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Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
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Radial Sided Triangular Fibrocartilage Complex Tears: A Comprehensive Review.

Nicholas A Messina1, Kieran S Dowley1, Jeremy E Raducha2,3

  • 1Brown University, Providence, RI, USA.

Hand (New York, N.Y.)
|April 11, 2022
PubMed
Summary

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This study reviews diagnosis and treatment for rare radial-sided triangular fibrocartilage complex (TFCC) tears. Limited research highlights the need for more data on these specific TFCC injuries.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Radiology

Background:

  • Literature on triangular fibrocartilage complex (TFCC) tears predominantly focuses on ulnar-sided lesions.
  • Radial-sided (Class 1D) TFCC tears are underrepresented in research and clinical discussion.

Purpose of the Study:

  • To review diagnostic methods and treatment strategies for radial-sided TFCC lesions.
  • To examine the anatomy, pathology, and healing potential of the radial TFCC.

Main Methods:

  • Literature review focusing on TFCC anatomy, radial portion pathology, and diagnostic techniques.
  • Analysis of non-operative and surgical treatment options, including inside-out repair with trans-osseous sutures.

Main Results:

Keywords:
anatomybasic sciencecartilagediagnosisligamentsoft tissue reconstructionspecialtysurgerytraumavascularwrist

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  • The avascular nature of the radial TFCC may impact its healing capacity.
  • Magnetic resonance arthrogram is identified as the gold standard for diagnosing radial-sided TFCC tears.
  • Non-operative management is recommended before considering surgical intervention.

    • Conclusions:

    • Current literature on radial-sided TFCC tears is limited by small patient sample sizes.
    • Further research with larger populations is necessary to establish optimal diagnostic and treatment protocols for Class 1D TFCC tears.