PMID: 16518212Mar 7, 2006Paper

Surgical approach to the triangular fibrocartilage complex

Techniques in Hand & Upper Extremity Surgery
Marc Garcia-EliasM Llusa

Abstract

There are few descriptions of the surgical exposure of the ulnar aspect of the wrist. The anatomy of the dorsoulnar aspect of the wrist was explored in 7 cadaver wrists with special attention to developing a surgical approach to the dorsum of the radio-ulno-carpal joint. Using the experience from previous authors and the knowledge gained from our cadaveric dissections, a surgical approach was designed that provides wide exposure of the dorsoulnar aspect of the wrist. The anatomic layers are dissected in a distinct pattern that allows preservation of the extensor carpi ulnaris and its sheath as well as a strong closure of each layer and restoration of the anatomy. Minimal postoperative immobilization is required, and rehabilitation can be started as early as 2 weeks postoperatively. This approach provides access to the distal radioulnar joint, triangular fibrocartilage complex, distal ulna, and lunotriquetral joint, thus allowing multiple possible procedures through a single, universal approach.

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Citations

Jun 17, 2006·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·E Tsu-Hsin ChenV W S Huang
Mar 7, 2006·Techniques in Hand & Upper Extremity Surgery·Toshiyasu NakamuraShinichiro Takayama
Dec 9, 2008·Techniques in Hand & Upper Extremity Surgery·Andrea AtzeiTracy Fairplay
Nov 20, 2012·Indian Journal of Orthopaedics·Binu P Thomas, Raveendran Sreekanth
Nov 9, 2014·Archives of Orthopaedic and Trauma Surgery·Christian K SpiesJohannes Oppermann
Aug 27, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Norimasa IwasakiAkio Minami
Oct 19, 2010·Hand Clinics·Marc Garcia-Elias, Elisabet Hagert
Nov 17, 2015·Hand : Official Journal of the American Association for Hand Surgery·David MurrayMike Hayton
Nov 23, 2010·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Akira GotoHisao Moritomo
Jul 22, 2009·The Journal of Hand Surgery, European Volume·A Atzei
Jun 4, 2015·The Journal of Hand Surgery, European Volume·H S GongG H Baek
Nov 16, 2018·The Journal of Hand Surgery Asian-Pacific Volume·Sandra PfannerMassimo Ceruso
Jun 1, 2007·Techniques in Hand & Upper Extremity Surgery·Philippe Kopylov, Magnus Tägil
Feb 15, 2019·Hand : Official Journal of the American Association for Hand Surgery·John C DunnLeon J Nesti
Feb 13, 2009·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·F del Pińal
Mar 21, 2020·Archives of Orthopaedic and Trauma Surgery·Christian K SpiesFrank Unglaub
Jun 1, 2007·Techniques in Hand & Upper Extremity Surgery·Marc Garcia-Elias
Mar 15, 2018·Journal of Experimental Orthopaedics·Jonny K AnderssonDaniel Andernord
Oct 14, 2020·Archives of Orthopaedic and Trauma Surgery·Young Woo KwonJong Woong Park
Dec 29, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Hyoung-Seok JungJae-Sung Lee
Feb 9, 2021·Journal of Wrist Surgery·Edward H LiuEugene T Ek
Apr 2, 2021·The Bone & Joint Journal·Reinier FeitzUNKNOWN Hand-Wrist Study Group
Apr 7, 2021·Hand Surgery and Rehabilitation·R FeitzUNKNOWN Hand–Wrist Study Group
Nov 26, 2021·Bone & Joint Open·Reinier FeitzUNKNOWN Hand-Wrist Study Group

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