Abstract
The diagnosis, evaluation and treatment of symptomatic TFCC tears remain a challenge. This is in large part due to the myriad of structures that can be associated with ulna-sided wrist pain. Understanding of the anatomy, biomechanics and function of the ulna-sided complex has improved significantly in the recent years, leading to a more targeted treatment approach. New techniques of repair have shown promising results and the trend is to perform surgical repair instead of debridement where possible, even in areas of lower blood supply. MRI diagnostics has improved, however wrist arthroscopy remains the gold standard for TFCC examination, diagnosis and repair.
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References
Bednar JM, Osterman AL. The role of arthroscopy in the treatment of traumatic triangular fibrocartilage injuries. Hand Clin. 1994;10:605–14. 14
Jantea CL, Baltzer A, Rüther W. Arthroscopic repair of radial-sided lesions of the triangular fibrocartilage complex. Hand Clin. 1995;11:31–6.
Palmer AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg [Am]. 1989;14:594–606.
Chan JJ, Teunis T, Ring D. Prevalence of triangular fibrocartilage complex abnormalities regardless of symptoms rise with age: systematic review and pooled analysis. Clin Orthop Relat Res. 2014;472(12):3987–94. https://doi.org/10.1007/s11999-014-3825-1.
Palmer AK, Werner FW, Glisson RR, et al. Partial excision of the triangular fibrocartilage complex. J Hand Surg Am. 1988;13:391–4.
Nguyen ND, Pham TH, Pathirana PN, Babazadeh S, Page R, Seneviratne A. Sensing and characterization of the wrist using dart Thrower’s movement. IEEE Sensors J. 2018;18(10)
Thiru RG, Ferlic DC, Clayton ML, McClure DC. Arterial anatomy of the triangular fibrocartilage of the wrist and its surgical significance. J Hand Surgery Am. 1986;11:258–63.
Tay SC, Tomita K, Berger RA. The “ulnar fovea sign” for defining ulnar wrist pain: an analysis of sensitivity and specificity. J Hand Surg Am. 2007;32(4):438–44.
Nakamura R, Horii E, Imaeda T, Nakao E, Kato H, Watanabe K. The ulnocarpal stress test in the diagnosis of ulnar-sided wrist pain. J Hand Surg Br. 1997;22(6):719–23.
Bille B, Harley B, Cohen H. A comparison of CT arthrography of the wrist to findings during wrist arthroscopy. J Hand Surg Am. 2007;32(6):834–41.
Bain GI, Munt J, Turner PC. New advances in wrist arthroscopy. Arthroscopy. 2008;24(3):355–67. https://doi.org/10.1016/j.arthro.2007.11.002.
Lee RK, Ng AW, Tong CS, Griffith JF, Tse WL, Wong C, Ho PC. Intrinsic ligament and triangular fibrocartilage complex tears of the wrist: comparison of MDCT arthrography, conventional 3-T MRI, and MR arthrography. Skelet Radiol. 2013;42(9):1277–85. https://doi.org/10.1007/s00256-013-1666-8. Epub 2013 Jun 28
Haims AH, Schweitzer ME, Morrison WB, Deely D, Lange RC, Osterman AL, Bednar JM, Taras JS, Culp RW. Internal derangement of the wrist: indirect MR arthrography versus unenhanced MR imaging. Radiology. 2003;227(3):701–7.
Ganeshalingam R, Eng K, Page RS. Magnetic resonance imaging in the acute management of suspected scaphoid fractures: a review of the literature and assessment of treatment algorithm. OA Musculoskeletal Med. 2013;1(2):19.
Trehan SK, Wall LB, Calfee RP, Shen TS, Dy CJ, Yannascoli SM, Goldfarb CA. Arthroscopic diagnosis of the triangular fibrocartilage complex foveal tear: a cadaver assessment. J Hand Surg. 2018;43(7):680.e1–5. https://doi.org/10.1016/j.jhsa.2017.12.017.
Park A, Lutsky K, Matzon J, Leinberry C, Chapman T, Beredjiklian PK. An evaluation of the reliability of wrist arthroscopy in the assessment of tears of the triangular fibrocartilage complex. J Hand Surg Am. 2018;43(6):545–9. https://doi.org/10.1016/j.jhsa.2018.02.031. Epub 2018 Mar 28
Tatebe M, Horii E, Nakao E, Shinohara T, Imaeda T, Nakamura R, Hirata H. Repair of the triangular fibrocartilage complex after ulnar-shortening osteotomy: second-look arthroscopy. J Hand Surg Am. 2007;32(4):445–9.
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Page, R.S., Henze, J., Eng, K. (2022). Arthroscopic Evaluation, Classification and Techniques for TFCC Tears. In: Bhatia, D.N., Bain, G.I., Poehling, G.G., Graves, B.R. (eds) Arthroscopy and Endoscopy of the Elbow, Wrist and Hand. Springer, Cham. https://doi.org/10.1007/978-3-030-79423-1_88
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DOI: https://doi.org/10.1007/978-3-030-79423-1_88
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