The Prevalence of Triangular Fibrocartilage Complex Signal Abnormalities on Magnetic Resonance Imaging Relative to Clinical Suspicion of Pathology

Bendre, Hersh H.; Oflazoglu, Kamilcan; Leeuwen, Wouter F. van; Rakhorst, Hinne; Ring, David; Chen, Neal C.

doi:10.1016/j.jhsa.2018.06.117

Cited by 16 publications

(8 citation statements)

References 29 publications

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“…This reflects the finding that TFCC abnormalities have been found to be common in both symptomatic and asymptomatic individuals. 8 Our study shows that degenerative tears are more common with increasing age (P < .001), which is also in line with previous studies. 8,9 Determining DRUJ degenerative disease can be difficult on MRI.…”

Section: Discussionsupporting

confidence: 93%

“…8 Our study shows that degenerative tears are more common with increasing age (P < .001), which is also in line with previous studies. 8,9 Determining DRUJ degenerative disease can be difficult on MRI. The presence of osteophytes is a reliable indicator for degenerative joint disease, but determining cartilage thickness and joint asymmetry can be confounded by the position of the wrist and elbow.…”

Section: Discussionsupporting

confidence: 93%

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MRI Findings in Patients Undergoing Triangular Fibrocartilage Complex Repairs Versus Patients Without Ulnar-Sided Wrist Pain

Verhiel

Blackburn

Ritt

et al. 2020

Hand (New York, N,Y.)

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Background: The clinical picture of ulnar-sided wrist pain is oftentimes confusing because various pathologies may be coexistent. In this study, we aimed: (1) to compare the prevalence of potential causes of ulnar-sided wrist pain on magnetic resonance imaging (MRI) in patients who underwent triangular fibrocartilage complex (TFCC) repair and control subjects: and (2) to evaluate whether inferior clinical results were associated with specific patient characteristics or other potential causes of ulnar-sided wrist pain. Methods: We included 67 patients who underwent a TFCC repair and 67 control subjects. The MRI scans were examined for sources of ulnar-sided wrist pain. After TFCC repair, 42 patients (63%) completed surveys, including Quick Disabilities of the Arm, Shoulder and Hand and pain scores. Bivariate analysis was performed to compare our groups and to identify factors associated with our outcomes. Results: We found significantly higher rates of distal radioulnar joint (DRUJ) arthritis ( P = .033), extensor carpi ulnaris (ECU) pathology ( P = .028), and ulnar styloid fractures ( P = .028) in patients with TFCC repairs. With increasing age, increasing pathology in the pisotriquetral joint ( P = .040), more ulnocarpal abutment ( P = .0081), and more degenerative tears ( P < .001) were seen in both groups. No demographic characteristics or MRI findings were significantly associated with our outcomes. Conclusions: We observed higher rates of DRUJ arthritis and ECU pathology in patients with TFCC tears undergoing repair compared with age- and sex-matched controls. This may be due to damage to the TFCC itself altering relationships of the DRUJ and the ECU subsheath, or it may reflect various pathologies that cause ulnar-sided wrist pain and drive patients toward surgery.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

MRI Findings in Patients Undergoing Triangular Fibrocartilage Complex Repairs Versus Patients Without Ulnar-Sided Wrist Pain

Verhiel

Blackburn

Ritt

et al. 2020

Hand (New York, N,Y.)

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“…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. MRI, in this series, was only able to detect a TFCC in half of the patients with an arthroscopically confirmed TFCC lesion.…”

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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“…This advancement in image quality has led to recent reports of novel TFCC injury types in addition to the original Palmer classification types (Zhan, Zhang, et al, 2017). The clinical relevance of radiological TFCC injury types and optimal treatment strategy on the other hand, is currently being questioned (Bendre et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

The triangular fibrocartilage complex in the human wrist: A scoping review toward uniform and clinically relevant terminology

et al. 2022

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The Prevalence of Triangular Fibrocartilage Complex Signal Abnormalities on Magnetic Resonance Imaging Relative to Clinical Suspicion of Pathology

Abstract: Diagnostic IV.

Cited by 16 publications

References 29 publications

MRI Findings in Patients Undergoing Triangular Fibrocartilage Complex Repairs Versus Patients Without Ulnar-Sided Wrist Pain

MRI Findings in Patients Undergoing Triangular Fibrocartilage Complex Repairs Versus Patients Without Ulnar-Sided Wrist Pain

Patient-Reported Outcomes following Arthroscopic Triangular Fibrocartilage Complex Repair

The triangular fibrocartilage complex in the human wrist: A scoping review toward uniform and clinically relevant terminology

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