New Tuohy needle technique for triangular fibrocartilage complex repair: Preliminary studies

Ulnar-sided Wrist Pain: Evaluation and Treatment of Triangular Fibrocartilage Complex Tears, Ulnocarpal Impaction Syndrome, and Lunotriquetral Ligament Tears

“…Traction is taken off the tower while tying the sutures to take tension off the repair. 40 The outside-in repair is accomplished by first making an ulnar incision and placing a curved repair device through the ulnar capsule and torn TFCC. A wire loop retriever is used to pull the suture back through the ulnar capsule, allowing both limbs to be tied in the ulnar wound.…”

All-Arthroscopic Triangular Fibrocartilage Complex Repair: Safety and Biomechanical Comparison With a Traditional Outside-in Technique in Cadavers

“…Tears may be seen in the face of ulnar impaction syndrome, an acute rotational injury, or an axial load to an outstretched, pronated arm, as seen in falls. [1][2][3][4][5][6][7][8][9][10]14,15,17,19,20,22,23 There is also a 13% to 60% incidence of TFCC tears with distal radius frac- tures. 10,25 The incidence of these tears appears to be on the rise as our population becomes more active and our ability to make the diagnosis improves.…”

Arthroscopic all-inside repair of Palmer type 1B triangular fibrocartilage complex tears: a technical note

“…The traumatic lesions are further classified into the subgroups 1A through 1D according to the location of the tear within the TFCC. The most common lesion in class 1 TFCC tear is Palmer 1B lesion, which is repaired arthroscopically [1,5,9,11,12]. Fig.…”

“…2 a The 20-gauge needle first penetrates the proximal dorsal capsule, crosses the tear, and then exits the carpal surface of the torn TFC. b After retrieving the suture, the needle is pulled back into the subcutaneous tissue below the skin, reinserted upward, and penetrated through the distal dorsal capsule, making the loop of the suture over needle tip Several arthroscopic repair techniques for Palmer type 1B TFCC lesions have been described, including outside-in [1,9,11,12] and inside-out [5] arthroscopic techniques and have yielded encouraging results in many studies [5,9,12]. However, both of these techniques are necessary to make an extra incision to tie the sutures subcutaneously.…”