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Radial Side Tear of the Triangular Fibrocartilage Complex

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Arthroscopic Management of Distal Radius Fractures

Abstract

Distal radius fracture induces various soft tissue disruptions. Radial tear of the triangular fibrocartilage complex (TFCC) is a typical soft tissue injury associated with the distal radius fracture. The radial tear of the TFCC includes fibrocartilage central tear and dorsal or palmar rim tear; the latter two may induce distal radioulnar joint (DRUJ) instability [3]. Intrafibro­cartilage tear of the TFC may not be associated with DRUJ instability. When the DRUJ indicates severe instability in the radial tear of the TFCC, the rim area must be repaired, as opposed to the tear inside the fibrocartilage area which just needs arthroscopic partial resection.

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References

  1. Cooney W, Linscheid R, Dobyns J. Triangular fibrocartilage tears. J Hand Surg. 1994;19A:143–54

    Google Scholar 

  2. Fellinger M, Peicha G, Seibert FJ, et al. Radial avulsion of the triangular fibrocartilage complex in acute wrist trauma: a new technique for arthroscopic repair. Arthroscopy. 1997;13: 370–4

    Article  CAS  PubMed  Google Scholar 

  3. Kihara H, Short WH, Werner FW, et al. The stabilizing mechanism of the distal radioulnar joint during pronation and supination. J Hand Surg. 1995;11A:798–804

    Google Scholar 

  4. Morisawa Y, Nakamura T, Tazaki K. Dorsoradial avulsion of the triangular fibrocartilage complex with an avulsion fracture of the sigmoid notch of the radius. J Hand Surg. 2007; 32E:705–8

    Google Scholar 

  5. Moritomo H, Murase T, Arimitsu S, et al. Changes in length of the ulnocarpal ligaments during radiocarpal motion: possible impact on triangular fibrocartilage complex foveal tears. J Hand Surg. 2008;33A:1278–86

    Google Scholar 

  6. Nakamura T, Yabe Y. Histological anatomy of the triangular fibrocartilage complex of the human wrist. Ann Anat. 2000; 182:567–72

    Article  CAS  PubMed  Google Scholar 

  7. Nakamura T, Yabe Y, Horiuchi Y. Functional anatomy of the triangular fibrocartilage complex. J Hand Surg. 1996;21B: 581–6

    Google Scholar 

  8. Nakamura T, Yabe Y, Horiuchi Y. Dynamic changes in the shape of the triangular fibrocartilage complex during rotation demonstrated with high resolution magnetic resonance imaging. J Hand Surg. 1999;24B:338–41

    Google Scholar 

  9. Nakamura T, Yabe Y, Horiuchi Y. Origins and insertions of the triangular fibrocartilage complex: a histological study. J Hand Surg. 2001;26B:446–54

    Google Scholar 

  10. Palmer AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg. 1989;14A:594–606

    Google Scholar 

  11. Palmer AK, Werner FW. The triangular fibrocartilage complex of the wrist – anatomy and function. J Hand Surg. 1981; 6:153–62

    CAS  Google Scholar 

  12. Skahen JR, Palmer AK, Levinsohn EM, et al. Magnetic resonance imaging of the triangular fibrocartilage complex. J Hand Surg. 1990;15A:552–7

    Google Scholar 

  13. Trumble TE, Gilbert M, Vedder N. Isolated tears of the triangular fibrocartilage: management by early arthroscopic repair. J Hand Surg. 1997;22A:57–65

    Google Scholar 

  14. Yoshioka H, Ueno T, Tanaka T, et al. High-resolution MR Imaging of triangular fibrocartilage complex (TFCC): comparison of microscopy coils and a conventional small surface coil. Skeletal Radiol. 2003;32:575–81

    Article  PubMed  Google Scholar 

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Acknowledgment

The author appreciates Dr Yasushi Morisawa with his help.

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Correspondence to Toshiyasu Nakamura MD, PhD .

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© 2010 Springer-Verlag Berlin Heidelberg

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Nakamura, T. (2010). Radial Side Tear of the Triangular Fibrocartilage Complex. In: Piñal, F., Luchetti, R., Mathoulin, C. (eds) Arthroscopic Management of Distal Radius Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05354-2_7

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  • DOI: https://doi.org/10.1007/978-3-642-05354-2_7

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