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Arthroscopic repairs of triangular fibrocartilage complex tears
P Baehser-Griffith1, J M Bednar, A L Osterman
1Philadelphia Hand Center, USA.
AORN Journal
|July 1, 1997
Summary
Arthroscopic surgery effectively treats triangular fibrocartilage complex (TFCC) tears, a common cause of wrist pain. This minimally invasive approach offers outcomes similar to open surgery, benefiting patients with ulnar-sided wrist injuries.
Area of Science:
- Orthopedics
- Sports Medicine
- Hand Surgery
Background:
- Traumatic injuries often cause triangular fibrocartilage complex (TFCC) tears, leading to ulnar-sided wrist pain.
- The TFCC plays a crucial role in wrist biomechanics and stability.
- Arthroscopic techniques have advanced, enhancing the evaluation and treatment of intraarticular wrist pathologies.
Purpose of the Study:
- To review the anatomy, physiology, and biomechanics of the TFCC.
- To discuss common mechanisms of TFCC injury.
- To outline the principles and techniques of arthroscopic TFCC tear repair.
Main Methods:
- Review of current literature on TFCC anatomy, biomechanics, and injury.
- Description of arthroscopic surgical techniques for TFCC repair.
- Discussion of the collaborative team approach required for successful outcomes.
Main Results:
- Arthroscopic evaluation and treatment of TFCC tears are feasible and effective.
- Outcomes of arthroscopic TFCC repair are comparable to traditional open surgical methods.
- Successful treatment necessitates a multidisciplinary team approach.
Conclusions:
- Arthroscopic repair is a viable and effective treatment option for TFCC tears.
- Minimally invasive arthroscopic surgery offers comparable results to open procedures for TFCC injuries.
- A coordinated team effort is essential for optimal patient outcomes in TFCC tear management.