Brown University, Providence, RI, USA.
The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Hand (N Y). 2023 Nov;18(8):1245-1252. doi: 10.1177/15589447221084125. Epub 2022 Apr 10.
When evaluating the available literature on the diagnosis and management of triangular fibrocartilage complex tears (TFCC), ulnar tears comprise the major focus of TFCC literature. Radial-sided (Class 1D) tears are seldom researched or discussed. The purpose of this study was to review the methods for identifying and treating radial-sided TFCC lesions, by examining the anatomy of the TFCC, the pathology of its radial portion, diagnostic techniques, and both surgical and nonoperative treatments. The avascular nature of the radial TFCC may influence its healing potential. Magnetic resonance arthrogram is the gold standard for non-invasively diagnosing a radial-sided tear. Non-operative management should be exhausted prior to surgical intervention, which commonly involves an inside-out repair involving radial trans-osseous sutures. Still, the literature is limited by patient sample size and therefore requires a greater population of class 1-D tears to confirm optimal diagnostic and treatment methods.
在评估三角纤维软骨复合体（TFCC）损伤的诊断和治疗相关文献时，尺侧撕裂是 TFCC 文献的主要关注点。桡侧（1D 类）撕裂很少被研究或讨论。本研究的目的是通过检查 TFCC 的解剖结构、桡侧部分的病理、诊断技术以及手术和非手术治疗方法，来回顾识别和治疗桡侧 TFCC 病变的方法。TFCC 的无血管特性可能会影响其愈合潜能。磁共振关节造影是无创诊断桡侧撕裂的金标准。在进行手术干预之前，应先尝试非手术治疗，通常包括经皮桡骨骨道内固定修复术。然而，由于患者样本量有限，文献存在一定局限性，因此需要更大的 1D 类撕裂患者群体来确认最佳的诊断和治疗方法。
