Current Treatment of Triangular Fibrocartilage Complex Injuries

Byung Sung Kim

doi:10.12790/jkssh.2013.18.2.85

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Kim: Current Treatment of Triangular Fibrocartilage Complex Injuries

Reviw Article

J Korean Soc Surg Hand 2013;18(2):85-94.

Published online: 12 June 2013

DOI: https://doi.org/10.12790/jkssh.2013.18.2.85

Current Treatment of Triangular Fibrocartilage Complex Injuries

Byung Sung Kim

Department of Orthopedic Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea

Correspondence to: Byung Sung Kim Department of Orthopedic Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 170 Jomaru-ro, Wonmi-gu, Bucheon 420-767, Korea TEL: +82-32-621-5262 FAX: +82-32-621-5018 E-mail: kbsos@schmc.ac.kr

Received 14 May 20137 June 2013 Accepted 8 June 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Triangular fibrocartilage complex, Distal radioulnar joint, Arthroscopy

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