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Related Experiment Video

Updated: Nov 3, 2025

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
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Open and Arthroscopic Triangular Fibrocartilage Complex (TFCC) Repair.

Ramesh C Srinivasan1, Jason J Shrouder-Henry, Marc J Richard

  • 1From the The Hand Center of San Antonio (Srinivasan), San Antonio, TX, the Illinois Bone and Joint Institute (Shrouder-Henry), Hinsdale, IL, and the Department of Orthopaedic Surgery (Richard, Ruch), Duke University Medical Center, Durham, NC.

The Journal of the American Academy of Orthopaedic Surgeons
|June 3, 2021
PubMed
Summary

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Triangular fibrocartilage complex (TFCC) tears cause ulnar-sided wrist pain. This review compares open versus arthroscopic surgical repair techniques for TFCC injuries, analyzing current literature on outcomes.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Hand and Wrist Surgery

Background:

  • Triangular fibrocartilage complex (TFCC) tears frequently cause persistent ulnar-sided wrist pain.
  • Diagnosis and non-surgical management are established, but optimal surgical techniques remain debated.

Purpose of the Study:

  • To review current literature on triangular fibrocartilage complex (TFCC) injuries.
  • To compare open versus arthroscopic surgical repair methods for TFCC tears.
  • To provide an up-to-date overview of TFCC injury management.

Main Methods:

  • Comprehensive literature review of TFCC injuries.
  • Analysis of studies comparing open and arthroscopic TFCC repair.
  • Inclusion of data on demographics, risk factors, classification, diagnosis, anatomy, and outcomes.

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Main Results:

  • The review synthesizes information on TFCC injury epidemiology and risk factors.
  • It details diagnostic approaches, including history, physical examination, and imaging.
  • Comparative analysis of open and arthroscopic repair techniques, biomechanics, and rehabilitation is presented.

Conclusions:

  • Optimal surgical technique for TFCC tears (open vs. arthroscopic) requires further comparative study.
  • A thorough understanding of TFCC anatomy and injury patterns is crucial for successful surgical repair.
  • Evidence-based guidelines for TFCC tear management, including surgical indications and outcomes, are discussed.