Skeletal Radiology

, Volume 40, Issue 12, pp 1617–1621 | Cite as

Bucket-handle tear of the triangular fibrocartilage complex: case report of a complex peripheral injury with separation of the distal radioulnar ligaments from the articular disc

  • Nicolas Theumann
  • Ehab M. Kamel
  • Christof Bollmann
  • Michael Sturzenegger
  • Fabio BecceEmail author
Case Report


Palmer previously proposed a classification system of triangular fibrocartilage complex (TFCC) injuries that proved to be useful in directing clinical management. However, dorsal peripheral tears (variants of class 1C) were not described and have rarely been reported in the literature since. We herewith present a rare case of bucket-handle tear of the TFCC. To our knowledge, this is the first case demonstrating partial separation of both the palmar and dorsal distal radioulnar ligaments (DRULs) from the articular disc. The particular wrist magnetic resonance (MR) arthrographic findings of this unusual complex peripheral TFCC tear (a variant of both class 1B and 1C) were nicely appreciated upon sagittal reformatted images.


Magnetic Resonance Arthrography Articular Disc Extensor Carpus Ulnaris Triangular Fibrocartilage Complex Ulnar Styloid Process 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The authors gratefully thank Philippe Clavel for his computer graphics work.

Funding or grant



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Copyright information

© ISS 2011

Authors and Affiliations

  • Nicolas Theumann
    • 1
  • Ehab M. Kamel
    • 1
  • Christof Bollmann
    • 2
  • Michael Sturzenegger
    • 3
  • Fabio Becce
    • 1
    Email author
  1. 1.Department of Diagnostic and Interventional Radiology, Centre Hospitalier Universitaire VaudoisUniversity of LausanneLausanneSwitzerland
  2. 2.Department of Plastic and Hand SurgeryClinique Longeraie and Centre Hospitalier Universitaire VaudoisLausanneSwitzerland
  3. 3.Division of Plastic and Hand SurgeryClinique Longeraie and Centre Médical de VidyLausanneSwitzerland

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