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Related Concept Videos

Bones of the Upper Limb: Ulna01:15

Bones of the Upper Limb: Ulna

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The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
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Arthroscopic Knotless Peripheral Ulnar-Sided TFCC Repair.

William B Geissler1

  • 1Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Mississippi Health Care, Jackson, Mississippi.

Journal of Wrist Surgery
|May 7, 2015
PubMed
Summary

This study details an all-arthroscopic knotless repair for triangular fibrocartilage complex (TFCC) tears. This technique offers potential for quicker pain relief by avoiding irritating suture knots.

Keywords:
TFCCarthroscopyknotlesswrist

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Wrist Arthroscopy

Background:

  • Peripheral tears of the triangular fibrocartilage complex (TFCC) are a common cause of wrist pain.
  • Traditional TFCC repair techniques can involve suture knots that may cause patient irritation.
  • Arthroscopic approaches offer minimally invasive treatment options for TFCC injuries.

Purpose of the Study:

  • To describe the indications and technique for an all-arthroscopic knotless repair of peripheral TFCC tears.
  • To highlight the advantages of knotless repair, specifically the absence of irritating suture knots.
  • To evaluate the potential for faster procedure times and improved patient outcomes.

Main Methods:

  • All-arthroscopic technique utilizing knotless implants for TFCC peripheral tear repair.
  • Focus on reattaching the articular disk to the fovea of the ulna.
  • Procedure performed without the need for traditional suture knots.

Main Results:

  • The knotless technique allows for direct repair of the TFCC articular disk to the ulna's fovea.
  • Absence of suture knots eliminates a source of potential intra-articular irritation.
  • The author reports a steep learning curve but emphasizes the technique's speed and efficiency once mastered.
  • Anecdotal evidence suggests quicker pain relief compared to other TFCC repair methods.

Conclusions:

  • All-arthroscopic knotless TFCC repair is a viable technique for peripheral tears.
  • Eliminating suture knots may enhance patient comfort and potentially expedite pain relief.
  • Mastery of the technique allows for efficient and rapid surgical intervention.