Abe Y, Tominaga Y, Yoshida K
Department of Orthopaedic Surgery, Saiseikai Shimonoseki General Hospital, Shimonoseki, Japan.
Hand Surg. 2012;17(2):191-8. doi: 10.1142/S0218810412500189.
We demonstrate various patterns of traumatic triangular fibrocartilage complex (TFCC) tears including some atypical that cannot be categorized under Palmer's classification. TFCC traumatic tears in 173 wrists were examined arthroscopically or macroscopically and divided into disk tears (subdivided into four types: slit tear, flap tear, horizontal tear and tear within the distal radioulnar joint) and peripheral tears (subdivided into six types: ulnocarpal ligament tear, dorsal tear, radial tear, ulnar styloid tear, foveal tear and distal radioulnar ligament tear). Combinations of these types were found in 32 wrists. Wrist arthroscopy revealed various traumatic TFCC tears that do not come under Palmer's classification; therefore establishment of a new classification for traumatic TFCC tears seems to be warranted.
我们展示了创伤性三角纤维软骨复合体（TFCC）撕裂的各种模式，包括一些无法归类于帕尔默分类法的非典型情况。对173例腕关节的TFCC创伤性撕裂进行了关节镜检查或大体检查，并分为盘状撕裂（细分为四种类型：裂隙撕裂、瓣状撕裂、水平撕裂和远侧桡尺关节内撕裂）和周边撕裂（细分为六种类型：尺腕韧带撕裂、背侧撕裂、桡侧撕裂、尺骨茎突撕裂、凹部撕裂和远侧桡尺韧带撕裂）。在32例腕关节中发现了这些类型的组合。腕关节镜检查显示了各种不属于帕尔默分类法的创伤性TFCC撕裂；因此，似乎有必要为创伤性TFCC撕裂建立一种新的分类法。
