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TILT Following a TFCC Tear: A Case Report
Ronit Wollstein1, Jignesh Unadkat, Aaron Grand
1Division of Plastic and Reconstructive Surgery and the Department of Orthopedic Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Journal of Wrist Surgery
|August 2, 2013
Summary
Dorsal proximal triquetral impingement, caused by a torn triangular fibrocartilage complex (TFCC) after ulnar styloid repair, can cause wrist pain. Simple burring to remove impinging tissue relieved symptoms in this case.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Hand and Wrist Surgery
Background:
- Ulnar-sided wrist pain is a common complaint, often associated with injuries to the triangular fibrocartilage complex (TFCC).
- Failed TFCC repairs can lead to persistent symptoms, necessitating further investigation into underlying causes.
Observation:
- A case of dorsal proximal triquetral impingement is presented, stemming from tissue accumulation at the ulnar styloid repair site.
- The impinging tissue was identified as originating from the torn TFCC.
Findings:
- Surgical removal of the impinging soft tissue via simple burring resulted in complete symptom relief.
- This highlights soft tissue impingement on the triquetrum as a potential cause of ulnar-sided wrist pain.
Implications:
- Soft tissue impingement, whether from intra-articular or extra-articular sources, should be considered in cases of persistent ulnar-sided wrist pain post-TFCC repair.
- Simple burring may be an effective treatment for this specific type of impingement.
- Further research into the varied sources of soft tissue impingement in the wrist is warranted.
