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European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 1/2016

01-02-2016 | Review Article

Arthroscopic treatment for ulnar-sided TFCC-tears

Authors: L. Mannil, W. Martin, J. Dahmen, T. Witte, P. G. Juten, F. Deneken, M. Räder, H. H. Homann

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2016

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Abstract

Objective

Ruptures of ulnar-sided triangular fibrocartilaginous complex (TFCC) often occur in cases of trauma. Golden standard for diagnosis is the arthroscopy of the wrist. TFCC lesions are classified according to their location if traumatic in origin or if degenerative according to their severity.

Materials and methods

Recent literature has focused on the ruptures of ulnar-sided triangular fibrocartilaginous complex. This article describes conservative, operative and arthroscopic surgical techniques to reconstruct the triangular fibrocartilaginous complex and restore distal radioulnar joint stability.

Results

The main therapeutic goal should be the stabilization of the DRUJ by reattachment of the torn ligaments in ulnar-sided ruptures to the deep fibers in the fovea. This reinsertion can be performed by transosseous suture, a suture anchor or open.

Conclusion

Central TFCC tears are typically located close to the sigmoid notch of the radius and are either traumatic or degenerative in origin. While central TFCC lesions are usually treated by arthroscopic debridement using small joint punches or a bipolar high frequency system, the ulnar TFCC avulsions can also be refixed arthroscopically in different techniques.
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Metadata
Title
Arthroscopic treatment for ulnar-sided TFCC-tears
Authors
L. Mannil
W. Martin
J. Dahmen
T. Witte
P. G. Juten
F. Deneken
M. Räder
H. H. Homann
Publication date
01-02-2016
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 1/2016
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-015-0593-x

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