Zhou Joanne Y, Tuyishime Hubert, Yao Jeffrey
Department of Orthopaedic Surgery, Stanford University, Stanford, CA.
Stanford University School of Medicine, Stanford, CA.
J Hand Surg Glob Online. 2024 Apr 20;6(4):445-457. doi: 10.1016/j.jhsg.2024.03.011. eCollection 2024 Jul.
Triangular fibrocartilage complex (TFCC) injuries are a common cause of ulnar-side wrist pain and may progress to persistent pain, instability of the distal radioulnar joint, and arthritis if left untreated. Diagnosis and management of these injuries requires a nuanced understanding of features pertinent to the clinical presentation, imaging, and arthroscopic findings for accurate management. Arthroscopic-assisted repair techniques have revolutionized surgical management, providing detailed visualization and facilitating the repair of TFCC injuries and associated pathologies with minimally invasive techniques. In this review, we discuss the anatomy of the TFCC, history and examination of ulnar-sided pathology, imaging findings, and classification schemes and review surgical techniques for the treatment of TFCC injuries. We also touch on pearls and pitfalls of the techniques, complications, and results of treatment.
三角纤维软骨复合体(TFCC)损伤是尺侧腕部疼痛的常见原因,如果不治疗,可能会发展为持续性疼痛、下尺桡关节不稳定和关节炎。这些损伤的诊断和管理需要对与临床表现、影像学和关节镜检查结果相关的特征有细致的了解,以便进行准确的管理。关节镜辅助修复技术彻底改变了手术管理方式,提供了详细的可视化,并通过微创技术促进了TFCC损伤及相关病变的修复。在本综述中,我们讨论了TFCC的解剖结构、尺侧病变的病史和检查、影像学表现、分类方案,并回顾了治疗TFCC损伤的手术技术。我们还涉及了这些技术的要点和陷阱、并发症以及治疗结果。