Arthroscopic-Assisted Outside-In Repair of Triangular Fibrocartilage Complex Tears

Arthroscopy Techniques
Rachel M FrankRobert W Wysocki

Abstract

With advances in surgical instrumentation and techniques, as well as expanding surgical indications, wrist arthroscopy is now being used to treat a variety of conditions previously managed only with open techniques. Triangular fibrocartilage complex (TFCC) injuries remain among the most common causes of ulnar-sided wrist pain and can result from both acute and chronic mechanisms of injury. The most common mechanism of acute injury to the TFCC is a fall onto an outstretched hand with the wrist in a supinated, extended position. In patients with unrelenting pain, swelling, or mechanical symptoms despite a concerted effort at nonoperative management, which often consists of bracing, therapy, or injections, surgical intervention is often indicated. Treatment historically consisted of open exploration and repair; however, recently, arthroscopic-assisted and all-arthroscopic techniques have been described. We describe a safe, reproducible, and reliable surgical technique for arthroscopic-assisted outside-in repair of peripheral TFCC tears. In addition, a specific focus on surgical anatomy, including pearls and pitfalls for protecting the dorsal sensory branch of the ulnar nerve, is presented.

References

Nov 1, 1991·The Journal of Hand Surgery·M S BednarA J Weiland
Jul 1, 1989·The Journal of Hand Surgery·A K Palmer
Mar 1, 1981·The Journal of Hand Surgery·A K Palmer, F W Werner
Oct 1, 1996·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·T E TrumbleN Vedder
Jul 20, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Emmanuel P EstrellaWing Lam Tse
Dec 8, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jeffrey YaoA Lee Osterman
Jul 2, 2008·The Journal of Hand Surgery·Meredith L AndersonRichard A Berger
Feb 7, 2012·The Journal of Hand Surgery·Robert W WysockiDavid S Ruch

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Citations

Jun 4, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Ramesh C SrinivasanDavid S Ruch

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