Journal List > J Korean Soc Surg Hand > v.18(2) > 1106452

Kim: Current Treatment of Triangular Fibrocartilage Complex Injuries

Abstract

The Palmer class 1B triangular fibrocartilage complex injury has two entities: a lesion with stable distal radioulnar joint and a lesion with distal radioulnar joint instability. Arthroscopic debridement of fibrocartilage disk is used in Palmer class 1A lesion. The surgeon should remove the portion of the fibrocartilage tissue until a mechanically stable and smooth residual rim remains. Arthroscopic repair is used in Palmer class 1B or 1D lesion using meniscal repair sutures. Ulnar detachment that can produce distal radioulnar ligament instability can also be repaired using bone anchor or pull out suture. Old age as well as positive ulnar variance is poor prognostic factors.

REFERENCES

1. Adams BD. Distal radioulnar joint instability. Wolfe SW, Pederson WC, Hotchkiss RN, Kozin SH, editors. Green's operative hand surgery. 6th ed.Philadelphia, PA: Churchil Livinstone;2011. p. 523–60.
crossref
2. Henry MH. Management of acute triangular fbrocartilage complex injury of the wrist. J Am Acad Orthop Surg. 2008; 16:320–9.
3. Haugstvedt JR, Berger RA, Nakamura T, Neale P, Berglund L, An KN. Relative contributions of the ulnar attachments of the triangular fibrocartilage complex to the dynamic stability of the distal radioulnar joint. J Hand Surg Am. 2006; 31:445–51.
crossref
4. 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; 32:438–44.
crossref
5. Tanaka T, Yoshioka H, Ueno T, Shindo M, Ochiai N. Comparison between high-resolution MRI with a microscopy coil and arthroscopy in triangular fibrocartilage complex injury. J Hand Surg Am. 2006; 31:1308–14.
crossref
6. Atzei A, Rizzo A, Luchetti R, Fairplay T. Arthroscopic foveal repair of triangular fibrocartilage complex peripheral lesion with distal radioulnar joint instability. Tech Hand Up Extrem Surg. 2008; 12:226–35.
crossref
7. Wysocki RW, Richard MJ, Crowe MM, Leversedge FJ, Ruch DS. Arthroscopic treatment of peripheral triangular fibrocartilage complex tears with the deep fibers intact. J Hand Surg Am. 2012; 37:509–16.
crossref
8. Corso SJ, Savoie FH, Geissler WB, Whipple TL, Jiminez W, Jenkins N. Arthroscopic repair of peripheral avulsions of the triangular fibrocartilage complex of the wrist: a multicenter study. Arthroscopy. 1997; 13:78–84.
crossref
9. Estrella EP, Hung LK, Ho PC, Tse WL. Arthroscopic repair of triangular fibrocartilage complex tears. Arthroscopy. 2007; 23:729–37.
crossref
10. Ruch DS, Papadonikolakis A. Arthroscopically assisted repair of peripheral triangular fibrocartilage complex tears: factors affecting outcome. Arthroscopy. 2005; 21:1126–30.
crossref
11. Wolf MB, Kroeber MW, Reiter A, et al. Ulnar shortening after TFCC suture repair of Palmer type 1B lesions. Arch Orthop Trauma Surg. 2010; 130:301–6.
crossref
12. Anderson ML, Larson AN, Moran SL, Cooney WP, Amrami KK, Berger RA. Clinical comparison of arthroscopic versus open repair of triangular fibrocartilage complex tears. J Hand Surg Am. 2008; 33:675–82.
crossref
13. Miwa H, Hashizume H, Fujiwara K, Nishida K, Inoue H. Arthroscopic surgery for traumatic triangular fibrocartilage complex injury. J Orthop Sci. 2004; 9:354–9.
crossref
14. Shih JT, Lee HM, Tan CM. Early isolated triangular fibrocartilage complex tears: management by arthroscopic repair. J Trauma. 2002; 53:922–7.
crossref
15. Trumble T. Radial side (1D) tears. Hand Clin. 2011; 27:243–54.
crossref
16. Kim BS, Song HS. A comparison of ulnar shortening osteotomy alone versus combined arthroscopic triangular fibrocartilage complex debridement and ulnar shortening osteotomy for ulnar impaction syndrome. Clin Orthop Surg. 2011; 3:184–90.
crossref

Fig. 1.
Magnetic resonance imaging and dynamic ultrasonography findings of extensor carpi ulnaris tendon instability.
jkssh-18-85f1.tif
Fig. 2.
Magnetic resonance imaging findings of triangular fibrocartilage complex foveal avulsion with distal radioulnar joint instability.
jkssh-18-85f2.tif
Fig. 3.
Arthroscopic findings seen from distal radioulnar joint portal.
jkssh-18-85f3.tif
Fig. 4.
Arthroscopic debridement for Plamer type 1A tear.
jkssh-18-85f4.tif
Fig. 5.
Arthroscopic repair for Plamer type 1B tear using direct foveal portal.
jkssh-18-85f5.tif
Fig. 6.
Radiographs after ulnar shortening osteotomy.
jkssh-18-85f6.tif
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