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Arthroscopy Techniques
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    • Cover Image - Arthroscopy Techniques, Volume 12, Issue 3
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  • Hand & Wrist Videos: TFCC

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  • Ali, Abdelaziz M1
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  • Technical Note
    Open Access

    Arthroscopic Treatment of Type 1B Triangular Fibrocartilage Complex Tear by “Outside-In” Repair Technique Using Transcapsular Transverse Mattress Suture

    Arthroscopy Techniques
    Vol. 6Issue 5e1581–e1586Published online: September 11, 2017
    • Maysara Abdelhalim Bayoumy
    • Amr El-Sayed
    • Hesham A. Elkady
    • Waleed Reyad Saleh
    • Hatem G. Said
    • Abdelaziz M. Ali
    Cited in Scopus: 6
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    Triangular fibrocartilage complex (TFCC) injuries are increasingly recognized as a cause of ulnar-sided wrist pain. Palmer grouped these tears into either traumatic or degenerative, with various subclassifications. Magnetic resonance imaging (MRI), arthrogram, and arthroscopy are the methods used to establish the diagnosis. Several arthroscopic methods of TFCC repair including outside-in, inside-out, and all-inside techniques have been described. The outside-in repair, which involves piercing the TFCC via the ulnar side of the wrist, has been described by several authors, but the technique varies among authors with respect to instrumentation and subtle surgical modifications.
    Arthroscopic Treatment of Type 1B Triangular Fibrocartilage Complex Tear by “Outside-In” Repair Technique Using Transcapsular Transverse Mattress Suture
  • Technical Note
    Open Access

    Arthroscopically Assisted Transosseous Foveal Repair of Triangular Fibrocartilage Complex

    Arthroscopy Techniques
    Vol. 6Issue 1e57–e64Published online: January 16, 2017
    • Wei-Jen Chen
    Cited in Scopus: 14
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    The radioulnar ligament of the triangular fibrocartilage complex (TFCC), especially the deep fibers inserted at the ulnar fovea, is the key component for the distal radioulnar joint (DRUJ) stability. Traumatic injuries to the TFCC foveal insertion would cause DRUJ instability. Traditionally, arthroscopic techniques of the TFCC repair are suturing the ulnar-sided disruption peripherally to the dorsal or ulnar capsule instead of suturing the TFCC to the fovea and thus fail to restore the DRUJ stability if the TFCC is detached from the fovea.
    Arthroscopically Assisted Transosseous Foveal Repair of Triangular Fibrocartilage Complex
  • Technical Note
    Open Access

    All-Arthroscopic Knotless Suture Anchor Repair of Triangular Fibrocartilage Complex Fovea Tear by the 2-Portal Technique

    Arthroscopy Techniques
    Vol. 3Issue 6e673–e677Published online: November 17, 2014
    • Yongcheol Park
    Cited in Scopus: 5
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    After the importance of the deep fiber of the distal radioulnar ligament had been acknowledged, some repair techniques have been introduced. Because the knotless suture anchor does not cause any knot irritation and yields appropriate tension, it is a useful fixation material. All-arthroscopic knotless suture anchor repair of the triangular fibrocartilage complex fovea tear by a 2-portal technique is easier and less vulnerable to ulnar nerve injury than the original Geissler technique. Instead of the suture hook and accessory portal, this technique uses the always-sharp 18-gauge needle and percutaneous route.
    All-Arthroscopic Knotless Suture Anchor Repair of Triangular Fibrocartilage Complex Fovea Tear by the 2-Portal Technique
  • Technical Note
    Open Access

    Arthroscopic Wafer Procedure for Ulnar Impaction Syndrome

    Arthroscopy Techniques
    Vol. 3Issue 1e123–e125Published online: January 27, 2014
    • Julie Colantoni
    • Christopher Chadderdon
    • R. Glenn Gaston
    Cited in Scopus: 4
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    Ulnar impaction syndrome is abutment of the ulna on the lunate and triquetrum that increases stress and load, causing ulnar-sided wrist pain. Typically, ulnar-positive or -neutral variance is seen on a posteroanterior radiograph of the wrist. The management of ulnar impaction syndrome varies from conservative, symptomatic treatment to open procedures to shorten the ulna. Arthroscopic management has become increasingly popular for management of ulnar impaction with ulnar-positive variance of less than 3 mm and concomitant central triangular fibrocartilage complex tears.
    Arthroscopic Wafer Procedure for Ulnar Impaction Syndrome
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