Detailed Search Results

Use the Back button in your browser to see the other results of your search or to select another record.

The wind off test: a novel clinical test for TFCC tears

Jones Z, Ecker J

Journal of Wrist Surgery 2025 Oct 28;epub ahead of print(Check):Check

primary study

Background Distal radioulnar joint (DRUJ) instability is a common yet underdiagnosed cause of ulnar-sided wrist pain, often associated with triangular fibrocartilage complex (TFCC) injuries. Clinical assessment of DRUJ instability is challenging due to the limited reliability of existing tests. This study introduces the wind off test (WOT) as a novel clinical test for detecting TFCC tears and evaluates its diagnostic accuracy compared to arthroscopic findings. Materials and Methods A retrospective audit was conducted on patients who underwent diagnostic wrist arthroscopy over 12 months. The WOT result (positive or negative) was compared with arthroscopically confirmed TFCC tears. Sensitivity, specificity, positive predictive value (PPV), negative predictive value, and diagnostic accuracy were calculated. Patients without a recorded WOT result preoperatively were excluded. Results About 79 patients met the inclusion criteria for this study. Of these, 76 had a TFCC tear confirmed at arthroscopy. The WOT demonstrated a sensitivity of 92.1%, a specificity of 0.0%, a PPV of 95.9%, and a diagnostic accuracy of 88.6%. Notably, all patients without a TFCC tear had a positive WOT, resulting in no true negatives. Conclusion The WOT is a highly sensitive test for detecting TFCC tears but lacks specificity, leading to false positives. While the test may serve as a useful screening tool, it should be interpreted alongside other clinical findings, imaging studies, and arthroscopy when necessary. Further prospective studies are needed to assess interobserver reliability and compare the WOT with existing clinical tests for TFCC tears.

Full text (sometimes free) may be available at these link(s): help