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Updated: Dec 13, 2025

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
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Published on: May 23, 2025

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TFCC injuries: How we treat?

Akram Jawed1, Mohammed Tahir Ansari2, Vikas Gupta1

  • 1Hand to Shoulder Division, Max Institute of Musculoskeletal Sciences, Max Super Speciality Hospital, Saket, New Delhi, India.

Journal of Clinical Orthopaedics and Trauma
|August 4, 2020
PubMed
Summary
This summary is machine-generated.

The triangular fibrocartilage complex (TFCC) stabilizes the wrist and absorbs shock. TFCC injuries cause ulnar-sided wrist pain and are treated with conservative measures or surgery, including arthroscopic options.

Keywords:
Arthroscopic repairPalmer classificationTFCC tear

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Area of Science:

  • Orthopedics
  • Anatomy
  • Sports Medicine

Background:

  • The triangular fibrocartilage complex (TFCC) is crucial for wrist joint stability and shock absorption.
  • Its complex anatomy and load transmission make it susceptible to injury and degeneration.
  • TFCC injuries often manifest as ulnar-sided wrist pain, especially during forearm rotation.

Purpose of the Study:

  • To review the anatomy, biomechanics, and management of triangular fibrocartilage complex (TFCC) injuries.
  • To discuss conservative and surgical treatment options for TFCC-related wrist pain.
  • To highlight the role of arthroscopic surgery in TFCC management.

Main Methods:

  • Literature review of anatomical and biomechanical studies on the TFCC.
  • Analysis of clinical presentations and diagnostic patterns of TFCC injuries.
  • Overview of current conservative and surgical treatment modalities.

Main Results:

  • TFCC injuries can result from trauma or degeneration, causing ulnar-sided wrist pain.
  • Conservative treatments include activity modification, splinting, NSAIDs, and corticosteroid injections.
  • Surgical options range from debridement and repair to ulnar unloading procedures, with arthroscopic approaches being increasingly successful.

Conclusions:

  • Effective management of TFCC injuries requires understanding its intricate anatomy and biomechanics.
  • A stepwise approach, starting with conservative measures and progressing to surgery if needed, is recommended.
  • Arthroscopic techniques offer a viable and successful treatment option for a wide spectrum of TFCC conditions.