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Knee Joint

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...

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Triangular Fibrocartilage Complex Repair All Arthroscopic Knotless.

Mollie Manley¹

¹Department of Orthopedic Surgery, Crystal Clinic Orthopedic Center, Akron, OH.

Journal of Hand Surgery Global Online

|June 11, 2025

Summary

Triangular fibrocartilage complex repair techniques are advancing, particularly for foveal tears. Current arthroscopic-assisted methods allow for smaller incisions, improving upon open procedures.

Keywords:

Arthroscopic Foveal repair Knotless Minimally invasive TFCC tear

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Area of Science:

Orthopedic surgery
Wrist biomechanics
Sports medicine

Background:

The triangular fibrocartilage complex (TFCC) is crucial for wrist stability.
TFCC tears, especially foveal tears, present significant clinical challenges.
Surgical repair techniques for the TFCC have evolved over time.

Purpose of the Study:

To review the evolution of TFCC repair techniques.
To highlight current arthroscopic-assisted methods for TFCC repair.
To emphasize the advantages of minimally invasive approaches.

Main Methods:

Review of existing literature on TFCC repair.
Description of historical open surgical techniques.
Explanation of current arthroscopic-assisted techniques involving ulna bone tunnels.

Main Results:

TFCC repair has progressed from open to arthroscopic-assisted procedures.
Repairing foveal tears back to bone is considered the gold standard.
Modern arthroscopic techniques minimize incision size, comparable to port sites.

Conclusions:

Arthroscopic-assisted TFCC repair represents a significant advancement.
Minimally invasive techniques offer improved outcomes and recovery.
The evolution of TFCC repair enhances treatment options for wrist injuries.