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Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
Published on: May 23, 2025
200
COMPARATIVE RADIOLOGICAL DIAGNOSTICS OF ACUTE TRIANGULAR FIBROCARTILAGE COMPLEX INJURIES
Roman Pavić1,2, Petra Margetić2,3, Mirta Benšić4
1Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Acta Clinica Croatica
|November 18, 2022
Summary
MR arthrography (MRA) and MRI accurately diagnose triangular fibrocartilage complex (TFCC) lesions. Ultrasound is useful for initial assessment, detecting effusions and fractures, but less sensitive for TFCC tears.
Area of Science:
- Orthopedics
- Radiology
- Sports Medicine
Background:
- Triangular fibrocartilage complex (TFCC) lesions are common wrist injuries.
- Accurate diagnosis is crucial for effective treatment and patient outcomes.
Purpose of the Study:
- To compare the diagnostic accuracy of standard x-ray, ultrasound, conventional MRI, and MR arthrography (MRA) for TFCC lesions.
- To evaluate ultrasound's utility in diagnosing TFCC injuries.
- To assess MRA's accuracy relative to MRI for TFCC tear detection.
Main Methods:
- Analysis of 72 patients with suspected TFCC lesions.
- Utilized clinical examination, standard x-rays, ultrasound, conventional MRI, and MRA.
- Confirmed traumatic TFCC injuries using MRI and MRA.
Main Results:
- Ultrasound identified 13 lesions; conventional MRI detected 66; MRA identified 68 TFCC lesions.
- Ultrasound effectively visualizes effusions, soft tissues, bone surfaces, and occult fractures.
- MRI excels at visualizing TFCC cartilage and ligaments; MRA accurately depicts structural abnormalities.
Conclusions:
- MRI and MRA are highly accurate for diagnosing TFCC lesions.
- Ultrasound serves as a valuable initial tool for wrist assessment.
- MRA offers consistent and precise visualization of TFCC structural abnormalities.
