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Metacarpal Small Incision for Carpal Tunnel Syndrome

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Published on: April 5, 2024

Outcomes of Simultaneous Open Triangular Fibrocartilage Complex Repair with Extensor Carpi Ulnaris Stabilisation.

Mehek Gupta¹, Ellen Y Lee¹, David M K Tan²

¹Department of Hand & Reconstructive Microsurgery, National University Hospital, Singapore.

The Journal of Hand Surgery Asian-Pacific Volume

|January 9, 2026

Summary

This summary is machine-generated.

Simultaneous open repair of triangular fibrocartilage complex (TFCC) tears and extensor carpi ulnaris (ECU) instability yields excellent outcomes. This combined surgical approach effectively resolves ulnar-sided wrist pain and restores function.

Keywords:

Distal radioulnar joint (DRUJ) instability ECU subsheath reconstruction Extensor carpi ulnaris (ECU) subluxation Triangular fibrocartilage complex (TFCC)Ulnar-sided wrist pain

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Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Published on: May 23, 2025

Area of Science:

Orthopedic Surgery
Hand and Wrist Surgery
Sports Medicine

Background:

Triangular fibrocartilage complex (TFCC) tears and extensor carpi ulnaris (ECU) instability frequently occur together.
These concomitant injuries often lead to distal radio-ulnar joint (DRUJ) instability and persistent ulnar-sided wrist pain.

Purpose of the Study:

To evaluate the outcomes of simultaneous open surgical repair for TFCC disruptions and ECU instability.
To assess the efficacy of combined TFCC repair and ECU stabilization in patients with DRUJ instability.

Main Methods:

Retrospective cohort study of 11 patients undergoing simultaneous open TFCC repair and ECU stabilization.
Diagnosis confirmed via clinical examination, MRI (TFCC), and ultrasound (ECU).
Surgical techniques included open foveal TFCC repair with suture anchors and ECU groove deepening with subsheath reconstruction.

Main Results:

Significant improvements observed in range of motion, grip strength (72% to 93%), and Modified Mayo Wrist Score (66.4 to 92.7).
Ten of eleven patients reported being pain-free and able to perform daily activities comfortably post-surgery.
Average follow-up was 18 months, with outcomes sustained over time.

Conclusions:

Simultaneous open repair of TFCC tears and ECU stabilization demonstrates excellent results for DRUJ instability.
Screening for ECU instability in patients with DRUJ issues is recommended, with simultaneous treatment yielding superior outcomes.