All-Arthroscopic Foveal Triangular Fibrocartilage Complex Tendon Reconstruction

Area of Science:

• Orthopedic Surgery
• Hand and Wrist Surgery
• Arthroscopy

Background:

• Symptomatic chronic injuries of the triangular fibrocartilage complex (TFCC) often require surgical intervention.
• Foveal reconstruction with palmaris longus tendon graft, as described by Bain, has demonstrated positive outcomes in open procedures.
• Wrist arthroscopy is increasingly utilized for diagnosing and treating various wrist pathologies.

Purpose of the Study:

• To present a novel arthroscopic technique for foveal reconstruction of the triangular fibrocartilage complex.
• To provide a detailed, step-by-step description with illustrations to guide surgeons.
• To offer a minimally invasive alternative to open surgical methods.

Main Methods:

• Arthroscopic foveal reconstruction utilizing a palmaris longus tendon graft.
• Creation of a single osseous ulnar tunnel for graft passage.
• Complete arthroscopic execution of the reconstruction procedure.

Main Results:

• The described technique allows for complete arthroscopic performance.
• It utilizes a single osseous ulnar tunnel, simplifying the procedure.
• Achieves outcomes similar to the established open technique described by Bain.

Conclusions:

• This arthroscopic foveal reconstruction technique offers a viable alternative for TFCC injuries.
• The single osseous tunnel and complete arthroscopic approach enhance surgical feasibility.
• It provides comparable results to open reconstruction methods with potential benefits of arthroscopy.