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Updated: Apr 6, 2026

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
Published on: May 23, 2025
MR Imaging of the Triangular Fibrocartilage Complex.
Michael E Cody1, David T Nakamura2, Kirstin M Small1
1Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Magnetic resonance imaging (MRI) is key for musculoskeletal soft tissue injuries. Optimizing MRI parameters is crucial for clear imaging of the complex triangular fibrocartilage complex (TFCC) and its injuries.
Area of Science:
- Musculoskeletal Radiology
- Advanced Imaging Techniques
- Orthopedic Imaging
Background:
- Magnetic resonance imaging (MRI) offers superior contrast resolution for musculoskeletal soft tissues.
- The triangular fibrocartilage complex (TFCC) presents imaging challenges due to its complex anatomy and small size.
- Optimal imaging of the TFCC requires precise adjustment of image acquisition parameters.
Purpose of the Study:
- To provide a foundation for advanced TFCC imaging.
- To outline factors critical for optimizing MRI acquisition for the TFCC.
- To cover TFCC anatomy, injury classification, and clinical considerations.
Main Methods:
- Detailed review of MRI optimization techniques for TFCC visualization.
- Discussion of arthrography in conjunction with MRI for TFCC assessment.
- Explanation of TFCC anatomy and injury grading systems.
Main Results:
- Identification of key parameters for enhancing TFCC image quality.
- Correlation of imaging findings with TFCC injury types.
- Consideration of clinical presentation and management strategies.
Conclusions:
- Optimized MRI protocols are essential for accurate TFCC evaluation.
- Understanding detailed anatomy and injury classification aids diagnosis.
- Advanced imaging improves the management of TFCC injuries.
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