Arthroscopic Management of Triangular Fibrocartilage Complex Peripheral Injury

Haugstvedt, Jan Ragnar; Soreide, Endre

doi:10.1016/j.hcl.2017.06.005

Cited by 20 publications

(17 citation statements)

References 25 publications

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“…The peripheral TFCC consists of two main components and possesses a complex three-dimensional shape: The proximal triangular ligament inserts in the ulnar fovea and represents the deep layer of the TFCC. It is composed of the dorsal and palmar radioulnar ligament which originate directly from the cortex of the distal radius, frame the central disc and tighten oppositely during pro-and supination to maintain stability of the DRUJ [4][5][6] (Fig. 1).…”

Section: Introductionmentioning

confidence: 99%

The importance of radial multiplanar reconstructions for assessment of triangular fibrocartilage complex injury in CT arthrography of the wrist

Grunz

Gietzen

Luetkens

et al. 2020

BMC Musculoskelet Disord

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Background: Triangular fibrocartilage complex (TFCC) lesions commonly cause ulnar-sided wrist pain and instability of the distal radioulnar joint. Due to its triangular shape, discontinuity of the TFCC is oftentimes difficult to visualize in radiological standard planes. Radial multiplanar reconstructions (MPR) may have the potential to simplify diagnosis in CT wrist arthrography. The objective of this study was to assess diagnostic advantages provided by radial MPR over standard planes for TFCC lesions in CT arthrography. Methods: One hundred six patients (49 women, 57 men; mean age 44.2 ± 15.8 years) underwent CT imaging after wrist arthrography. Two radiologists (R1, R2) retrospectively analyzed three randomized datasets for each CT arthrography. One set contained axial, coronal and sagittal planes (MPR Standard), while the other two included an additional radial reconstruction with the rotating center either atop the ulnar styloid (MPR Styloid) or in the ulnar fovea (MPR Fovea). Readers evaluated TFCC differentiability and condition. Suspected lesions were categorized using Palmer's and Atzei's classification and diagnostic confidence was stated on a fivepoint Likert scale.

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Section: Introductionmentioning

confidence: 99%

The importance of radial multiplanar reconstructions for assessment of triangular fibrocartilage complex injury in CT arthrography of the wrist

Grunz

Gietzen

Luetkens

et al. 2020

BMC Musculoskelet Disord

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“…11 Recent advances in arthroscopic and imaging methods have revealed new lesions of the TFCC not included in the Palmer classification (non-Palmer injuries). 10,[12][13][14] Traumatic Injuries (Palmer Class 1)…”

Section: Triangular Fibrocartilage Complex Injuries Backgroundmentioning

confidence: 99%

“…The origin of these lesions can be traumatic, degenerative, or frequently due to the association of both mechanisms (►Table 1). 10,[12][13][14] The most common non-Palmer injuries are capsular, systematized by Piñal, 12 who differentiated these injuries into detachment of the TFCC from the volar or dorsal capsule, a distal capsular tear representing a detachment of the carpal insertion of the ulnar-carpal ligaments (equivalent to Palmer's class 1C injury), and capsular avulsion in the dorsal aspect of the triquetrum that corresponds to the carpal detachment or Nishikawa lesion, 37 which is probably also a variant of the triquetral impingement ligament tear lesion described by Watson and Weinzweig. Debridement is used to treat central non-Palmer lesions affecting the avascular portion of the TFCC (horizontal flap tears and bucket-handle tears).…”

Section: Non-palmer Injuriesmentioning

confidence: 99%

Postoperative Imaging of Ulnar Wrist Pain

Cerezal

Llopis

Canga

et al. 2021

Semin Musculoskelet Radiol

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Ulnar wrist pain, caused by a broad spectrum of bone and soft tissue injuries, is the most common clinical condition of the wrist. Multiple surgical techniques and their variants in the treatment of these injuries are constantly evolving. Postoperative evaluation of the wrist for many surgeons is limited to serial clinical and radiographic monitoring. However, imaging methods such as ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and arthrographic techniques (arthrographic CT and arthrographic MRI) play a fundamental role in diagnosing and managing postsurgical complications.The several critical aspects in evaluating the postsurgical wrist imaging spectrum are familiarity with the surgical techniques, knowledge of the original clinical problem, understanding the strength and limitations of the different radiologic modalities, and effective communication between surgeon and radiologist.

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“…1 Sus componentes son el disco articular, los ligamentos radiocubitales dorsal y volar, el menisco homólogo, el ligamento colateral cubital y la vaina del extensor carpi ulnaris. [2][3][4][5] Palmer clasificó como tipo 1 (A-D) a las lesiones agudas traumáticas y como tipo 2 (A-E) a las degenerativas. 6 La sección CONTRAPUNTO expone dos perspectivas planteadas para abordar un problema en común, en este caso, la resolución quirúrgica de las lesiones subagudas y crónicas del CFCT con inestabilidad de la articulación radiocubital distal, clasificadas por Palmer (clasificación Atzei-EWAS excluida por ser artroscópica exclusivamente).…”

Section: Introductionunclassified