This review examines whether MRI can reliably replace wrist arthroscopy in diagnosing TFCC injuries of the ulnar wrist, based on 18 articles selected through PubMed, Embase, and Cochrane Library. MRI shows improvement in diagnosing TFCC injuries, and the predictive values of MRI get significantly better by using tools like post-processing techniques, contrast, and pathological markers. However, MRI is unreliable as an independent diagnostic tool for TFCC lesions that need surgical treatment. More well-designed studies are required to determine this diagnostic modality's clinical relevance.
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http://dx.doi.org/10.61409/V05240362 | DOI Listing |
Eur J Orthop Surg Traumatol
March 2025
Department of Plastic and Hand Surgery, St. Jadwiga Śląska Hospital, Trzebnica, Poland.
Introduction: The triangular fibrocartilage complex (TFCC) plays a pivotal role in wrist stability and function. TFCC injuries are a common cause of ulnar-sided wrist pain and distal radioulnar joint (DRUJ) instability, often requiring surgical intervention when conservative treatments fail. This study evaluates the outcomes of open surgical repair of TFCC injuries, with a focus on functional recovery between 6 and 18 months postoperatively.
View Article and Find Full Text PDFClin Sports Med
April 2025
Department of Orthopaedics, Cedars-Sinai Medical Center, 444 South San Vicente Boulevard, Suite 603, Los Angeles, CA 90048, USA. Electronic address:
Pitching, catching, and base-running may predispose professional baseball players to injury-particularly in the hand and wrist. In this study, we outline the diagnosis, management, and rehabilitation of commonly encountered injuries among these high-level athletes. Wrist injuries discussed include hook of hamate fractures, extensor carpi ulnaris tendon disorders, scapholunate instability, and triangular fibrocartilage complex tears.
View Article and Find Full Text PDFJ Orthop Surg Res
February 2025
Direct Radiology, 3501 Ocean Drive, Corpus Christi, TX, 78411, USA.
Background: Incidental triangular fibrocartilage complex (TFCC) abnormal findings could be detected on magnetic resonance imaging (MRI), whether these incidental findings were causes of symptoms can confuse clinicians. The purpose of this study was to demonstrate the MRI features of triangular fibrocartilage (TFC) disc in asymptomatic adults' wrists and explore the association with age, gender and ulnar variance.
Methods: Healthy adult volunteers who reported no ulnar-sided wrist pain were recruited and underwent MRI examinations.
PeerJ
February 2025
Department of Radiology, Gaziosmanpaşa Training and Research Hospital, Istanbul, Turkey.
Background: This study aims to determine whether ulnar variance (UV) types are associated with chronic or subacute ulnar-side wrist pain using 3 Tesla (T) magnetic resonance imaging (MRI), and to investigate potential relationships between UV, clinical data, and MRI-detected findings.
Methods: This retrospective study included patients who presented with ulnar-side wrist pain for at least one month and underwent 3T MRI between January 2020 and October 2023. All demographic and clinical data, wrist radiography, and MRI images were obtained from computerized records.
BMC Surg
February 2025
Department of Hand Surgery, Norinco General Hospital, Xi'an, China.
Background: The triangular fibrocartilage complex (TFCC) plays an important role in distal radioulnar joint (DRUJ) stabilization, and is frequently torn. In particular, when conservative treatment fails, surgical treatment is needed.
Methods: In this retrospective study, fourteen individuals with TFCC foveal tears and DRUJ instability were admitted to the department and treated with arthroscopic-assisted modified "double loop suture" transosseous repair between January 2021 and 2023.
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