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Updated: Oct 18, 2025

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
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Triangular Fibrocartilage Complex Repair/Reconstruction.

Lauren M Shapiro1, Jeffrey Yao2

  • 1Department of Orthopaedic Surgery, Duke University, 4709 Creekstone Drive, Durham, NC 27703, USA.

Hand Clinics
|October 4, 2021
PubMed
Summary
This summary is machine-generated.

The triangular fibrocartilage complex (TFCC) is crucial for wrist stability and function. Surgical repairs and reconstructions of TFCC tears can significantly improve wrist pain, stability, and motion.

Keywords:
Triangular fibrocartilage complex reconstructionTriangular fibrocartilage complex repairTriangular fibrocartilage complex tearUlnar-sided wrist pain

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Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Anatomy
  • Biomechanical Engineering

Background:

  • The triangular fibrocartilage complex (TFCC) is vital for distal radioulnar joint stability and ulnar wrist load transmission.
  • Accurate understanding of TFCC anatomy and function is essential for effective patient management.
  • Diagnosis relies on patient history, physical examination, and advanced imaging techniques.

Purpose of the Study:

  • To review the anatomy and biomechanical importance of the TFCC.
  • To discuss current surgical criteria and techniques for TFCC tear management.
  • To evaluate the long-term outcomes of TFCC repair and reconstruction.

Main Methods:

  • Review of existing literature on TFCC anatomy, injury patterns, and surgical treatments.
  • Analysis of retrospective outcome studies focusing on TFCC repair and reconstructive procedures.
  • Discussion of arthroscopic, arthroscopic-assisted, and open surgical modalities.

Main Results:

  • Surgical interventions are indicated for specific TFCC tear criteria.
  • Long-term retrospective studies show positive outcomes following TFCC repair and reconstruction.
  • Improvements observed in pain reduction, joint stability, range of motion, and functional disability.

Conclusions:

  • TFCC tears require careful diagnosis and tailored treatment plans.
  • Surgical management of TFCC tears can lead to significant functional recovery.
  • Further comparative outcome studies are needed to refine treatment strategies.