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Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Updated: Feb 17, 2026

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

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Published on: May 23, 2025

Triangular Fibrocartilage Complex Injuries in Racquet Sport Players: Prevalence, Management, and Outcomes.

Anagh Astavans¹, Indeevar R Beeram¹, Dawn M LaPorte¹

¹Johns Hopkins University, Baltimore, MD, USA.

Hand (New York, N.Y.)

|February 16, 2026

Summary

This summary is machine-generated.

Triangular fibrocartilage complex (TFCC) injuries are common in athletes, especially tennis players. Most TFCC injuries resolve with nonoperative treatment, but age and prior TFCC issues can hinder return to activity.

Keywords:

conservative management racquet sports surgical debridement surgical repair tennis triangular fibrocartilage complex tear wrist injury

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Published on: September 2, 2025

Area of Science:

Orthopedic Surgery
Sports Medicine
Biomechanics

Background:

Triangular fibrocartilage complex (TFCC) injuries are prevalent among athletes, causing significant pain and limiting function.
Racquet sports are a common cause of TFCC injuries, impacting athletic performance.
Understanding injury patterns, treatment, and outcomes is crucial for athletes' recovery.

Purpose of the Study:

To characterize TFCC injuries in athletes, focusing on racquet sport participants.
To analyze treatment strategies and patient outcomes following TFCC injury.
To identify risk factors associated with TFCC injury and return to baseline activity.

Main Methods:

Retrospective review of wrist soft tissue injuries diagnosed with TFCC injury over 9 years.
Screening for patients involved in racquet sports, with exclusion of those lacking treatment or follow-up data.
Data collection included demographics, injury/treatment specifics, return to baseline activity (RTBA) time, and complications.

Main Results:

Of 700 TFCC injuries, 23.1% occurred during sports, with 15.4% in racquet sports (21 tennis players).
Most injured athletes were male adolescents playing competitively; 75% injured their dominant wrist, 35% had ulnar-sided tears.
17 patients achieved RTBA (average 134 days); nonoperative treatment succeeded in 73.3%, surgery in 100%.

Conclusions:

TFCC injuries disproportionately affect tennis players.
Nonoperative treatment yielded favorable outcomes in 73.3% of cases; surgical treatment was successful in all cases.
Prior TFCC pathology and age over 50 were linked to unsuccessful return to baseline activity.