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Updated: May 25, 2026

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
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Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

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Arthroscopic knotless peripheral triangular fibrocartilage repair.

William B Geissler1

  • 1Department of Orthopaedic Surgery and Rehabilitation, University of Mississippi Medical Center, Jackson, MS, USA. 3doghill@msn.com

The Journal of Hand Surgery
|January 28, 2012
PubMed
Summary

Peripheral tears of the triangular fibrocartilage complex cause ulnar-sided wrist pain. Arthroscopic knotless repair offers an effective treatment, directly reattaching the disk to bone without suture knot irritation.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Hand and Wrist Surgery

Background:

  • Peripheral tears of the triangular fibrocartilage complex (TFCC) are a common cause of ulnar-sided wrist pain.
  • Symptoms often include pain with ulnar deviation and forearm rotation, localized to the prestyloid recess.

Purpose of the Study:

  • To describe an all-arthroscopic knotless repair technique for peripheral ulnar-sided TFCC tears.
  • To highlight the advantages of this technique, including direct bone fixation and avoidance of suture knot irritation.

Main Methods:

  • The study details an arthroscopic surgical approach for TFCC tears.
  • The technique involves direct repair of the superficial and deep layers of the articular disk to bone using a knotless system.

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Last Updated: May 25, 2026

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A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears
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Main Results:

  • The described knotless technique allows for secure fixation of the TFCC articular disk directly to the bone.
  • This method avoids potential complications associated with suture knots, such as soft tissue irritation.

Conclusions:

  • Arthroscopic knotless repair is a viable and advantageous option for peripheral ulnar-sided TFCC tears.
  • This technique facilitates direct repair to bone, potentially improving outcomes and patient comfort.