MR imaging of the traumatic triangular fibrocartilaginous complex tear

Ng, Alex Wing Hung; Griffith, James F.; Fung, Cindy S. Y.; Lee, Ryan K. L.; Tong, Cina S. L.; Ck, Wong; Tse, Wing Lim; Ho, Pak Cheong

doi:10.21037/qims.2017.07.01

Cited by 41 publications

(23 citation statements)

References 54 publications

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“…16,17 Magnetic resonance imaging (MRI) is frequently used to detect TFCC tears. 18 The wide variety in quality of MRI and interpretation of MRI results in a range of sensitivity from 0.76 to 1.0 and specificity from 0.41 to 1.0. 19 MRI was performed in half of our patients.…”

Section: Discussionmentioning

confidence: 99%

Patient-Reported Outcomes following Arthroscopic Triangular Fibrocartilage Complex Repair

2019

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Background Triangular fibrocartilage complex (TFCC) injury is a common cause of ulnar-sided wrist pain, which may lead to serious physical impairments. Arthroscopic repair has benefits such as less soft tissue damage, greater surgical accuracy, and may lead to faster recovery than open repair. Objective The purpose of this study was to determine the functional outcome of patients with symptomatic TFCC injuries treated with arthroscopic debridement or repair. Patients and Methods A retrospective study of all consecutive patients with a TFCC injury treated arthroscopically was conducted. The primary outcome was the patient-rated wrist evaluation (PRWE) score. Secondary outcomes were, pain, operative findings, complications, and additional treatment. Results A total of 51 patients with a median follow-up of 16.5 months (interquartile range [IQR]: 13–25) were included. Injuries were treated with TFCC debridement (n = 25), TFCC ligament to capsule suturing (n = 10), TFCC debridement and ligament to capsule suturing (n = 7), TFCC debridement and synovectomy (n = 5), and TFCC foveal reinsertion with a suture anchor (n = 4). The median PRWE was 19.5 (IQR: 6–49). Complications occurred in three patients and in nine patients additional surgery was performed. Conclusion Arthroscopic treatment of TFCC lesions leads to satisfactory functional outcomes. Level of Evidence This is a Level IV study.

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Section: Discussionmentioning

confidence: 99%

Patient-Reported Outcomes following Arthroscopic Triangular Fibrocartilage Complex Repair

2019

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“…Arthroscopy is useful in two ways. It helps to confirm the proximal TFCC lesion (which may still be in doubt after MRI or CT arthrography) [26]. In this scenario, the TFCC can be reattached with less negative impact on the DBUN than an open technique.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic-assisted 6U approach for foveal reattachment of triangular fibrocartilage complex with an anchor: Clinical and radiographic outcomes at 4 years’ mean follow-up

Auzias

Camus²,

Moungondo

et al. 2020

Hand Surgery and Rehabilitation

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“…The vast majority of TFCC tears can be identified on nonarthrographic MR examinations. 28 However, minor perforations and small tears, especially in the periphery of the TFCC, may be overlooked. 2 Arthrography is the gold standard for diagnosing TFCC tears.…”

Section: Tip 9: Know the Benefits Of Magnetic Resonance Arthrographymentioning

confidence: 99%

“…If no contrast leakage into the DRUJ is observed, contrast can be injected into the DRUJ, providing good delineation of the proximal surface of the articular disk and enabling a partial tear of the articular disk surface to be recognized. 28 Magnetic resonance arthrography (MRA) has marginally higher sensitivity and specificity for revealing TFCC tears compared with non-MRA. 31 However, arthrography has several disadvantages.…”

Section: Tip 9: Know the Benefits Of Magnetic Resonance Arthrographymentioning

confidence: 99%

Top-Ten Tips for Imaging the Triangular Fibrocartilaginous Complex

Tong

Hung

et al. 2019

Semin Musculoskelet Radiol

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The triangular fibrocartilage complex (TFCC) is a crucial structure for both maintaining the stability of the distal radioulnar joint (DRUJ) and acting as a cushion for axial loading of the ulnocarpal joint. Injury to the TFCC can lead to early degeneration of the DRUJ and ulnocarpal joint, with resultant chronic wrist pain and weakness. The TFCC is a moderately complex structure with several attachments to the adjacent bony and cartilaginous structures. Familiarity with the anatomy of the TFCC is a prerequisite for identification of TFCC tears. Several pitfalls can occur while assessing the TFCC on magnetic resonance imaging (MRI) if one is not familiar with the MRI appearances. This article illustrates key tips for diagnosing TFCC tears on MRI.

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MR imaging of the traumatic triangular fibrocartilaginous complex tear

Cited by 41 publications

References 54 publications

Patient-Reported Outcomes following Arthroscopic Triangular Fibrocartilage Complex Repair

Patient-Reported Outcomes following Arthroscopic Triangular Fibrocartilage Complex Repair

Arthroscopic-assisted 6U approach for foveal reattachment of triangular fibrocartilage complex with an anchor: Clinical and radiographic outcomes at 4 years’ mean follow-up

Top-Ten Tips for Imaging the Triangular Fibrocartilaginous Complex

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