A technique for arthroscopic all-inside suturing in the wrist is presented. The procedure allows placement of the knot inside the joint without additional incisions. We have applied it in cases of dorsal, foveal and coronal tears of the triangular fibrocartilage. No special instrument is required apart from a Tuohy needle.
AtzeiA. New trends in arthroscopic management of type 1-B TFCC injuries with DRUJ instability. J Hand Surg Eur. 2009, 34: 582–91.
2.
BadiaAJiménezA. Arthroscopic repair of peripheral triangular fibrocartilage complex tears with suture welding: a technical report. J Hand Surg Am. 2006, 31: 1303–7.
3.
BednarJMOstermanAL. The role of arthroscopy in the treatment of traumatic triangular fibrocartilage injuries. Hand Clin. 1994, 10: 605–14.
4.
BöhringerGSchädel-HöpfnerMPetermannJGotzenL. A method for all-inside arthroscopic repair of Palmer 1B triangular fibrocartilage complex tears. Arthroscopy. 2002, 18: 211–13.
5.
CorsoSJSavoieFHGeisslerWBWhippleTLJiminezWJenkinsN. Arthroscopic repair of peripheral avulsions of the triangular fibrocartilage complex of the wrist: a multicenter study. Arthroscopy. 1997, 13: 78–84.
6.
de AraujoWPoehlingGGKuzmaGR. New Tuohy needle technique for triangular fibrocartilage complex repair: preliminary studies. Arthroscopy. 1996, 12: 699–703.
7.
del PiñalFGarcía-BernalFJDelgadoJSanmartínMRegaladoJCerezalL. Correction of malunited intra-articular distal radius fractures with an inside-out osteotomy technique. J Hand Surg Am. 2006, 31: 1029–34.
8.
del PiñalFGarcía-BernalFJPisaniDRegaladoJAyalaHStuderA. Dry arthroscopy of the wrist: surgical technique. J Hand Surg Am. 2007, 32: 119–23.
McAdamsTRHentzVR. Injury to the dorsal sensory branch of the ulnar nerve in the arthroscopic repair of ulnar-sided triangular fibrocartilage tears using an inside-out technique: a cadaver study. J Hand Surg Am. 2002, 27: 840–4.
11.
PalmerAK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am. 1989, 14: 594–606.
12.
PederziniLATosiMPrandiniMBotticellaC. All-inside suture technique for Palmer class 1B triangular fibrocartilage repair. Arthroscopy. 2007, 23: 1130.e1–4.
13.
SkieMCMekhailAODeitrichDREbraheimNE. Operative technique for inside-out repair of the triangular fibrocartilage complex. J Hand Surg Am. 1997, 22: 814–17.
14.
TrumbleTEGilbertMVedderN. Isolated tears of the triangular fibrocartilage: management by early arthroscopic repair. J Hand Surg Am. 1997, 22: 57–65.
15.
Tsu-Hsin ChenEWeiJDHuangVW. Injury of the dorsal sensory branch of the ulnar nerve as a complication of arthroscopic repair of the triangular fibrocartilage. J Hand Surg Br. 2006, 31: 530–2.
16.
YaoJDantuluriPOstermanAL. A novel technique of all-inside arthroscopic triangular fibrocartilage complex repair. Arthroscopy. 2007, 23: 1357.e1–4.
