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Open surgery is usually required for degenerative or more complex TFCC injuries, or if additional damage to the wrist or forearm caused instability or displacement. It is a more invasive surgical technique compared to arthroscopic treatment, but the surgeon has better visibility and access to the TFCC.
Both stages of TFCC tears are treatable with an arthroscopic intervention, although the degenerative stage is operated according to the "Arthroscopic wafer procedure". [3] In this procedure, the surgeon debrides the TFCC and a limited part of the ulnar head. If the patient has a Class 1 TFCC tear, a different arthroscopic technique is used.
There is an increased risk of interosseous intercarpal injury if the ulnar variance (the difference in height between the distal end of the ulna and the distal end of the radius) is more than 2mm and there is fracture into the wrist joint. [5] Triangular fibrocartilage complex (TFCC) injury occurs in 39% to 82% of cases.
Further on, chances are high that after only 1 or 2 years of the surgery symptoms start to return as the fibrocartilage wears away, forcing the patient to reengage in articular cartilage repair. This is not always the case and microfracture surgery is therefore considered to be an intermediate step. [citation needed]
An MRI on Monday revealed a tear in the ulnar collateral ligament inside the elbow, the school announced. Surgery with Dr. James Andrews in Birmingham is scheduled for May 18. Hoglund, a junior ...
Injury to and inflammation of the scapholunate ligament is a common wrist injury. [1] Injuries to the triangular fibrocartilage complex may result from chronic repetitive movements by wrist flexion-extension , supination - pronation , or sudden radius-ulna rotation.
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Instead, it is connected to and articulates with the ulna through the Triangular fibrocartilage disc [1] and ligament, which forms part of the ulnocarpal joint capsule. [2] It connects with the pisiform, hamate, and lunate bones. It is the 2nd most commonly fractured carpal bone.