>\n<li><b>Test di supinazione\/TFCC Table Lift test:<\/b> il paziente mette le mani sotto un tavolo (con i palmi rivolti verso l&#8217;alto) con gli avambracci supini e cerca di sollevare il tavolo. Un punteggio di 5 o pi\u00f9 sulla Scala Analogica Visiva indica un test positivo.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/li>\n<li><b>Grind test<\/b>: si applica una compressione assiale attraverso l&#8217;avambraccio distale mentre il paziente prona\/supina l&#8217;avambraccio. Il dolore pu\u00f2 indicare un processo degenerativo.<sup id=\"cite_ref-:0_2-2\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 408px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 400px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/swiFRJ7zQpM?\" width=\"400\" height=\"225\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 408px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 400px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/6As4CP_61s8?\" width=\"400\" height=\"225\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Diagnostic_Imaging\" class=\"mw-headline\">Diagnostica per immagini<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnostic Imaging\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=7\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Diagnostic Imaging\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=7\">fonte di modifica<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le radiografie possono rivelare l&#8217;avulsione dello stiloide ulnare, la <a title=\"Scaphoid Fracture\" href=\"\/Scaphoid_Fracture\">frattura dello scafoide<\/a>, la <a title=\"Radius\" href=\"\/Radius\">frattura del radio distale<\/a>, l&#8217;inclinazione volare del semilunare o del <a title=\"Triquetrum\" href=\"\/Triquetrum\">piramidale<\/a> e la varianza ulnare. L&#8217;artrografia a tripla iniezione pu\u00f2 identificare le lacerazioni del TFCC, ma ha una bassa specificit\u00e0. La risonanza magnetica ha un&#8217;elevata sensibilit\u00e0 e specificit\u00e0 per identificare le lacerazioni del TFCC.<\/p>\n<h3><span id=\"Classification\" class=\"mw-headline\">Classificazione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Classification\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Classification\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La classificazione di Palmer suddivide le lesioni del TFCC in lesioni traumatiche (Tipo 1) e lesioni degenerative (Tipo 2). Sebbene fornisca una descrizione anatomica, non guida le decisioni di trattamento n\u00e9 predice gli outcome.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/p>\n<h2><span id=\"Outcome_Measures\" class=\"mw-headline\">Misure di outcome<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Outcome Measures\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=9\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Outcome Measures\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=9\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><a title=\"Misura di risultato DASH\" href=\"\/DASH_Outcome_Measure\">DASH Outcome Measure<\/a><\/li>\n<li>Modified Mayo Wrist Score<\/li>\n<li>Activities of Daily Living Score<sup id=\"cite_ref-Reiter_10-0\" class=\"reference\"><a href=\"#cite_note-Reiter-10\">(10)<\/a><\/sup><sup id=\"cite_ref-Estrella_11-0\" class=\"reference\"><a href=\"#cite_note-Estrella-11\">(11)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span id=\"Management_.2F_Interventions\"><\/span><span id=\"Management_\/_Interventions\" class=\"mw-headline\">Gestione\/interventi<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Management \/ Interventions\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=10\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Management \/ Interventions\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=10\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Conservative_Treatment\" class=\"mw-headline\">Trattamento conservativo<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Trattamento conservativo\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=11\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Trattamento conservativo\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=11\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La gestione iniziale delle lesioni del TFCC prevede riposo, modifica dell&#8217;attivit\u00e0, ghiaccio, FANS e immobilizzazione con stecche per 3-6 settimane.