Tears of the triangular fibrocartilage complex (TFCC) often lead to chronic wrist pain. The commonly used 2-needle outside-in and inside-out suturing techniques require an extra incision to tie the sutures subcutaneously. We use a practical and cost-effective arthroscopic technique for treatment of peripheral Palmer type 1B TFCC tears using a hypodermic needle. This obviates the need for an additional skin incision, thus lowering the risk of neurovascular damage, reducing postoperative pain, and enabling faster rehabilitation and better cosmesis.
PalmerAK. Triangular fibrocartilage complex lesions: A classification. J Hand Surg Am1989;14:594–606.
2.
ZacheeBDe SmetLFabryG. Arthroscopic suturing of TFCC lesions. Arthroscopy1993;9:242–3.
3.
StanleyJSaffarP. Wrist arthroscopy. London: Martin Dunitz, 1994.
4.
de AraujoWPoehlingGGKuzmaGR. New Tuohy needle technique for triangular fibrocartilage complex repair: Preliminary studies. Arthroscopy1996;12:699–703.
5.
BohringerGSchadel-HopfnerMPetermannJGotzenL. A method for all-inside arthroscopic repair of Palmer 1B triangular fibrocartilage complex tears. Arthroscopy2002;18:211–3.
6.
WeiglKSpiraE. The triangular fibrocartilage of the wrist joint. Reconstr Surg Traumatol1969;11:139–53.
7.
PalmerAKWernerFW. The triangular fibrocartilage complex of the wrist—anatomy and function. J Hand Surg Am1981;6:153–62.
8.
PalmerAK. The distal radioulnar joint. Anatomy, biomechanics, and triangular fibrocartilage complex abnormalities. Hand Clin1987;3:31–40.
9.
NakamuraTYabeYHoriuchiY. Functional anatomy of the triangular fibrocartilage complex. J Hand Surg Br1996;21:581–6.
10.
NumotoS. Three-dimensional architecture of the triangular fibrocartilage of the wrist [in Japanese]. J Okayama Med Assoc1990;102:623–39.
11.
BednarMSArnoczkySPWeilandAJ. The microvasculature of the triangular fibrocartilage complex: Its clinical significance. J Hand Surg Am1991;16:1101–5.
12.
ChidgeyLKDellPCBittarESSpanierSS. Histologic anatomy of the triangular fibrocartilage. J Hand Surg Am1991;16:1084–100.
13.
ThiruRGFerlicDCClaytonMLMcClureDC. Arterial anatomy of the triangular fibrocartilage of the wrist and its surgical significance. J Hand Surg Am1986;11:258–63.
14.
HermansdorferJDKleinmanWB. Management of chronic peripheral tears of the triangular fibrocartilage complex. J Hand Surg Am1991;16:340–6.
15.
MeloneCPJrNathanR. Traumatic disruption of the triangular fibrocartilage complex. Pathoanatomy. Clin Orthop Relat Res1992;275:65–73.
16.
CorsoSJSavoieFHGeisslerWBWhippleTLJiminezWJenkinsN. Arthroscopic repair of peripheral avulsions of the triangular fibrocartilage complex of the wrist: A multicenter study. Arthroscopy1997;13:78–84.
17.
CooneyWPSagermanSDShortWH. Arthroscopic repair of the radial sided TFCC tears: A follow-up study. Proceedings of the 49th Annual Meeting of the American Society of Surgery of the Hand, Cincinnati, OH, 1994:41–4.
18.
HankerGJ. Arthroscopic evaluation of intraarticular distal radius fractures. Presented at the Annual Meeting of the American Society for Surgery of the Hand, Orlando, FL, 1991.
19.
OstermannALBoraFWMaitinE. Arthroscopic excision of flap-tears of the triangular fibrocartilage. Presented at the 42nd Annual Meeting of the ASSH, San Antonio, TX, 1987.
20.
HaugstvedtJRHusbyT. Results of repair of peripheral tears in the triangular fibrocartilage complex using an arthroscopic suture technique. Scand J Plast Reconstr Surg Hand Surg1999;33:439–47.
21.
ChouCHLeeTS. Peripheral tears of triangular fibrocartilage complex: Results of primary repair. Int Orthop2001;25:392–5.
22.
CoberSRTrumbleTE. Arthroscopic repair of triangular fibrocartilage complex injuries. Orthop Clin North Am2001;32:279–94.
23.
SkieMCMekhailAODeitrichDREbraheimNE. Operative technique for inside-out repair of the triangular fibrocartilage complex. J Hand Surg Am1997;22:814–7.
24.
FellingerMPeichaGSeibertFJGrechenigW. Radial avulsion of the triangular fibrocartilage complex in acute wrist trauma: A new technique for arthroscopic repair. Arthroscopy1997;13:370–4.
25.
ConcaMConcaRPriaDalla A. Preliminary experience of fully arthroscopic repair of triangular fibrocartilage complex lesions. Arthroscopy2004;20:e79–82.
