scholarly journals Congenital meniscoid articular disc of the triangular fibrocartilage complex

2009 ◽  
Vol 91-B (8) ◽  
pp. 1094-1096
Author(s):  
S.-J. Kim ◽  
H.-K. Moon ◽  
Y.-M. Chun ◽  
W.-H. Chang ◽  
S.-G. Kim ◽  
...  
Keyword(s):  
Triangular Fibrocartilage Complex ◽  
Articular Disc ◽  
Triangular Fibrocartilage

scholarly journals Atraumatic Bucket Handle Abnormality of the Triangular Fibrocartilage Complex in an Adolescent

2018 ◽  
Vol 08 (05) ◽  
pp. 423-425
Author(s):  
Leen Vanlaer ◽  
Sebastiaan Kellens ◽  
Maarten Van Nuffel
Keyword(s):  
Congenital Abnormalities ◽  
Incidental Finding ◽  
Anatomical Variations ◽  
Review Literature ◽  
Triangular Fibrocartilage Complex ◽  
Wrist Arthroscopy ◽  
Articular Disc ◽  
Traumatic Lesion ◽  
Triangular Fibrocartilage ◽  
Bucket Handle

Background Congenital abnormalities of the triangular fibrocartilage complex (TFCC) are rare and could be mistaken for a traumatic lesion. It is important to recognize these anatomical variations and to realize they do not always require treatment. Case Description An incidental finding of an atraumatic bucket handle abnormality of the TFCC in a 15-year-old male, who was treated arthroscopically for dorsal wrist pain. This structure was resected, thus obtaining a normal looking peripheral TFCC. Literature Review Literature regarding congenital abnormalities of the TFCC is limited to a meniscoid articular disc or a congenital perforation. To our knowledge, an atraumatic bucket handle abnormality has not been described yet. Clinical Relevance This congenital abnormality of the TFCC could be mistaken for a traumatic lesion on MRI, or during wrist arthroscopy; therefore, it is important to realize that this entity may occur and does not require treatment.

Morphology and Distribution of Nerve Endings in the Human Triangular Fibrocartilage Complex

1998 ◽  
Vol 23 (4) ◽  
pp. 522-525 ◽  
Author(s):  
M. OHMORI ◽  
H. AZUMA
Keyword(s):  
Collagen Fibre ◽  
Ulnar Collateral Ligament ◽  
Triangular Fibrocartilage Complex ◽  
Nerve Endings ◽  
Articular Disc ◽  
Collateral Ligament ◽  
Peripheral Part ◽  
Ulnar Side ◽  
Fibre Area ◽  
Triangular Fibrocartilage

We studied the morphology and distribution of nerve endings in the human triangular fibrocartilage complex using both silver staining and immunohistochemical staining using a protein specific to nerve fibres. Free nerve endings were found in the ulnar side of the triangular fibrocartilage complex, especially in the ulnar collateral ligament, meniscus homologue and the adjacent collagen fibre area of the peripheral part of the ulnar side of the articular disc. Meissner’s and Krause’s corpuscles were observed in the ulnar collateral ligament and meniscus homologue. The fact that free nerve endings were observed in the meniscus homologue and adjacent collagen fibre area of the peripheral part of the ulnar side of the articular disc suggests that this disc may be a source of wrist pain. The presence of nerve end bulbs in the triangular fibrocartilage complex also suggests a possible role for corpuscles as mechanoreceptors.

Reconstructed animation from four-phase grip MRI of the wrist with ulnar-sided pain

2013 ◽  
Vol 38 (7) ◽  
pp. 746-750 ◽  
Author(s):  
T. Oda ◽  
T. Wada ◽  
K. Iba ◽  
M. Aoki ◽  
M. Tamakawa ◽  
...  
Keyword(s):  
Distal Radioulnar Joint ◽  
Triangular Fibrocartilage Complex ◽  
Wrist Pain ◽  
Articular Disc ◽  
Ulnar Head ◽  
Dynamic Variations ◽  
Ulnar Shortening Osteotomy ◽  
Shortening Osteotomy ◽  
Ulnar Wrist Pain ◽  
Triangular Fibrocartilage

In order to visualize dynamic variations related to ulnar-sided wrist pain, animation was reconstructed from T2* coronal-sectioned magnetic resonance imaging in each of the four phases of grip motion for nine wrists in patients with ulnar pain. Eight of the nine wrists showed a positive ulnar variance of less than 2 mm. Ulnocarpal impaction and triangular fibrocartilage complex injury were assessed on the basis of animation and arthroscopy, respectively. Animation revealed ulnocarpal impaction in four wrists. In one of the four wrists, the torn portion of the articular disc was impinged between the ulnar head and ulnar proximal side of the lunate. In another wrist, the ulnar head impacted the lunate directly through the defect in the articular disc that had previously been excised. An ulnar shortening osteotomy successfully relieved ulnar wrist pain in all four cases with both ulnocarpal impaction and Palmer’s Class II triangular fibrocartilage complex tears. This method demonstrated impairment of the articular disc and longitudinal instability of the distal radioulnar joint simultaneously and should be of value in investigating dynamic pathophysiology causing ulnar wrist pain.

