Complications after arthroscopic triangular fibrocartilage complex (TFCC) surgery

Abstract

Wrist arthroscopy is a valuable and widely utilized tool in the treatment of triangular fibrocartilage complex (TFCC) injuries. These procedures include synovectomy alone, peri-capsular or transosseous repair, and arthroscopic-assisted reconstruction, and each are associated with specific complications. This review describes the types of complications and their rates in different types of arthroscopic TFCC surgery reported in the literature and in our centre. Across the spectrum of arthroscopic TFCC surgery, complication rates and the learning curve increase with surgical complexity. Relevant anatomy, prevention and management of complications including nerve injury and irritation, extensor tendon injury and tendinitis, fracture, stiffness, and persistence of symptoms or instability are discussed. Vigilance to anatomical details and careful dissection can help to reduce complications that may result in disturbing pain and functional loss.

Navigating complications in hand surgery: a crucial discussion

“…The risks of nerve and tendon injury remain the commonest due to the proximity of these structures to the surgical field. Meticulous attention when making skin incisions for portals and judicious use of radiofrequency probes should be followed as observed by Mak and Ho (2023).…”