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Updated: Feb 21, 2026

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Chronologic and Geographic Trends of Triangular Fibrocartilage Complex Repair.

Taichi Saito1, Jennifer M Sterbenz2, Kevin C Chung3

  • 1Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA; Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan.

Hand Clinics
|October 10, 2017
PubMed
Summary
This summary is machine-generated.

Trends in triangular fibrocartilage complex (TFCC) repair show shifts in techniques and geographic focus. Understanding these repair trends aids clinicians in optimizing treatment for TFCC tears.

Keywords:
ArthroscopyChronologic trendsGeographic trendsTFCC repairWrist

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Area of Science:

  • Orthopedic surgery
  • Hand and wrist surgery

Background:

  • The triangular fibrocartilage complex (TFCC) is crucial for distal radioulnar joint stability.
  • TFCC tears are common wrist injuries requiring surgical repair.
  • Various surgical techniques exist for TFCC repair, including inside-out, outside-in, all-inside, and open methods.

Purpose of the Study:

  • To analyze trends in TFCC repair methods from 1990 to the present.
  • To examine geographic variations in TFCC repair techniques.
  • To identify emerging repair strategies for TFCC tears.

Main Methods:

  • Systematic review of literature on TFCC repair techniques.
  • Analysis of repair methods based on tear location (ulnar-sided vs. radial-sided).
  • Tracking of repair technique frequency by geographic region and year.

Main Results:

  • The outside-in technique is frequently reported for ulnar-sided TFCC tears.
  • The inside-out technique is most commonly used for radial-sided TFCC tears.
  • Foveal reattachment for ulnar-sided tears is increasingly reported, particularly in Asia.

Conclusions:

  • Surgical repair trends for TFCC tears have evolved over time.
  • Geographic differences and specific tear locations influence technique selection.
  • Emerging techniques like foveal reattachment highlight advancements in TFCC tear management.