<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/p>\n<h3><span id=\"Surgical_Intervention\" class=\"mw-headline\">Intervento chirurgico<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Surgical Intervention\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=12\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Surgical Intervention\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=12\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&#8217;intervento chirurgico viene preso in considerazione se la gestione conservativa non ha successo o in caso di instabilit\u00e0 dell&#8217;articolazione radio-ulnare distale (DRUJ). Gli interventi chirurgici includono procedure artroscopiche (riparazione o debridement), osteotomia di accorciamento ulnare o la procedura Wafer.<sup id=\"cite_ref-:0_2-3\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/p>\n<h3><span id=\"Post-Operative_Rehabilitation\" class=\"mw-headline\">Riabilitazione post-chirurgica<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Riabilitazione post-operatoria\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=13\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Riabilitazione post-operatoria\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=13\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Il tempo di recupero post-operatorio dipende dall&#8217;approccio chirurgico utilizzato. Le procedure artroscopiche richiedono in genere dalle 4 alle 6 settimane per il recupero, mentre gli approcci chirurgici a cielo aperto richiedono in genere circa 3 mesi. Dopo l&#8217;intervento chirurgico, i pazienti dovrebbero essere indirizzati alla terapia della mano. I tempi e la durata della riabilitazione dipendono dal tipo di intervento e dal protocollo del singolo chirurgo.<sup id=\"cite_ref-:0_2-4\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> La riabilitazione segue principi simili a quelli della gestione conservativa, con una progressione guidata dalla procedura chirurgica e dai tempi di guarigione.<\/p>\n<h3><span id=\"Rehabilitation_Exercises\" class=\"mw-headline\">Esercizi di riabilitazione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Rehabilitation Exercises\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=14\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Rehabilitation Exercises\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=14\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La seguente progressione di esercizi pu\u00f2 essere utilizzata sia per la gestione conservativa che per la riabilitazione post-operatoria. I tempi e l&#8217;intensit\u00e0 sono regolati in base ai livelli di dolore, alla guarigione dei tessuti e alla procedura chirurgica (se applicabile).<\/p>\n<h4><span id=\"Passive_Mobilisation\" class=\"mw-headline\">Mobilizzazione passiva<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Mobilitazione passiva\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=15\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Mobilitazione passiva\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=15\">modifica fonte<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>\u00c8 possibile applicare una trazione delicata delle articolazioni radio-carpali e medio-carpali:<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/p>\n<ul>\n<li>per favorire la flessione del polso si pu\u00f2 utilizzare una tecnica di scivolamento dorsale<\/li>\n<li>per favorire l&#8217;estensione del polso si pu\u00f2 utilizzare una tecnica di scivolamento volare<\/li>\n<li>per favorire la deviazione radiale si pu\u00f2 utilizzare una tecnica di scivolamento ulnare<\/li>\n<li>per favorire la deviazione ulnare si pu\u00f2 utilizzare una tecnica di scivolamento radiale<a class=\"image\" href=\"\/File:Mobilisatie.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/4\/42\/Mobilisatie.png\" alt=\"Mobilisatie.png\" width=\"414\" height=\"485\" data-file-width=\"414\" data-file-height=\"485\"><\/a><\/li>\n<\/ul>\n<h4><span id=\"General_Mobility_Exercises\" class=\"mw-headline\">Esercizi di mobilit\u00e0 generale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Esercizi di mobilit\u00e0 generale\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=16\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Esercizi di mobilit\u00e0 generale\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=16\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>I pazienti dovrebbero eseguire <a title=\"Esercizi per le mani\" href=\"\/Hand_Exercises\">esercizi<\/a> di mobilit\u00e0 generale, tra cui:<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/p>\n<ul>\n<li>flessione ed estensione del polso<\/li>\n<li>deviazione orizzontale ulnare e radiale<\/li>\n<li>pronazione e supinazione<\/li>\n<li>allungamento dei muscoli della mano