Department of Orthopaedic Surgery, Duke University, 4709 Creekstone Drive, Durham, NC 27703, USA.
Department of Orthopaedic Surgery, Stanford University, 450 Broadway Street, MC: 6120, Redwood City, CA 94603, USA.
Hand Clin. 2021 Nov;37(4):493-505. doi: 10.1016/j.hcl.2021.06.006.
The triangular fibrocartilage complex (TFCC) is an intricate structure that plays an important role in providing distal radioulnar joint stability and load transmission at the ulnar wrist. Understanding this structure is critical for creating treatment plans based on patient history, physical examination, and imaging. Arthroscopic, arthroscopic-assisted, and open surgical treatment options exist for tears meeting distinct surgical criteria that are discussed in this article. Although long-term comparative outcomes studies are limited, long-term retrospective outcome studies of TFCC repair and reconstructive techniques demonstrate improvement in pain, stability, range of motion, and disability.
三角纤维软骨复合体(TFCC)是一种复杂的结构,在提供远端桡尺关节稳定性和在尺侧腕传递负荷方面起着重要作用。了解这个结构对于根据患者的病史、体格检查和影像学检查制定治疗计划至关重要。对于符合本文讨论的明确手术标准的撕裂,存在关节镜、关节镜辅助和开放性手术治疗选择。尽管长期比较结果研究有限,但 TFCC 修复和重建技术的长期回顾性结果研究表明疼痛、稳定性、活动范围和残疾都得到了改善。