Triangular Fibrocartilage Complex (TFCC; Articular Disc) Tear

2010 ◽  
pp. 133
Author(s):  
Joel A. Vilensky ◽  
Edward C. Weber ◽  
Thomas E. Sarosi ◽  
Stephen W. Carmichael
Keyword(s):  
Triangular Fibrocartilage Complex ◽  
Articular Disc ◽  
Triangular Fibrocartilage

scholarly journals Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries

2019 ◽  
Vol 8 (10) ◽  
pp. 1540 ◽  
Author(s):  
Wei-Ting Wu ◽  
Ke-Vin Chang ◽  
Kamal Mezian ◽  
Ondřej Naňka ◽  
Yi-Chiang Yang ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Triangular Fibrocartilage Complex ◽  
Strongly Correlated ◽  
Articular Disc ◽  
Resonance Imaging ◽  
Scanning Protocol ◽  
Ulnar Wrist Pain ◽  
Injection Techniques ◽  
Triangular Fibrocartilage ◽  
Complex Injuries

The triangular fibrocartilage complex (TFCC) serves as the major stabilizer of the wrist. Its injuries can result from trauma or degeneration, both of which are strongly correlated with the loading stress on the ulnar shaft and carpal joints. The TFCC is made of the articular disc, meniscus homologue, ulnocarpal ligament, radioulnar ligament, ulnotriquetral ligament, ulnolunate ligament, and subsheath of the extensor carpi ulnaris tendon. Because of its complexity, it is challenging to confirm the exact component affected in TFCC injuries. The Palmer classification is widely used for investigation of TFCC lesions using magnetic resonance imaging. Recently, high-resolution ultrasound (US) has become more popular in diagnosing musculoskeletal disorders. However, the utility of US imaging in TFCC lesions is less common because its anatomy under US imaging is not described in the current literature. Accordingly, in this review, we aimed to propose a standard US scanning protocol for the TFCC, present relevant images for its pathologies, and illustrate appropriate US-guided injection techniques for their management.

scholarly journals Motion Analysis of Triangular Fibrocartilage Complex by Using Ultrasonography Images: Preliminary Analysis

Sensors ◽  
2022 ◽  
Vol 22 (1) ◽  
pp. 345
Author(s):  
Issei Shinohara ◽  
Atsuyuki Inui ◽  
Yutaka Mifune ◽  
Hanako Nishimoto ◽  
Kohei Yamaura ◽  
...  
Keyword(s):  
Motion Analysis ◽  
Triangular Fibrocartilage Complex ◽  
Control Group ◽  
Articular Disc ◽  
Ulnar Deviation ◽  
Radial Deviation ◽  
Velocity Magnitude ◽  
Injury Group ◽  
Triangular Fibrocartilage ◽  
The Mean

The triangular fibrocartilage complex (TFCC) is a significant stabilizer of the distal radioulnar joint. Diagnosing TFCC injury is currently difficult, but ultrasonography (US) has emerged as a low-cost, minimally invasive diagnostic tool. We aimed to quantitatively analyze TFCC by performing motion analysis by using US. Twelve healthy volunteers, comprising 24 wrists (control group), and 15 patients with TFCC Palmer type 1B injuries (injury group) participated. The US transducer was positioned between the ulnar styloid process and triquetrum and was tilted ulnarly 30° from the vertical line. The wrist was then actively moved from 10° of radial deviation to 20° of ulnar deviation in a 60-rounds-per-minute rhythm that was paced by a metronome. The articular disc displacement velocity magnitude was analyzed by using particle image velocimetry fluid measurement software. The mean area of the articular discs was larger on ulnar deviation in the control group. The mean articular disc area on radial deviation was larger in the injury group. The average articular disc velocity magnitude for the injury group was significantly higher than that for the control group. The results suggest that patients with TFCC injury lose articular disc cushioning and static stability, and subsequent abnormal motion can be analyzed by using US.

Degeneration of the articular disc in the human triangular fibrocartilage complex

2021 ◽  
Author(s):  
Susanne Rein ◽  
Veit Krenn ◽  
Elisabet Hagert ◽  
Marc Garcia-Elias ◽  
Alex Lluch ◽  
...  
Keyword(s):  
Triangular Fibrocartilage Complex ◽  
Articular Disc ◽  
Triangular Fibrocartilage

The rein-type arthroscopic capsular suture for triangular fibrocartilage complex foveal tears: midterm results for 90 patients

2021 ◽  
pp. 175319342110241
Author(s):  
I-Ning Lo ◽  
Kuan-Jung Chen ◽  
Tung-Fu Huang ◽  
Yi-Chao Huang
Keyword(s):  
Simple Procedure ◽  
Distal Radioulnar Joint ◽  
Triangular Fibrocartilage Complex ◽  
Joint Stability ◽  
Level Of Evidence ◽  
Radioulnar Joint ◽  
High Satisfaction ◽  
Ultrasound Assessment ◽  
Triangular Fibrocartilage

We describe an arthroscopic rein-type capsular suture that approximates the triangular fibrocartilage complex to the anatomical footprint, and report the results at a minimum 12 month follow-up. The procedure involves two 3-0 polydioxanone horizontal mattress sutures inserted 1.5 cm proximal to the 6-R and 6-U portals to obtain purchase on the dorsal and anterior radioulnar ligaments, respectively. The two sutures work as a rein to approximate the triangular fibrocartilage complex to the fovea. Ninety patients with Type IB triangular fibrocartilage complex injuries were included retrospectively. The 12-month postoperative Modified Mayo Wrist scores, Disabilities of Arm, Shoulder and Hand scores and visual analogue scale for pain showed significant improvements on preoperative values. Postoperative range of wrist motion, grip strength and ultrasound assessment of the distal radioulnar joint stability were comparable with the normal wrist. The patients had high satisfaction scores for surgery. There were minor complications of knot irritation. No revision surgery for distal radioulnar joint instability was required. It is an effective and technically simple procedure that provides a foveal footprint contact for the triangular fibrocartilage complex. Level of evidence: IV

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