Arthroscopic Management of Triangular Fibrocartilage Complex

Hand clinics · Nov 2017

Review

Arthroscopic Management of Triangular Fibrocartilage Complex Peripheral Injury.

Patients suffering from ulnar-sided wrist pain after trauma may develop tenderness, clicking, a positive fovea sign, or instability of the distal radioulnar joint. If the pain is persistent, conservative treatment does not help, and the patient agrees to surgery, arthroscopy may reveal a triangular fibrocartilage complex (TFCC) injury with capsular detachment, foveal avulsion, or a combination thereof. Capsular reattachment is possible using an arthroscopic assisted technique. The reattachment can be performed with an inside-out, outside-in, or all-inside technique, providing good to excellent results, which tend to persist over time, in 60% to 90% of cases.

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- Jan Ragnar Haugstvedt and Endre Søreide.
- Hand Surgery, Department of Orthopedics, Østfold Hospital Trust, Box 300, Graalum N-1714, Norway. Electronic address: jrhaugstvedt@gmail.com.
- Hand Clin. 2017 Nov 1; 33 (4): 607-618.
AbstractPatients suffering from ulnar-sided wrist pain after trauma may develop tenderness, clicking, a positive fovea sign, or instability of the distal radioulnar joint. If the pain is persistent, conservative treatment does not help, and the patient agrees to surgery, arthroscopy may reveal a triangular fibrocartilage complex (TFCC) injury with capsular detachment, foveal avulsion, or a combination thereof. Capsular reattachment is possible using an arthroscopic assisted technique. The reattachment can be performed with an inside-out, outside-in, or all-inside technique, providing good to excellent results, which tend to persist over time, in 60% to 90% of cases.Copyright © 2017 Elsevier Inc. All rights reserved.

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Arthroscopic Management of Triangular Fibrocartilage Complex Peripheral Injury.

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