Peripheral ulnar-sided tears of the triangular fibrocartilage complex (TFCC) are common injuries and are amenable to arthroscopic repair. This article describes an all-arthroscopic knotless technique for TFCC repair. This technique has the advantage of being all arthroscopic using 3 portals, has the ability to repair both the superficial and deep layers of the articular disk, repairs the articular disk directly back to bone, and does not require any suture knots that may irritate the surrounding soft tissues. The surgical technique is described in detail.
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Arthroscopic algorithm for acute traumatic triangular fibrocartilage complex (TFCC) tears.
J Hand Microsurg
January 2025
Hand and Reconstructive Microsurgery, Olympia Hospital and Research Centre, Trichy, India.
The triangular fibrocartilage complex (TFCC) is crucial for stability and acts as a shock absorber and load transmitter at the distal radioulnar joint (DRUJ). It is often injured in wrist trauma, particularly in young athletes. Clinical assessment involves patient history, physical examination, and imaging modalities like MRI, with wrist arthroscopy as the gold standard for diagnosing TFCC tears.
View Article and Find Full Text PDFBiomechanical Analysis of Transosseous Repair Versus Combined Transosseous With Capsular Repair for Triangular Fibrocartilage Complex Tears With Instability.
J Hand Surg Am
July 2024
Department of Sports Medicine, Wuxi 9th People's Hospital Affiliated to Soochow University, Wuxi, Jiangsu, China; Orthopaedic Institute, Wuxi 9th People's Hospital Affiliated to Soochow University, Wuxi, Jiangsu, China. Electronic address:
Purpose: This study compared the biomechanical stability of transosseous repair and transosseous combined with capsular repair techniques to reattach the triangular fibrocartilage complex (TFCC) for distal radioulnar joint instability.
Methods: Eight adult cadaveric upper-extremity specimens were studied. Each underwent peripheral ulnar-sided detachment of the deep and superficial TFCC fibers and repair.
Review and update on the management of triangular fibrocartilage complex injuries in professional athletes.
World J Orthop
February 2024
Department of Trauma and Orthopaedics, Hand Unit, AOSP Terni, Terni 05100, Italy.
Triangular fibrocartilage complex injuries are common in amateur and professional sports. These injuries are mainly caused by acute or chronic repetitive axial loads on the wrist, particularly on the ulnar side and in association with rotations or radial/ulnar deviations. In order to treat professional athletes, a detailed specific knowledge of the pathology is needed.
View Article and Find Full Text PDFDiagnostic value of MRI in traumatic triangular fibrocartilage complex injuries: a retrospective study.
BMC Musculoskelet Disord
January 2024
Department of Hand and Upper Extremity Surgery, Jing' an District Central Hospital, Fudan University, Shanghai, 200040, China.
Background: Triangular fibrocartilage complex (TFCC) injuries commonly manifest as ulnar-sided wrist pain and can be associated with distal radioulnar joint (DRUJ) instability and subsequent wrist functional decline. This study aimed to assess the diagnostic value of MRI compared to wrist arthroscopy in identifying traumatic TFCC injuries and to determine the distribution of different TFCC injury subtypes in a normal clinical setting.
Methods: The data of 193 patients who underwent both preoperative wrist MRI and wrist arthroscopy were retrospectively reviewed.
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