Arthroscopic repair of the triangular fibrocartilage complex using a hypodermic needle: a technical note

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Arthroscopy

Background:

• Triangular fibrocartilage complex (TFCC) tears are a common cause of chronic wrist pain.
• Current arthroscopic suturing techniques (outside-in, inside-out) necessitate additional incisions for knot tying.
• These extra incisions increase risks of neurovascular complications and prolong recovery.

Purpose of the Study:

• To present a practical, cost-effective arthroscopic technique for Palmer type 1B TFCC tears.
• To eliminate the need for subcutaneous suture tying and associated extra skin incisions.
• To reduce postoperative pain, neurovascular risks, and enhance cosmetic outcomes.

Main Methods:

• Arthroscopic repair of peripheral Palmer type 1B TFCC tears.
• Utilized a hypodermic needle for suture passage and knot tying within the joint.
• Single-portal arthroscopic approach, avoiding separate incisions for suture management.

Main Results:

• Successful arthroscopic repair of TFCC tears without additional incisions.
• Demonstrated reduced postoperative pain and faster patient rehabilitation.
• Improved cosmetic results due to the absence of extra skin cuts.

Conclusions:

• The hypodermic needle arthroscopic technique offers a safe and efficient alternative for Palmer type 1B TFCC tears.
• This method simplifies the procedure, lowers complication risks, and benefits patient recovery.
• It represents a valuable advancement in arthroscopic wrist surgery for TFCC injuries.