Arthroscopic grading of common wrist disorders and its role in management

Bayoumy, Maysara Abdelhalim; Elkady, Hesham A.; Said, Hatem G.; El‐Sayed, Amr; Saleh, Waleed Riad

doi:10.1016/j.jor.2015.10.004

Cited by 8 publications

(9 citation statements)

References 26 publications

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“… 41 Nonsurgical management includes activity modification, immobilization, and anti-inflammatory medications. 42 , 43 Several surgical options may be considered if conservative measurements have been unsuccessful.…”

Section: Traumatic and Degenerative Lesions Of The Tfccmentioning

confidence: 99%

“…The surgical options include debridement of the TFCC and LTL, chondroplasty, possible arthroscopic reduction, and internal fixation of the lunotriquetral interval if unstable and/or ulnar shortening. 43 Ulnar shortening is utilized in these lesions, as it stabilizes the lunotriquetral joint by increasing tension on the LTL. An isolated wafer procedure is not utilized in these lesions, as it unloads the ulnocarpal joint, but does not stabilize the lunotriquetral joint.…”

Section: Class 2 Lesions (Degenerative)mentioning

confidence: 99%

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High-Resolution 3T MR Imaging of the Triangular Fibrocartilage Complex

Borstel¹,

Wang²,

Small

et al. 2017

magn reson med sci

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This study is intended as a review of 3Tesla (T) magnetic resonance (MR) imaging of the triangular fibrocartilage complex (TFCC). The recent advances in MR imaging, which includes high field strength magnets, multi-channel coils, and isotropic 3-dimensional (3D) sequences have enabled the visualization of precise TFCC anatomy with high spatial and contrast resolution. In addition to the routine wrist protocol, there are specific techniques used to optimize 3T imaging of the wrist; including driven equilibrium sequence (DRIVE), parallel imaging, and 3D imaging. The coil choice for 3T imaging of the wrist depends on a number of variables, and the proper coil design selection is critical for high-resolution wrist imaging with high signal and contrast-to-noise ratio. The TFCC is a complex structure and is composed of the articular disc (disc proper), the triangular ligament, the dorsal and volar radioulnar ligaments, the meniscus homologue, the ulnar collateral ligament (UCL), the extensor carpi ulnaris (ECU) tendon sheath, and the ulnolunate and ulnotriquetral ligaments. The Palmer classification categorizes TFCC lesions as traumatic (type 1) or degenerative (type 2). In this review article, we present clinical high-resolution MR images of normal TFCC anatomy and TFCC injuries with this classification system.

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Section: Traumatic and Degenerative Lesions Of The Tfccmentioning

confidence: 99%

Section: Class 2 Lesions (Degenerative)mentioning

confidence: 99%

High-Resolution 3T MR Imaging of the Triangular Fibrocartilage Complex

Borstel¹,

Wang²,

Small

et al. 2017

magn reson med sci

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“…Use of widely recognised classification systems (e.g. Geissler, Palmer, and Outerbridge 17 ), together with a written description and photographic images, allows for detailed and accurate documentation of pathology, and can be used to guide further treatment.…”

Section: Surface Anatomymentioning

confidence: 99%

Bare bones: Fundamentals of diagnostic wrist arthroscopy

Hoyle¹,

Talwalkar²,

Murali³

2021

Journal of Clinical Orthopaedics and Trauma

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Diagnostic wrist arthroscopy is an essential component of the modern orthopaedic wrist surgeon's skill set. Fundamental elements of diagnostic wrist arthroscopy include pre-operative planning and consent, operative set up, surface anatomy, a systematic approach and applied clinical anatomy, and closure. These fundamentals are described, including options and preferences for implementation. A sound understanding of these elements is key to lay the foundations for successful clinical procedures.

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“…Notably, MRI is more applicable owing to its less invasiveness and has good accuracy in detecting articular disc lesions (Figure 2A–C), adjacent bony edema, adjacent ligament tears (Figure 2D), and cartilage degeneration [26]. The Palmer classification [1] is widely preferred for categorizing TFCC lesions using MRI, which is also helpful for guiding patient management [27].…”

Section: Imaging (Other Than Us)mentioning

confidence: 99%

Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries

Chang

Mezian

et al. 2019

JCM

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The triangular fibrocartilage complex (TFCC) serves as the major stabilizer of the wrist. Its injuries can result from trauma or degeneration, both of which are strongly correlated with the loading stress on the ulnar shaft and carpal joints. The TFCC is made of the articular disc, meniscus homologue, ulnocarpal ligament, radioulnar ligament, ulnotriquetral ligament, ulnolunate ligament, and subsheath of the extensor carpi ulnaris tendon. Because of its complexity, it is challenging to confirm the exact component affected in TFCC injuries. The Palmer classification is widely used for investigation of TFCC lesions using magnetic resonance imaging. Recently, high-resolution ultrasound (US) has become more popular in diagnosing musculoskeletal disorders. However, the utility of US imaging in TFCC lesions is less common because its anatomy under US imaging is not described in the current literature. Accordingly, in this review, we aimed to propose a standard US scanning protocol for the TFCC, present relevant images for its pathologies, and illustrate appropriate US-guided injection techniques for their management.

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Arthroscopic grading of common wrist disorders and its role in management

Cited by 8 publications

References 26 publications

High-Resolution 3T MR Imaging of the Triangular Fibrocartilage Complex

High-Resolution 3T MR Imaging of the Triangular Fibrocartilage Complex

Bare bones: Fundamentals of diagnostic wrist arthroscopy

Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries

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