e delle dita<\/li>\n<\/ul>\n<h4><span id=\"Strengthening_Exercises\" class=\"mw-headline\">Esercizi di rinforzo<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Strengthening Exercises\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=17\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Strengthening Exercises\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=17\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Quando si passa agli esercizi di rinforzo, i seguenti esercizi possono essere eseguiti con un peso o una fascia elastica:<sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/p>\n<ul>\n<li>flessione ed estensione<\/li>\n<li>pronazione e supinazione<\/li>\n<\/ul>\n<h2><span id=\"Key_Points\" class=\"mw-headline\">Punti chiave<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Modificare la sezione: Punti chiave\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=18\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Modificare la sezione: Punti chiave\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=18\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le lesioni del TFCC causano dolore al polso sul lato ulnare. La stabilit\u00e0 dell&#8217;articolazione radio-ulnare distale determina l&#8217;approccio gestionale: le lesioni stabili possono essere gestite in modo conservativo fino a 6 mesi, mentre le lesioni instabili richiedono un consulto chirurgico. Il trattamento procede dall&#8217;immobilizzazione alla mobilizzazione passiva fino al rinforzo attivo.<\/p>\n<h2><span id=\"References\" class=\"mw-headline\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;veaction=edit&amp;section=19\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Triangular_Fibrocartilage_Complex_Injuries&amp;action=edit&amp;section=19\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Im J, Kang SJ, Lee SJ. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7948047\/\" rel=\"nofollow\">A comparative study between conservative and surgical treatments of triangular fibrocartilage complex injury of the wrist with distal radius fractures<\/a>. Clin Orthop Surg. 2021 Mar;13(1):105-9. <\/span><\/li>\n<li id=\"cite_note-:0-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-1\">2.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-2\">2.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-3\">2.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-4\">2.4<\/a><\/sup><\/span> <span class=\"reference-text\">Casadei K, Kiel J. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537055\/\" rel=\"nofollow\">Triangular fibrocartilage complex (TFCC) injuries.<\/a> InStatPearls (Internet) 2020 Jan 20. StatPearls Publishing. Available from:<a class=\"external free\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537055\/\" rel=\"nofollow\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537055\/<\/a> (last accessed 5.4.2020)<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Marpole Physio What is a Triangular Fibrocartilage Complex Injury of the Wrist Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=pnk9cB9kMy8\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=pnk9cB9kMy8<\/a> (last accessed 5.4.2020)<\/span><\/li>\n<li id=\"cite_note-emedicine-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-emedicine_4-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Verheyden JR, Palmer AK. EMedicine. Triangular Fibrocartilage Complex. <a class=\"external free\" href=\"http:\/\/emedicine.medscape.com\/article\/1240789-overview\" rel=\"nofollow\">http:\/\/emedicine.medscape.com\/article\/1240789-overview<\/a>. (accessed 25 June 2009).<\/span><\/li>\n<li id=\"cite_note-Wheeless-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-Wheeless_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-Wheeless_5-1\">5.1<\/a><\/sup><\/span> <span class=\"reference-text\">Wheeless CR. Wheeless&#8217; Textbook of Orthopaedics. Triangular Fibrocartilage Complex. <a class=\"external free\" href=\"http:\/\/www.wheelessonline.com\/ortho\/triangular_fibrocartilage_complex\" rel=\"nofollow\">http:\/\/www.wheelessonline.com\/ortho\/triangular_fibrocartilage_complex<\/a> (accessed 25 June 2009).<\/span><\/li>\n<li id=\"cite_note-UK-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-UK_6-0\">\u2191<\/a><\/span> <span class=\"reference-text\">UK Orthopaedic Surgery &amp; Sports Medicine. Health in Sports Report-Issue 6: Triangular Fibrocartilage Complex (TFCC) Injury. <a class=\"external free\" href=\"http:\/\/ukhealthcare.uky.edu\/sportsmedicine\/health_in_sports\/issue6.asp\" rel=\"nofollow\">http:\/\/ukhealthcare.uky.edu\/sportsmedicine\/health_in_sports\/issue6.asp<\/a> (accessed 25 June 2009).