New TFCC Reconstructive Technique Using Ulnotriquetral Ligament for the Ulnar Foveal Tear of TFCC

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Foveal TFCC tear classification and treatment.

During the last two decades, increased knowledge of functional anatomy and pathophysiology of the triangular fibrocartilage complex (TFCC) have contributed to a change in surgeons' perspective toward it. The earlier concept of the TFCC as the "hammock" structure of the ulnar carpus has updated to the "iceberg" concept, whereby the much larger "submerged" part represents the foveal insertions of...

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Arthroscopic Repair of the Ulnar Tear of the Tfcc

Purpose: Repair of the ulnar tear of the triangular fibrocartilage complex (TFCC) is controversial. We presented arthroscopic repair technique of the ulnar disruption of the TFCC. Methods: Seventeen wrists of ulnar side tear of the TFCC were treated by arthroscopic trans-ulnar or capsular repair technique. Relief of pain, changes in range of rotation, and DRUJ instability was examined preand po...

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How I manage TFCC injuries

The TFCC consists of triangular fibrocartilage (TFC), meniscus homologue, ulnolunate ligament, ulnotriquetral ligament, radioulnar ligament, and sheath floor of the extensor carpi ulnaris (ECU). The TFCC functions as a stabilizer of the ulnocarpal and DRU joints, load distributor between ulna and ulnar carpus and introduces smooth forearm rotation. The TFCC is a hammock-like shape supporting an...

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Open repair of the triangular fibrocartilage complex from palmar aspect.

Background Although foveal tears of the triangular fibrocartilage complex (TFCC) can be surgically reattached to the fovea via a dorsal approach, the foveal lesion is difficult to visualize from the dorsal side because the extensor carpi ulnaris (ECU) sheath floor and the superficial dorsal limb of the radioulnar ligament hinders the view of the fovea. Materials and Methods Twenty-one patients ...

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Anatomical Reattachment of the TFCC to the Ulnar Fovea Using an ECU Half-Slip.

Background Since 1998, we treated 25 wrists with foveal detachment of the triangular fibrocartilage complex (TFCC) by our original reattachment technique using a half-slip of the extensor carpi ulnaris (ECU) tendon with a very small titanium interference screw. We examine the clinical outcome of this procedure with a minimum of 2 years follow-up. Patients and Methods There were 25 wrists of 24 ...

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ژورنال

عنوان ژورنال: The Journal of Hand Surgery

سال: 2018

ISSN: 0363-5023

DOI: 10.1016/j.jhsa.2018.06.065