Surgical Technique for Repairing Foveal Tear of the Triangular Fibrocartilage Complex: Arthroscopic Knotless Repair

Jae Yoon Chung; Jae Kwang Kim

doi:10.12790/jkssh.2014.19.2.103

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Chung and Kim: Surgical Technique for Repairing Foveal Tear of the Triangular Fibrocartilage Complex: Arthroscopic Knotless Repair

REVIEW ARTICLE

J Korean Soc Surg Hand 2014;19(2):103-108.

Published online: 11 June 2014

DOI: https://doi.org/10.12790/jkssh.2014.19.2.103

Surgical Technique for Repairing Foveal Tear of the Triangular Fibrocartilage Complex: Arthroscopic Knotless Repair

Jae Yoon Chung, Jae Kwang Kim

Department of Orthopedic Surgery, Ewha Womans University School of Medicine, Seoul, Korea

Correspondence to: Jae Kwang Kim, Department of Orthopedic Surgery, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 158-710, Korea, TEL: +82-2-2650-2591, FAX: +82-2-2642-0349, E-mail: kimjk@ewha.ac.kr

Received 27 May 2014 Accepted 5 June 2014

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

Knotless repair of triangular fibrocartilage complex has several advantages. All procedures for triangular fibrocartilage complex repair could be done under arthroscopy in this technique. In addition, this technique allows for repair of deep layers of triangular fibrocartilage complex down to fovea of the ulnar head. This article describes arthroscopic repair of the Palmer type 1B triangular fibrocartilage complex tear using arthroscopic knotless technique.

Keywords: Triangular fibrocartilage complex, Arthroscopy, Fovea of the ulnar head, Knotless repair

REFERENCES

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Fig. 1.

Ulnar side insertion of the triangular firbrocartilage complex consists of deep and superficial fibers and when the tear involves the deep fibers, foveal insertion of the triangular fibrocartilage complex must be restored.

Fig. 2.

Mini-pushlock suture anchor (Arthrex).

Fig. 3.

Exterior view shows the arthroscopic portal (3-4, 6-R, accessory 6-R) used for arthroscopic knotless repair.

Fig. 4.

The suture lasso penetrates both the superficial and deep layers of the articular disk.

Fig. 5.

A horizontal mattress suture through the ulnar side of the triangular fibrocartilage complex will be created after retrieving the second suture loop.

Fig. 6.

Arthroscopic view shows the anchor being advanced into the predilled hole.

Fig. 7.

The articular disk of the triangular fibrocartilage complex is repaired back down to bone and tension is restored using all-arthroscopic knotless repair technique.

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