<\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Gymnastics Injuries <a class=\"external text\" href=\"https:\/\/gymnasticsinjuries.wordpress.com\/tag\/tfcc\/\" rel=\"nofollow\">TFCC<\/a> Available from:<a class=\"external free\" href=\"https:\/\/gymnasticsinjuries.wordpress.com\/tag\/tfcc\/\" rel=\"nofollow\">https:\/\/gymnasticsinjuries.wordpress.com\/tag\/tfcc\/<\/a> (last accessed 6.4.2020)<\/span><\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\">Marcovici LL, Greco A, Chiossi B, Muscatiello AL, Tandioy-Delgado FA, Molayem I, Pagnotta A. The TFCC table lift test: A clinical tool for detecting palmer 1B TFCC lesions. J Hand Microsurg. 2025 Sep 2;17(6):100348. <\/span><\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">Sachar K. Ulnar-Sided Wrist Pain: Evaluation and Treatment of Triangular Fibrocartilage Complex Tears, Ulnocarpal Impaction Syndrome, and Lunotriquetral Ligament Tears. Journal of Hand Surgery. July 2012. <\/span><\/li>\n<li id=\"cite_note-Reiter-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-Reiter_10-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Reiter A, Wolf MB, Schmid U, Frigge A, Dreyhaupt J, Hahn P, et al. Arthroscopic repair of palmer 1B triangular fibrocartilage complex tears. Arthroscopy. 2008;24(11):1244-1250.<\/span><\/li>\n<li id=\"cite_note-Estrella-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-Estrella_11-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Estrella EP, Hung LK, Ho PC, Tse WL. Arthroscopic repair of triangular fibrocartilage complex tears. Arthroscopy. 2007;23(7):729-737.<\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">Parmelee-Peters, K., &amp; Eathorne, S. (2005). The Wrist: Common Injuries and Management. Primary Care, Clinics in Office Practice, 35-70.<\/span><\/li>\n<li id=\"cite_note-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-13\">\u2191<\/a><\/span> <span class=\"reference-text\">Prof. Dr. R. Meeusen, Praktijkgids pols- en handletsels, VUB, p131-151.<\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Wadsworth, C., The wrist and hand examination ans Interpretaion, J. Orthopedic and sports physical therapy, 1983, 108-20<\/span><\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Leger AB, Milner TE. , Muscle function at the wrist after eccentric exercise, Medicine and Science in Sports and Exercise, 2001;33:612\u201320.<\/span><\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">Prof. Dr. R. Meeusen, Praktijkgids pols- en handletsels, VUB, p131-151.<\/span><\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">Wadsworth, C., The wrist and hand examination ans Interpretaion, J. Orthopedic and sports physical therapy, 1983, 108-20<\/span><\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Prof. Dr. R. Meeusen, Praktijkgids pols- en handletsels, VUB, p131-151.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- \nNewPP limit report\nCached time: 20260225083306\nCache expiry: 0\nReduced expiry: true\nComplications: (show\u2010toc)\nCPU time usage: 0.071 seconds\nReal time usage: 0.077 seconds\nPreprocessor visited node count: 296\/1000000\nPost\u2010expand include size: 148\/2097152 bytes\nTemplate argument size: 0\/2097152 bytes\nHighest expansion depth: 3\/100\nExpensive parser function count: 0\/100\nUnstrip recursion depth: 0\/20\nUnstrip post\u2010expand size: 11353\/5000000 bytes\n--><br \/>\n<!--\nTransclusion expansion time report (%,ms,calls,template)\n100.00%   18.493      1 Special:Contributors\/Triangular_Fibrocartilage_Complex_Injuries\n100.00%   18.493      1 -total\n--><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Redazione originale &#8211; Kristen Mason Collaboratori principali &#8211; Kristen Mason, Jess Bell, Admin, Kim Jackson, Laura Ritchie, Lucinda hampton, Rachael Lowe, Shauni Van Overstraeten, Shaimaa Eldib, 127.0.0.1, Evan Thomas, Tarina van der Stockt, Kai A. Sigel, WikiSysop, Wanda van Niekerk and Joseph Ayotunde Aderonmu Contenuti 1 Introduzione 2 Anatomia clinicamente rilevante 3 Eziologia 4 Presentazione [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-11389","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/11389","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=11389"}],"version-history":[{"count":3,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/11389\/revisions"}],"predecessor-version":[{"id":13664,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/11389\/revisions\/13664"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=11389"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}